"Youth friendly" clinics: considerations for linking and engaging HIV-infected adolescents into care.

Title"Youth friendly" clinics: considerations for linking and engaging HIV-infected adolescents into care.
Publication TypePublication
Year of Publication2014
AuthorsTanner AE, Philbin MM, Duval A, Ellen J, Kapogiannis B, J Fortenberry D
Corporate AuthorsAdolescent Trials Network for HIV/AIDS Interventions
JournalAIDS Care
Volume26
Issue2
Pagination199-205
Date Published2014 Feb
ISSN1360-0451
KeywordsAdolescent, Adolescent Behavior, Adolescent Health Services, Continuity of Patient Care, Delivery of Health Care, Female, Health Services Accessibility, Health Services Needs and Demand, HIV Seropositivity, Humans, Male, Patient Acceptance of Health Care, Social Environment, United States, Young Adult
Abstract

<p>Linkage and engagement in care are critical corollaries to the health of HIV-infected adolescents. The adolescent HIV epidemic and adolescents' unique barriers to care necessitates innovation in the provision of care, including the consideration of the clinical experience. Little research has addressed how "youth friendly" clinics may influence care retention for HIV-infected youth. We conducted 124 interviews with providers, outreach workers, and case managers, at 15 Adolescent Medicine Trials Network clinics. Photographs of each clinic documented the characteristics of the physical space. Constant comparison and content and visual narrative methods were utilized for data analysis. Three elements of youth friendliness were identified for clinics serving HIV-infected youth, including: (1) role of target population (e.g., pediatric, adolescent, HIV); (2) clinics' physical environment; and (3) clinics' social environment. Working to create 'youth friendly' clinics through changes in physical (e.g., space, entertainment, and educational materials) and social (e.g., staff training related to development, gender, sexual orientation) environments may help reduce HIV-infected adolescents' unique barriers to care engagement. The integration of clinic design and staff training within the organization of a clinical program is helpful in meeting the specialized needs of HIV-infected youth. </p>

DOI10.1080/09540121.2013.808800
Alternate JournalAIDS Care
PubMed ID23782040
PubMed Central IDPMC4106414
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
P30 MH043520 / MH / NIMH NIH HHS / United States
T32 MH019139 / MH / NIMH NIH HHS / United States
3U01 HD040533-09S1 / HD / NICHD NIH HHS / United States