This edited collection discusses the current demographic patterns and notes the rapid and startling spread of AIDS/HIV to new populations—including women, adolescents, the mentally ill, substance abusers, and minorities. In a practical manner, each contributor establishes guidelines for need definition, effective service delivery, and case practice among different population segments. This is a valuable book providing experienced-based direction and hope because of its agenda for AIDS/HIV education and action among those in social work practice.
Social work practitioners active among those most directly involved with persons with AIDS/HIV need guidance and support. This volume offers both in a balanced analysis of key issues relating to their practice. The authors clearly and authoritatively establish that the demographics of the AIDS/HIV crisis are undergoing change rapidly and alarmingly.
Although there have been significant advances in education about AIDS and modifications in sexual practices among gay men resulting in a lowered rate of new infection, other groups are shown to be evidencing explosive levels of infection. Not only are the population parameters of AIDS defined, but the fundamental issues of social service delivery are addressed as are the special needs of the newly at-risk groups. Women, adolescents, substance abusers, minorities, and the mentally ill are all in the demographic patterns describing AIDS/HIV diffusion. The most compelling AIDS care issues are directly focused on and practical guidance is given to social work practitioners. AIDS/HIV poses a sometimes daunting challenge threatening to overwhelm service providers. This book will be of value due to its sensitive, insightful, experience-based guidance at the level of practice. It will also prove a useful resource for all in the caring professions who will appreciate its timely explanation of the complexities involved in framing effective responses to current and emerging needs associated with AIDS/HIV.
Table of Contents:
Preface by Vincent J. Lynch
Introduction: Challenges for the Social Worker in Meeting the AIDS Crisis by Carl G. Leukefeld
HIV/AIDS and Social Work: An Overview
AIDS: Future Directions for Education and Practice by Esther Chachkes
Service Delivery Issues
Improving Service Delivery in HIV/AIDS Organizations by Marsha Zibalese-Crawford
The Organization and Delivery of AIDS Case Management by John D. Piette, Bruce J. Thompson, John A. Fleishman, and Vincent Mor
Approaches to Developing Mental Health Services in Community-Based AIDS Organizations by Patricia U. Giulino
Special Populations: Approaches to Intervention
HIV Disease: Toward Comprehensive Services for Families by Paul A. Wilson
HIV Infection in Infants, Children, and Adolescents: Implications for Social Work Practice by Lori S. Wiener, Cynthia D. Fair, and Richard T. Granowsky
HIV-Positive Women: Finding a Voice in the AIDS Pandemic by Susan Taylor-Brown
Gay Men and HIV: The Band Plays On by Steven Cadwell
Addressing HIV Disease Issues with the Seriously and Persistently Mentally Ill by Maureen M. Underwood, Karen Kahn, Thomas Johnson, and Steven Godin
Substance Abuse and HIV Disease: A Multidimensional Challenge to Caregivers by Jack B. Stein and Robert H. Hodge
HIV/AIDS Prevention in Communities of Color: Strategies for Collaboration and Coalition Building by Manuel F. Fimbres
A Synthesis
Epilogue: Persisting Research and Practice Issues in the Second Decade of HIV Disease by Gary A. Lloyd
Index
About the Author :
VINCENT J. LYNCH is Director of Continuing Education and Lecturer at the Boston College Graduate School of Social Work. He founded the Annual International Conference on Social Work and AIDS, which has been held continuously since 1989. He continues to serve as principal organizer for that conference. He also has served as a liaison on HIV/AIDS issues to the International Federation of Social Workers, Geneva, Switzerland, and to the International Association of Schools of Social Work, Vienna, Austria.
GARY A. LLOYD is Professor and Director of the HIV Institute at the Tulane University School of Social Work. He has served as a consultant to the World Health Organization's Global Programme on AIDS and was among the very first group of social workers to focus their professional energies in the area of AIDS care. He was the 1990 recipient of the Social Worker of the Year Award, presented by the National Association of Social Workers. He serves as organizer for the Annual International Conference on Social Work and AIDS.
MANUEL F. FIMBRES is Professor at the San Jose State University School of Social Work. He, with Carl G. Leukefeld, co-authored a social work classic in AIDS care, Responding to AIDS: Psychosocial Initiatives (1987). He is among the very first group of social workers to become actively involved in AIDS care, and his current area of special interest is the development of HIV prevention and educational services in communities of color. He has served on the Board of the National AIDS Minority Council, Washington, D.C. He also serves as an organizer for the Annual International Conference on Social Work and AIDS.
