Community Based
Organization Model
Six of the Community Based
Organization projects share, as a central theme, the goal of providing
high-quality care for individuals with HIV who belong to groups that are
traditionally underserved because of linguistic, cultural, racial, and
economic barriers that prevent their full integration into the traditional
hospital-based service system.
Each of these projects
targeted one or more high-need groups that tend to be under-represented in
HIV/AIDS services. The providers are psychosocial support organizations
who link their clients to medical providers for general medical care and
specialty HIV services. All linkages are "tight" ones, and
psychosocial supports to the treatment are provided.
A number of the projects
also had on-site medical "assistance" programs including an
on-site nurse or physician's assistant (Larkin Street, PROTOTYPES,
Well-Being Institute) or onsite physicians (CCHER) that supplemented the
medical treatment received at the linked medical clinic.
Center
for Community Health, Education, and Research (CCHER)
The
CCHER Haitian Community AIDS Outreach Project was a culturally
competent psychosocial educational-counseling and case management
program that has addressed the emotional and educational needs of
HIV-positive Haitians in Boston.
The
Fortune Society
The
Fortune Society delivered culturally and linguistically appropriate
services to symptomatic HIV-positive prisoners and ex-offenders.
Larkin
Street Youth Center
LSYC
reduced barriers to care and assisted homeless street youth in
accessing psychosocial and medical services and provided a housing
facility for youth with advanced stages of HIV disease.
Outreach,
Inc.
Outreach,
Inc. offered a wide array of comprehensive services to African
American substance abusers with HIV/AIDS residing in or around
housing developments and actively linked these clients to medical
care.
PROTOTYPES
WomensLink
PROTOTYPES
WomensLink reduced barriers and increased access to care for women
living with HIV/AIDS through the provision of a comprehensive,
“seamless” continuum of care and services and tight linkages to
medical providers.
Well-Being
Institute Women’s Intervention Program
Through
comprehensive, community-based services coordinated by nurse case
managers, the Well-Being Institute reduced access barriers for
substance abusing, HIV-positive women with tight linkages to medical
providers to ensure services.
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