Case Management Alternatives for African American Women at High Risk for HIV

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to test two innovative case management approaches designed to increase linkages and engagement with drug abuse treatment, HIV-related care, and other health services among an underserved population of African American women at risk for HIV.

Detailed Description
-----------------
The study is fundamentally concerned with the implementation and evaluation of theoretically-based, culturally appropriate case management interventions targeting individual, social and environmental factors among highly vulnerable African American women. The research is designed to test innovative, comprehensive approaches to HIV prevention/intervention through case management driven service linkage and engagement. Testing new approaches to intervention with African-American women at high risk for HIV addresses a particularly urgent public health need in Miami, as well as other large metropolitan areas, where officials continue to document epidemic rates of HIV/AIDS clustered in urban, impoverished African-American communities. Comparison: Participants will be randomly assigned to: a Strengths-Based / Professional Only Condition in which clients participate in a strengths-based case management approach; or, a Strengths-Based / Professional/Peer Condition in which a team composed of: a) a credentialed, professional case manager and b) a recovering addict peer - both trained in strengths-based case management techniques - develop and facilitate the implementation of a service plan.

Official Title
-----------------
Case Management Alternatives for African American Women at High Risk for HIV

Conditions
-----------------
HIV

Intervention / Treatment
-----------------
* Behavioral: strengths-based case management


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Current substance abuse Current high-risk sexual behavior African American racial identification Exclusion Criteria: Non resident of Miami-Dade county

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>5 session strengths-based case management intervention delivered by a professional case manager and a peer support specialist team | Behavioral: strengths-based case management<br>* 5 session individual strengths-based case management; peer-involvement v. no peer involvement<br>|
| Active Comparator: 2<br>5 session strengths-based case management intervention delivered by a professional case manager. | Behavioral: strengths-based case management<br>* 5 session individual strengths-based case management; peer-involvement v. no peer involvement<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Substance abuse treatment linkage at 3 months |  | 3 months | 
| Substance abuse treatment engagement at 6 months |  | 6 months | 
| HIV related care at 3 and 6 months |  | 3 and 6 months | 
| Other health service utilization at 3 and 6 months |  | 3 and 6 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
HIV/AIDS, African Americans, Women, Case Management