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Biomedical subjects

Susan J Klein

Publications and source records attributed to Susan J Klein.

12 recordsLinked to original sources
PubMed2006

Integrating HIV prevention activities into the HIV medical care setting: a report from the NYC HIV Centers Consortium.

With the maturing of the HIV epidemic and availability of potent antiretroviral therapies in the US, priorities for HIV prevention have shifted from general population approaches to case finding, treatment, risk reduction and relapse prevention activities among those at greatest risk for acquiring or transmitting HIV infection. The challenges of this approach include ensuring access and adherence to HIV care and treatment and appropriate prevention activities to ensure adequate and sustained sexual and drug use risk reduction across diverse populations. Experience with approaches to address these issues, particularly in the context of primary care, has been limited. An agenda for future research and practice includes continued development and evaluation of interventions that can address this next generation of health care issues.

Antiretroviral Therapy, Highly Active↗
PubMed2005

HIV/AIDS and Native Americans: the health departments' response.

For some time, state health department HIV/AIDS programs have worked with communities of color to address their unmet needs. Because of the need for a holistic approach to the multiple issues impacting these communities, efforts to address HIV/AIDS in Native American communities are often integrated into programs addressing related issues, such as substance abuse, mental health and other STDs. Building upon a recent report from the National Alliance of State and Territorial AIDS Directors (NASTAD), this article will review the numerous challenges state and local health departments face in supporting HIV/AIDS-focused health and human services in Native American communities and how some health departments have worked with Native American communities to respond to these challenges. A series of recommendations and next steps for health departments seeking to improve services in Native American communities will be offered.

Acquired Immunodeficiency Syndrome↗
PubMed2003

HIV/AIDS prevention and care services and services for the aging: bridging the gap between service systems to assist older people.

The service systems for patients with or at risk for HIV infection/AIDS and for the aging must work together to address the needs of older adults who engage in HIV risk behaviors or who are HIV infected. Health and human service organizations miss opportunities for service integration in prevention, care, and supportive services. The authors illustrate critical issues and offer strategies to address these missed opportunities.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Interventions to prevent HIV-related stigma and discrimination: findings and recommendations for public health practice.

Stigma and discrimination exist in many forms, undermining individual and community health. Interventions to combat stigma and discrimination are essential to prevent the spread of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). Health departments, and others, can benefit by mounting specific interventions against these threats to public health. In New York State, interventions against HIV-related stigma and discrimination are integral components of the comprehensive approach to HIV prevention. For maximum impact, multiple interventions are employed at both policy and program levels. This article summarizes the need for interventions, discusses practical examples from actual experience, and presents the synergy of multiple interventions in a logic model.

Attitude to Health↗
PubMed2002

Building an HIV continuum for inmates: New York State's criminal justice initiative.

The benefits of public health, corrections, and community-based organization (CBO) collaboration to meet HIV prevention needs of inmates are recognized. Each year over 100,000 inmates, most of whom have a history that put them at HIV risk, pass through the New York State (NYS) prison system. The NYS Department of Health AIDS Institute, the NYS Department of Correctional Services, the NYS Division of Parole, and a statewide network of CBOs collaborate to meet HIV prevention and support services needs of inmates and parolees through a continuum of interventions and services. This article describes the evolution of the prevention, supportive services, and transitional planning continuum within the NYS prison system. It identifies other agencies involved, obstacles to service delivery, describes approaches to overcome them, discusses ways to meet capacity building and technical assistance needs of CBOs, identifies challenges remaining, and provides practical advice from actual experience in NYS.

Community Health Services↗
PubMedDate not supplied

A public health approach to "prevention with positives": the New York State HIV/AIDS Service Delivery System.

Prevention of new HIV infections through meeting the prevention needs of HIV-infected persons, known as "prevention with positives," is a national priority. State health departments administer complex HIV/AIDS prevention, health care, and supportive service programs and shape the context for prevention services in their states. This larger context provides opportunities for development and enhancement of HIV prevention interventions. This article presents results of an assessment conducted by the New York State Department of Health of the extent to which the New York State HIV service delivery system, conceptualized as a continuum of services, supports prevention with positives and identifies opportunities for new initiatives. The New York State service continuum offers a comprehensive yet flexible framework into which effective HIV prevention interventions and services are embedded. It is mobilized in support of meeting individuals' HIV prevention needs. The service continuum continues to evolve and requires constant attention on the part of New York State Department of Health to keep pace with the ever-changing HIV epidemic. Additional features of New York State's comprehensive approach to prevention with positives are also discussed. This simple assessment, which can be adapted for use elsewhere, was effective in pinpointing how the current service delivery system supports prevention with positives. Approaches used by state health departments to advance prevention with positives warrant support and recognition.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Developing practical "tips" for HIV/AIDS service delivery in local jails.

Numerous national, state, and local public health and correctional organizations and others recognize the important roles that community-based organizations and other agencies play in meeting the needs of persons incarcerated within local correctional facilities. Yet to date, there has been little, if any, guidance offered to community-based organizations about how best to approach local correctional facilities. This article discusses the process and outcomes of a collaborative process. Practical advice was drawn from the actual experiences of corrections staff, community-based organizations, and other agencies, including health departments, that are providing services in local correctional facilities. The product of this collaboration, a booklet entitled "How to Gain Access to County Jails for Delivery of HIV/AIDS Services: A Guide for Community-Based Organizations," outlines strategies for success that can be used to facilitate service delivery to incarcerated individuals with multiple primary and preventive health needs.

Community Health Services↗