The Village AIDS Day Treatment Program: A Model of Interdisciplinary and Interdependent Care

Abstract

This article describes the Village AIDS Day Treatment Program, a program for people living with HIV/AIDS that provides health care by using a full range of interdependent services. Opened in 1988, this program was the first of its kind in the country. It has provided leadership in developing a model of care that addresses the full spectrum of health care--promotion, prevention, maintenance, and treatment. Along with describing the program and its services, this article includes the program's history and its influencing philosophies.

Social Support and Adherence: Differences Among Clients in an AIDS Day Health Care Program

“…Staff are knowledgeable in a wide variety of areas, and access is open and informal. The high scores in reliable alliance could be interpreted as having the feeling of a safety net, reflecting the goals of ADHC care (Murphy et al, 1999). The difference in the social support subscale between the adherence groups was statistically significant (p 5 .02), suggesting an association between adherence and social support as has been observed in other groups of PLWH (Bader et al, 2006;Bodenlos et al, 2007;Simoni et al, 2006).…”

“…The highest means among emotional provisions were in attachment and social integration. Although significant statistical correlations cannot be made solely on the basis of this study's results, attachment and social integration were the two emotional provisions that would seem to be most closely linked to ADHC goals and practice framework (Murphy et al, 1999). ADHC interventions, therefore, may be a reason for the high rate at which participants reported never missing medications based on being seen by others.…”

“…Heterogeneity in program design allows a wide variety of needs in disparate patient populations to be addressed (Soto, Bell, & Pillen, 2004). One such approach is AIDS day health care (ADHC), a collaborative interdisciplinary health care model in which a comprehensive array of services to comorbid PLWH is offered (Murphy et al, 1999).…”

“…A plurality are coinfected with hepatitis C, and most also have at least one chronic medical diagnosis that complicates care. Most have experienced some kind of psychological trauma, and ameliorating disrupted social systems is a central therapeutic principle of ADHC care (Murphy et al, 1999).…”

A Model of Occupational Empowerment for Marginalized Populations in Community Environments

“…A nurnber of viable avenues for community-based occupational therapy practice have been posed (Loukas, 2000;Follis & Nolen, 2001;Berryman, 2001;Frank et al, 2001;Murphy et al, 1999;Rebeiro, Day, Semeniuk, O'Brien, & ' Wilson, 2001;Merryman, 2002;Gouriey, 2001, Dec. 17;Gouriey, 2001, August 20;Scott, 1999;Jackson, Carlson, Mandel, Zemke, & Clark, 1998;Marterella, 2001). However, many community centers, including homeless shelters, still do not provide occupational therapy services.…”