Document Detail

Home-based treatment for children and families affected by HIV and AIDS. Dealing with stigma, secrecy, disclosure, and loss.
MedLine Citation:
PMID:  10768069     Owner:  NLM     Status:  MEDLINE    
The compelling needs of HIV-affected children and families sometimes appear to represent human struggles under the magnifying glass. The multiple assaults on the healthy psychologic development of children through disruptions in caregiving, loss, and abandonment require interventions that are mindful of their mental health needs and longer-term developmental trajectories. An ongoing relationship with a clinical team who can understand and respond to the vicissitudes of the illness and provide calibrated psychotherapeutic and case management services can aid both children and parents in the painful tasks that AIDS presents. Whereas clinically informed case management services can offer respectful and thoughtful concrete help, psychotherapy can offer the opportunity for children to pull together the often fragmented narratives of their family lives and integrate object loss to be free to continue on a normative developmental path. Comprehensive, wraparound home-based services of the type described in this article represent a mostly new tradition in psychiatry, but one that ensures that mental health services are provided to the most vulnerable children and families. For those affected by HIV or AIDS, home-based services can be the key to healthcare and treatment compliance. In addition, when services are well integrated within a community context, such that regular communication with other healthcare providers (AIDS clinics, visiting nurse services, and AIDS care agencies) is ongoing, what is provided constitutes continuity of care in the truest sense.
A Gewirtz; S Gossart-Walker
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Child and adolescent psychiatric clinics of North America     Volume:  9     ISSN:  1056-4993     ISO Abbreviation:  Child Adolesc Psychiatr Clin N Am     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-05-25     Completed Date:  2000-05-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9313451     Medline TA:  Child Adolesc Psychiatr Clin N Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  313-30     Citation Subset:  IM; X    
Program for HIV-affected Children and Families, Yale University School of Medicine, New Haven, Connecticut, USA.
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MeSH Terms
Acquired Immunodeficiency Syndrome / psychology*,  therapy
Child, Preschool
Family / psychology*
Foster Home Care / psychology
HIV Infections / psychology*,  therapy
Home Care Services*
Maternal Deprivation
Patient Care Team
Sick Role
Truth Disclosure*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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