McKay Mary, Block Megan, Mellins Claude, Traube Dorian E, Brackis-Cott Elizabeth, Minott Desiree, Miranda Claudia, Petterson Jennifer, Abrams Elaine J
Mary McKay, PhD, is Professor of Social Work in Psychiatry & Community Medicine, Mount Sinai School of Medicine. Megan Block, MPH, Claude Mellins, PhD, and Elizabeth Brackis-Cott, PhD, are affiliated with New York State Psychiatric Institute, HIV Center for Clinical and Behavioral Studies. Dorian E. Traube, CSW, Claudia Miranda, MSW, and Jennifer Petterson, MSW, are affiliated with the Columbia University School of Social Work. Desiree Minott, MPH, is affiliated with Harlem Hospital Center, Columbia University. Elaine J. Abrams, MD, is affiliated with Harlem Hospital Center, Columbia University.
Soc Work Ment Health. 2007 Jan 1;5(3/4):355-378. doi: 10.1300/J200v05n03_06.
This article describes a family-based HIV prevention and mental health promotion program specifically designed to meet the needs of perinatally-infected preadolescents and their families. This project represents one of the first attempts to involve perinatally HIV-infected youth in HIV prevention efforts while simultaneously addressing their mental health and health care needs. The program, entitled CHAMP+ (Collaborative HIV Prevention and Adolescent Mental Health Project-Plus), focuses on: (1) the impact of HIV on the family; (2) loss and stigma associated with HIV disease; (3) HIV knowledge and understanding of health and medication protocols; (4) family communication about puberty, sexuality and HIV; (5) social support and decision making related to disclosure; and (6) parental supervision and monitoring related to sexual possibility situations, sexual risk taking behavior and management of youth health and medication. Findings from a preliminary evaluation of CHAMP+ with six families are presented along with a discussion of challenges related to feasibility and implementation within a primary health care setting for perinatally infected youth.
本文介绍了一项基于家庭的艾滋病毒预防和心理健康促进项目，该项目是专门为满足围产期感染艾滋病毒的青春期前儿童及其家庭的需求而设计的。该项目是让围产期感染艾滋病毒的青少年参与艾滋病毒预防工作，同时满足他们的心理健康和医疗需求的首批尝试之一。这个名为CHAMP+（协作性艾滋病毒预防与青少年心理健康项目升级版）的项目重点关注：（1）艾滋病毒对家庭的影响；（2）与艾滋病毒疾病相关的丧失感和耻辱感；（3）艾滋病毒知识以及对健康和用药方案的理解；（4）家庭关于青春期、性和艾滋病毒的沟通；（5）与披露信息相关的社会支持和决策；以及（6）与性可能性情况、性冒险行为以及青少年健康和用药管理相关的父母监督。文中呈现了对六个家庭进行的CHAMP+初步评估的结果，并讨论了在初级卫生保健环境中为围产期感染青少年实施该项目时与可行性相关的挑战。
