The August 1998 supplement of the Journal of Adolescent Health features HRSA/HAB's SPNS Adolescent Care Projects. The title of the volume is "Special Projects of National Significance Program: Ten Models of Adolescent HIV Care."

The Journal of Adolescent Health, the official publication of the Society for Adolescent Medicine, is committed to the development of comprehensive acute, chronic, and preventive health care service delivery to youth using a multi-disciplinary approach. Its audience includes physicians, anthropologists, social workers, nurses, nutritionists and others.

The supplement contains an overview of background information on the ten adolescent models of HIV care, a national consensus model for adolescent-targeted services, and ten articles describing the individual models of HIV care for adolescents.

Each article on the various adolescent models contains a description of the regional information about the HIV/AIDS epidemic in the project area (Birmingham, AL, Boston, MA, Bridgeport, CT, statewide in Indiana, Los Angeles, CA, statewide in Minnesota, San Francisco, CA, and Seattle, WA); a detailed description of their model of care; a summary of their evaluation approach and findings; and, conclusions from their project efforts. Most of the projects combine qualitative and quantitative evaluation approaches. Evaluation information from the model projects includes site-specific and cross-cutting evaluation components. The ten adolescent projects collaborated with the national evaluators to develop a national cross-cutting evaluation and data set.

One of the papers, entitled "A Model for Adolescent-Targeted HIV/AIDS Services: Conclusions from 10 Adolescent-targeted Projects Funded by the Special Projects of National Significance Program of the Health Resources and Services Administration," describes a consensus model of service for youth living with and at-risk for HIV/AIDS. The consensus model applies to the experiences of all of the adolescent projects. Common elements in the consensus services model include: peer youth information development and dissemination; peer youth Advisory Group or Board; peer youth outreach and support groups; and professional tightly linked medical-social support networks. Active case management and advocacy, for individual clients as well as the programs themselves, is crucial for linking the various components together.

The ten adolescent models of care can be grouped into four types of projects, including those focusing on: (1) youth involvement; (2) outreach to bring youth into services; (3) case management and linkage to services; or, (4) providing a comprehensive continuum of care for youth. These articles provide information that will be useful in efforts to duplicate the models or components of the models at other locations serving youth with HIV/AIDS.

Below is a list of the editors of the volume, as well as the Table of Contents:

Editor: Elizabeth R. Woods, MD, MPH, Children's Hospital, Boston; Associate Editors: Elizabeth Goodman, MD, Children's Hospital, Boston; G. J. Huba, PhD, The Measurement Group; Lisa A. Melchior, PhD, The Measurement Group; Gary Remafedi, MD, MPH, University of Minnesota; Barney Singer, JD, HIV/AIDS Bureau HRSA/HAB's SPNS; Eric R. Wright, PhD, Indiana University; External Editor: Robert H. DuRant, PhD, Wake Forest University School of Medicine

Preface, Special Projects of National Significance Program: Ten Models of Adolescent HIV Care. Russell E. Brady, Barney Singer, JD, Katherine Marconi, PhD.

1. Overview of the Special Projects of National Significance Program's Ten Models of Adolescent HIV Care. Elizabeth R. Woods, MD, MPH.

2. A Model for Adolescent-targeted HIV/AIDS Services: Conclusions from 10 Adolescent-targeted Projects funded by the Special Projects of National Significance Program of the Health Resources and Services Administration. G. J. Huba, PhD, Lisa A. Melchior, PhD.

3. Bay Area Young Positives: A Model of a Youth-Based Approach to HIV/AIDS Services. Troix Bettencourt, Antigone Hodgins, G. J. Huba, PhD, Gilbert Pickett.

4. Boston HAPPENS Program: A Model of Health Care for HIV-Positive, Homeless, and At-risk Youth. Elizabeth R. Woods, MD, MPH, Cathryn L. Samples, MD, MPH, Maurice W. Melchiono, RN, MS, C-FNP, Peter M. Keenan, RN, BSN, Durrell J. Fox, BA, Louise H. Chase, MSW, LICSW, Steven Tierney, EdD, Virginia A. Price, M.Ed, Jan E. Paradise, MD, Rebecca F. O'Brian, MD, Carol J. Mansfield, MD, MPH, Robyn A. Brooke, RN, MSN, C-FNP, Deborah Allen, MS, Elizabeth Goodman, MD.

5. Bridgeport's Teen Outreach and Primary Services (TOPS) Project: A Model for Raising Community Awareness about Adolescent HIV Risk. Rudy Feudo, PhD, Sandra Vining-Bethea, Lawrence C. Shulman, MSW, ACSW, Michele G. Shedlin, PhD, Joseph A. Burleson, PhD.

6. Childrens Hospital Los Angeles: A Model of Integrated Care for HIV-positive and Very High-risk Youth. Arlene Schneir, MPH, Michele D. Kipke, PhD, Lisa A. Melchior, PhD, G. J. Huba, PhD.

7. Health Initiatives for Youth: A Model of Youth/Adult Partnership Approach for HIV/AIDS Services. Bill Bourdon, Steven Tierney, EdD, G. J. Huba, PhD, Joanne Lothrop, Lisa A. Melchior, PhD, Ruth Betru, Kim Compoc.

8. Indiana Youth Access Project: A Model for Responding to the HIV Risk Behaviors of Gay, Lesbian, and Bisexual Youth in the Heartland. Eric R. Wright, PhD, Christopher Gonzalez, BA, Jeffrey N. Werner, BA, Steven Thad Laughner, MPA, Michael Wallace, MA.

9. Seattle YouthCare's Prevention, Intervention and Education Program: A Model of Care for HIV-Positive, Homeless, and At-Risk Youth. Adam D. Tenner, Lee A. Trevithick, MA, Victoria Wagner, MA, Rob F. Burch, PhD.

10. The University of Alabama Teenage Access Project: A Model for Prevention, Referrals, and Linkages to Testing for High Risk Young Women. Marsha S. Sturdevant, MD, Connie L. Kohler, PhD, Lynda F. William, MSW, Julie E. Johnson, BA.

11. The University of Minnesota Youth and AIDS Projects' Adolescent Early Intervention Program: A Model to Link HIV-Seropositive Youth with Care. Gary Remafedi, MD, MPH.

12. The Walden House Young Adult HIV Project: Meeting the Needs of Multi-Diagnosed Youth. Mark S. Hymel, MA, Brian L. Greenberg, PhD.

Adolescent SPNS/Fax is produced by The Measurement Group for the HRSA Special Projects of National Significance Program. Editorial comments should be made to The Measurement Group at 5811A Uplander Way, Culver City, California 90230, 310.216.1051, 310.670.7735 (fax), ghuba@TheMeasurementGroup.com. To be added to the distribution list, contact The Measurement Group. Please feel free to photocopy and distribute Adolescent SPNS/Fax throughout your organization. Subscriptions are free.

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