Summary prepared by the AETC Engagement in Care Workgroup
Demographically-related peers or lay health workers interact with at-risk populations where they live and work, establish relationships, educate about health behaviors, invite use of medical and psychosocial support services, and introducing behavior change (AIDS Alliance for Children, Youth, and Families, 2005).
Connection to the target population allows strong referral relationships in the community to engage individuals in care; enhances clinic team's youth-centered engagement in care services; essential in locating clients who have missed appointments (AIDS Alliance for Children, Youth, and Families, 2005).
Outreach workers typically have limited professional training, so they must be closely supervised by experienced professionals; some sites noted difficulty helping outreach workers to establish boundaries between work and private life which sometimes led to compromised confidentiality (Hildalgo et. al., 2011).
A supervisor who is aware of the limited experience of outreach workers and willing to mentor the outreach worker; a clinic team willing to make the outreach worker feel fully integrated in the team (Hildalgo et. al., 2011).
- Rajabiun, S., Mallinson, R. K., McCoy, K., Coleman, S., Drainoni, M., Rebholz, C., & Holbert, T. (2007). Getting me Back on Track: The Role of Outreach Interventions in Engaging and Retaining People Living with HIV/AIDS in Medical Care. AIDS Patient Care and STDs, 21, S20-S29.
- Sitapati AM, Limneos J, Bonet-Vázquez M, Mar-Tang M, Qin H, Mathews WC.(2012).Retention: Building a Patient-Centered Medical Home in HIV Primary Care through PUFF (Patients Unable to Follow-up Found). J Health Care Poor Underserved. 2012 Aug;23(3 Suppl):81-95. doi: 10.1353/hpu.2012.0139.
- Grov C, Crow T.(2012).Attitudes About and HIV Risk Related to the “Most Common Place” MSM Meet their Sex Partners: Comparing Men from Bathhouses, Bars/Clubs, and Craigslist.org. AIDS Educ Prev. 102-16. doi: 10.1521/aeap.2012.24.2.102.AIDS.
- Magnus M, Jones K, Phillips G 2nd, Binson D, Hightow-Weidman LB, Richards-Clarke C, Wohl AR, Outlaw A, Giordano TP, Quamina A, Cobbs W, Fields SD,Tinsley M, Cajina A, Hidalgo J; YMSM of color Special Projects of National Significance Initiative Study Group.(2010). Characteristics Associated with Retention Among African American and Latino Adolescent HIV-Positive Men: Results from the Outreach, Care, and Prevention to Engage HIV-Seropositive Young MSM of Color Special Project of National Significance Initiative. J Acquir Immune Defic Syndr. 2010 Apr 1;53(4):529-36. doi: 10.1097/QAI.0b013e3181b56404.
Hildalgo, J., Coombs, E., Cobbs, W. O., Green-Jones, M., Phillips, G., Wohl, A. R., Smith, J. C., Ramos, A. R., & Fields, S. D. (2011). Roles and Challenges of Outreach Workers in HIV Clinical and Support Programs Serving Young Racial/Ethnic Minority Men Who Have Sex with Men. AIDS Patient Care and STDs, 25, S15-S22.
- Yates, G.L., Pennbridge, J., Swofford, A., & MacKenzie, R.G. (1991). The Los Angeles System of Care for Runaway/Homeless Youth. Journal of Adolescent Health,12, 555-560.
- Costs and Factors Associated with Turnover Among Peer and Outreach Workers within the Young Men of Color Who Have Sex with Men SPNS Initiative (2010), HRSA HIV/AIDS Bureau
- Finding HIV-Positive Youth and Bringing Them Into Care (2005), AIDS Alliance for Children, Youth & Families. Positive Outcomes, Inc.
- Manuals and Best Practices for Syringe Access Programs, Harm Reduction Coalition