Psychosocial Services Knowledge Item 31: Results from HRSA/HAB's SPNS Innovative Models of Care

Knowledge Item: CA-Psychosocial Services-31
Model of the "Typical" Psychosocial Service Program: I. Major Types of Services

This Knowledge Item presents two types of models of the "typical" experience in a psychosocial supports service program experienced by 2063 persons living with HIV/AIDS. The models presented here show the interrelationships between the different types of services provided to patients.

The model shown below relates the probability that a participant receives each of seven major types of (non-overlapping) services to an underlying latent dimension of "program involvement" or intensity using latent trait analysis (or two-parameter item response theory scaling).

The seven types of services and their abbreviations are placed in this table corresponding to their position in the Latent Trait Model Item Plots below
GTHIVPRV= HIV prevention/intervention	GTINDCO2= Individual counseling	GTASSES2= Psychiatric/psychosocial assessment
GTGRPCO2= Group (not family/couple) counseling	GTFAMCO2= Family/couple counseling	GTSUBABU= Substance abuse services
GTCASMGT= Case management

In this "idealized" model of treatment involvement, the initiation of individual and group counseling services represent intermediate levels of program involvement. At a higher level of program involvement, psychiatric assessment and family counseling tend to start to occur. Substance abuse and HIV transmission prevention services can be initiated (but may not be) at low-to-high levels of program involvement. Case management tends to be initiated early, earlier than most other services, and may guide the initiation of the other services.

Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Psychosocial Services-31 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.

Last Updated: March 25, 2005; data through June 15, 1999; analyses conducted June 2000.

Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999.

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999. Click the Model Programs button above for descriptions of the projects that contributed to this specific Knowledge Item, a list of key staff, and project grant numbers.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.