More than thirty years after the first reported case of AIDS in the United States, we are fortunate to live in a time when, with proper medical treatment, a person with HIV or AIDS can live a long and fulfilling life. The social, economic, and interpersonal issues that continue to define HIV and AIDS beyond the medical reality of the disease, however, are still frequently overlooked. People living with HIV or AIDS have a broad spectrum of needs including access to medical care, housing assistance, mental health support, management of co-occurring conditions, specialized case management, and advocacy. Social work in HIV and AIDS prevention and care is one of the most complex and demanding fields of practice in the profession today. Social Work with HIV and AIDS: A Case-Based Guide is a first-of-its-kind book written by social workers experienced in working with this diverse group. The book explains the history of social work during that AIDS epidemic, examines the different populations affected by the disease, and covers the wide range of practice and policy issues involving people living with HIV and AIDS. The text deals frankly with the difficult issues associated with HIV and AIDS—race, sexuality, religion, sexual practice, and drug use—so social workers are fully prepared for the work ahead of them. The in-depth exploration of overlooked areas of practice such as conducting sexual assessments, educating clients on the medical aspects of HIV/AIDS, and engaging African American faith communities for prevention and treatment makes this an immensely useful book. This book is appropriate as an introduction for social work students, medical social workers, and general practitioners with no prior experience in HIV and AIDS care. Each chapter includes HIV/AIDS case studies that make the content come to life for readers. This book is the comprehensive guide that social workers need! Features • In-depth explorations of frequently overlooked areas including conducting sexual assessments, educating clients on the medical aspects of HIV/AIDS, and engaging African American faith communities for prevention and treatment efforts • Illustrative case studies drawn from real-life practice experiences • Reflection questions and discussion prompts • Up-to-date material on changes in AIDS policy Contents Foreword Vincent J. Lynch
Preface
Part I: Thirty Years of Social Work with HIV
1. Social Work Practice with HIV and AIDS: The Current Landscape Diana Rowan From a Death Sentence to a Chronic Disease The Medicalization of HIV and AIDS Care Enduring Themes Introduction to the Text
2. A Conversation with Alan Rice: Reflections on Twenty-Eight Years as an AIDS Social Worker Diana Rowan and Alan Rice
3. Seasons of Change : Exploring the Future for HIV/AIDS Social Work Michele Rountree, Marsha Zibalese-Crawford, and Maestro Evans The History of an Epidemic The Praxis: Issues and Concerns Developing a New Agenda Methodology Study Findings: An Agenda for Addressing the Dilemmas in HIV/AIDS Conclusion
Part II: Specific Population Groups
4. The Growing Impact of HIV among African Americans Michele Rountree and Meredith Bagwell A Health Crisis Risk Factors for HIV Heightened National Response to the HIV/AIDS Crisis among African Americans Cultural Competence Approaching the Epidemic Holistically Case Example
5. Culturally Competent Social Work Practice with Latinos with HIV Diana Rowan Introduction Latinos, HIV/AIDS, and Social Work Service Delivery Considerations for Latinos with HIV/AIDS Case Example Conclusion Web Resources
6. HIV/AIDS: Introduction to Prevention for Men Who Have Sex with Men Jeff Driskell Introduction Men Who Have Sex with Men Factors Related to HIV Infection Prevention Behavioral Theories and Models Intrapersonal-Level or Individual-Level Theories Interpersonal-Level Theories Community-Level or Group-Level Theories HIV-Prevention Intervention Example: The Milestone Project Case Example I Case Example II
7. Social Work with At-Risk Adolescents and Young Adults: HIV Prevention and Care Diana Rowan and Rebecca Stamler The Disproportionate Impact of HIV on Young People Why Are Young People at High Risk for HIV Infection? Adolescent Psychosocial Development HIV/AIDS Education for Adolescents and Young Adults Impacts of Drugs and Alcohol on HIV Prevention Assessment with Adolescents and Young Adults The HEADSS Assessment Model Suicide Risk/Depression Screening Suggestions for Ending Interviews with Adolescents Adolescent Sexual Minorities Sexual Behavior Experimentation among Adolescents Community-Level Interventions Targeted at Adolescent HIV Prevention Case Example
8. Over Fifty and Living with HIV Susan Grettenberger and Mary Boudreau Older Populations in the Epidemic Diversity among Older People with HIV Prevention Affected Others Life Stage Factors Gender Differences Gay Men Death and Dying Medical Issues Psychosocial Needs Bias and Lack of Competency as Barriers Stigma, Fear, and Denial Rural versus Urban Issues Resource Issues Developing Effective and Helpful Support Systems Summary Case Example Web Resources
9. HIV-Affected Populations: A Ripple Effect Kimi Fey Powers and Diana Rowan Introduction Who Is HIV Affected? Case Example Web Resources
Part III: Practice Responses
10. HIV Case Management: The Hub of Service Provision Kevin Edwards and Diana Rowan Understanding Social Work Case Management Description of Supportive HIV Case Management Services Common Risks in People Living with HIV or AIDS What Are the Top Five Skills of an HIV Case Manager? What Are the Top Five Attitudes of an HIV Case Manager? Case Example
11. Understanding HIV and AIDS Medical Care: A Primer for Social Workers Diana Rowan and Lamont Holley HIV/AIDS 101 Stages of HIV Infection The Physician’s Medical Assessment of Patients with HIV Disease Common Laboratory Tests Typical Laboratory Tests for HIV Patients STIs and HIV Treatment for HIV and AIDS Basic Medical Terminology Case Example
12. Sex, Drugs, and HIV Diana Rowan and Lamont Holley Sex and HIV Case Example I Assessing the 5 Ps HIV Infection Routes The Risky-Safer Sex Continuum Condom Education Condom Negotiation HIV Risk Continuum for Injection Drug Use Case Example II
13. The Adherence Conundrum Lisa Cox Historical Significance of Medication Adherence Goals of Medication Adherence for People Living with HIV Disease or Advanced AIDS Theories, Measures, and Models to Understand Adherence Evidence-Based Social Work Practice Cultural Diversity Issues Case Examples Typical Prescriptions Today Future of HIV and Adherence Web Resources
14. Spirituality and People Living with HIV Mary Boudreau and Susan Grettenberger Why Address Spirituality and Religion? Spirituality and Religion Case Example I Summary of Kübler-Ross Effective Social Work Practice and Developing Spiritual Competence Finding Resources Enhancing Spiritual Strengths Case Example II Ethical Issues in Working with Clients about Spirituality and Religion Case Example III Personal Challenges for Social Workers Web Resources
15. HIV and AIDS in the African-American Community: Mobilizing the Black Faith Community Diana Rowan and Ayana Simon Introduction The Role of the Black Church Types of HIV/AIDS-Related Interventions Facilitated by the Black Church Recommendations for Practice Lessons from Africa Conclusion Case Example
Part IV: Policy Responses
16. Housing for People Living with HIV and AIDS Russell L. Bennett and Terry W. Ellington Introduction Why Housing? A History of HIV/AIDS Housing and the Federal Response Understanding Housing Need Four Conditions of Housing Housing Plus Services Case Example I Structural Impacts of Housing: Micro-Level and Macro-Level Current Issues Case Example II Key Words and Concepts Web Resources
17. U.S. AIDS Policy: The Shifting Landscape Randall H. Russell and Diana Rowan Overview: HIV and AIDS in the Social Environment Policy and Advocacy The Ryan White CARE Act AIDS Drug Assistance Program Housing Opportunities for Persons with AIDS (HOPWA) The Players in HIV/AIDS Policy Development Case Example Recent Developments Affecting AIDS Policy The Denver Principles The National HIV/AIDS Strategy Reducing HIV-Related Disparities and Health Inequities Social Determinants of Health The Patient Protection and Affordable Care Act Health Insurance Exchanges Implementation of Health-Care Reform Professional Association of Social Workers in HIV and AIDS
Timeline: HIV, AIDS, and Social Work About the Author Diana Rowan (MSW, Our Lady of the Lake University at San Antonio, PhD, University of Texas at Arlington) is assistant professor of social work at the University of North Carolina at Charlotte. She is an experienced psychotherapist in multiple areas of practice including HIV and AIDS, substance abuse, anxiety and depression, sexual therapy, and Christian counseling. In January of 2012 Rowan was appointed the Centers for Disease Control and Prevention (CDC) Minority AIDS Research Initiative (MARI) principal investigator for a study on HIV prevention using social media to reach young black men who have sex with men. |