|
|
|
|
Treatment Adherence Services — Non-medical
|
|
|
HRSA/HAB Category Definition:
|
|
Treatment adherence counseling is the provision of counseling or special programs to ensure readiness for, and adherence to, complex HIV/AIDS treatments by non-medical personnel outside of the medical case management and clinical setting.
|
|
|
Source: Definition provided by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB). 2009. Ryan White HIV/AIDS Treatment Modernization Act of 2006 Definitions for Eligible Services. Rockville, Md.: HRSA HAB, August 20, 2009.
|
|
|
Category Notes:
|
Clarifications
• There are no part A clarifications for theis service category.
History
Throughout the Baltimore EMA, service providers experience the failure of clients to keep appointments and/or to follow through with planned medical regimens. The rate of no-shows for appointments varies across the EMA, but some treatment services may have nearly 50 percent of their scheduled appointments not kept. Since failure to keep scheduled appointments, especially HIV medical care appointments, has a serious impact on the state of wellness of the individual and causes a serious waste of limited staff and financial resources, the planning council has designated funds to address adherence issues.
The goal of the service is to provide intensive services directed toward identification and remediation of barriers that interfere with the client’s adhering to the needed medical services or following the planned medical treatments. The service is intended to help clients develop the habits and techniques necessary to keep medical appointments, follow complex medication regimens and comply with agreed-upon multidisciplinary action steps. One of the key principles in developing a successful treatment adherence program is the cooperation and collaboration between the person requiring adherence support and the primary care provider and the multidisciplinary care team.
Clients with co-morbid conditions as primary barriers should be served through the primary care co-morbidity service category. Clients who have multiple service needs should be served through the case-management service category.
The Baltimore EMA moved treatment adherence services into medical case management; some programs providing adherence services were also moved from psychosocial support services.
This category has not been funded by the Ryan White Part A program in recent years.
Current Directives
At the time of publication, there were no current directives for this service category.
|
|
|
|
|
|
|
|
|
|
|
|