22071 - Predictors of Retention in Care Among HIV and...

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1 Predictors of Retention in Care Among HIV+ and At-Risk Youth Sion Kim Harris, PhD Cathryn L. Samples, MD, MPH Peter Keenan, RN, C-PNP Durrell J. Fox, BS Maurice W. Melchiono, RN, MS, C-FNP Elizabeth R. Woods, MD, MPH Boston HAPPENS Program Participants Children’s Hospital Boston, Harvard Medical School Society for Adolescent Medicine Annual Meeting 2002
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2 Study Grant Support Special Projects of National Significance Program (SPNS) #BRH 970155-05-0, HRSA, DHHS Leadership in Adolescent Health Project # 5T 71 MC 00009-10 , MCH Bureau, HRSA, DHHS W.T. Grant Foundation Children’s Hospital’s Aerosmith Fund for HIV Care and Prevention
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3 Background At-risk youth are hard to engage and retain in care Ancillary services such as outreach, case management, and mental health services believed to enhance retention in care
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4 Study Aims Describe retention in care of youth clients of a comprehensive adolescent HIV care program (Boston HAPPENS Program) Assess impact of outreach, case management, mental health services on likelihood of retention over time, adjusted for potential confounding factors
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5 Program Description Boston HIV Adolescent Provider and Peer Education Network for Services (HAPPENS) Coordinated network of 8 agencies serving at-risk youth ages 12-24 Comprehensive care including HIV CTS, outreach, nurse case management, mental health services, and medical care
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6 Study Population HAPPENS clients seen during data collection period (4.5 years) Clients excluded from analysis if had no more than two standard HIV counseling and testing visits
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7 Data Collection Method
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