Use of mental health and social support services by people with AIDS:
Gespeichert in:
1. Verfasser: | |
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Format: | Abschlussarbeit Buch |
Sprache: | Undetermined |
Veröffentlicht: |
Santa Monica, Calif.
Rand
1993
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Schriftenreihe: | RAND Graduate School dissertation series
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Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | V, 137 S. graph. Darst. |
Internformat
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Datensatz im Suchindex
_version_ | 1804140353728544768 |
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adam_text | - iii -
CONTENTS
Section
ACKNOWLEDGEMENTS 1
I. INTRODUCTION 2
AIDS - A Brief Overview 2
The Two Major Populations at Risk for HIV Infection 6
The Need for Mental Health and Social Support Services
11
Social Support and AIDS; A Unique Challenge 14
A Brief Description of this Study 16
How many services are used and in what quantity? 18
Who provides services? 18
What is the cost or dollar value of each service? .... 19
Are some segments of the AIDS population likely to
have better access to donated services than others?
19
Conclusion 21
II. PSYCHOSOCIAL ISSUES 22
Factors Influencing Demand for Care 22
Coping Styles 23
Chemical Dependency 26
Clinical Manifestations of HIV Disease 30
Resource Needs and Psychological Stages of Illness 31
A Typology of Needs 34
Need for Concrete Services 34
Addressing Neuropsychiatric Complications 37
Substance Abuse Services 38
Need For Information 39
Managing Crisis and Distressing Feelings 41
Psychosocial Support: More Than an End in Itself 45
Conclusion 47
III. METHODOLOGY 48
Measurement Issues 48
Defining The Scope of Service Use 48
Costing Out Dollar Values for Services Used 49
Mental Health Services: 50
Food Bank: 50
Attendant Care: 51
Shelter: 51
Transportation: 51
Legal Assistance: 51
Buddy Program: 52
Household Assistance from Family and Friends: 52
Imputing Values For One Year s Worth of Care 53
Calculating Symptom Scores (Brooklyn sample only) .... 53
Data Collection 54
- iv -
Survey Development 54
The Interviews 55
Los Angeles 55
Brooklyn 56
Validation 56
Defining The Study Population and Generalizability of
Results 57
Recruiting Respondents 57
Los Angeles 57
Brooklyn 59
Respondent Eligibility 60
Generalizability of Results 61
Sampling Bias in Los Angeles and Brooklyn 62
Comparisons to PWA Populations 64
Los Angeles 65
Brooklyn 66
Strengths and Weaknesses of Methodology 68
Conclusion 71
IV. PROVISION AND FINANCING OF MENTAL HEALTH AND SOCIAL
SUPPORT SERVICES 73
Medicaid 74
Private Health Insurance 77
Community-Based Organizations 78
Family and Friends - 84
Conclusion 87
V. RESULTS AND DISCUSSION 89
Demographic Characteristics 89
Medical History 91
Use of Services 92
Mental Health 92
Household Assistance 94
Financial Assistance 95
Food Bank Services 96
Legal Services 96
Shelter 96
Transportation 97
Service Providers and the Monetary Value of Care 98
Case Studies 101
High Users - Gay Male Sample, LA 102
Cases 41, 22, 34 [ 102
Low Users - Gay Male Sample, LA 102
Cases 13, 21, 10 102
Low Users - Brooklyn IVDU Sample 104
Cases 001, 104, 107, 108, 213 104
High Users - Brooklyn IVDU Sample 104
Cases 216, 207, 210 104
Summary of Los Angeles and Brooklyn Cases 105
- v -
Representative Cases 105
Summary 108
VI. POLICY IMPLICATIONS AND CONCLUSIONS 109
Can A Comprehensive Social Support System Reduce
Hospital Stays? 110
Will There Be Enough Volunteers To Serve PWAs In The
Future? Ill
Will Public Programs Be Able To Meet The Needs Of A
Growing PWA Caseload? Ill
How Will Demand For Services Change With Increasing
Longevity Of PWAs? 113
APPENDIX 124
High Users - Gay Male Sample, LA 124
Case 41 124
Case 22 124
Case 34 125
Low Users - Gay Male Sample, LA 125
Case 13 125
Case 21 126
Case 10 126
Brooklyn IVDU Sample - Low Users 127
Case 001 127
Case 104 127
Case 108 127
Case 107 128
Case 213 128
High Users, IVDU Sample 129
Case 216 129
Case 207 129
Case 210 130
REFERENCES 131
|
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spelling | Cvitanic, Marilyn Verfasser aut Use of mental health and social support services by people with AIDS Marilyn Cvitanic Santa Monica, Calif. Rand 1993 V, 137 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier RAND Graduate School dissertation series Zugl.: Santa Monica, RAND Graduate School, Diss., 1990 (DE-588)4113937-9 Hochschulschrift gnd-content HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018370608&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Cvitanic, Marilyn Use of mental health and social support services by people with AIDS |
subject_GND | (DE-588)4113937-9 |
title | Use of mental health and social support services by people with AIDS |
title_auth | Use of mental health and social support services by people with AIDS |
title_exact_search | Use of mental health and social support services by people with AIDS |
title_full | Use of mental health and social support services by people with AIDS Marilyn Cvitanic |
title_fullStr | Use of mental health and social support services by people with AIDS Marilyn Cvitanic |
title_full_unstemmed | Use of mental health and social support services by people with AIDS Marilyn Cvitanic |
title_short | Use of mental health and social support services by people with AIDS |
title_sort | use of mental health and social support services by people with aids |
topic_facet | Hochschulschrift |
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