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Traditional Case Management Tools

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Patient engagement cycle

Summary prepared by the AETC Engagement in Care Workgroup


  • Short-term/intermittent (Supportive Case Management model) or long-term (Medical or Comprehensive Case Management models) focuses primarily on assisting HIV+ person meet basic needs (housing, benefits, nutrition, substance use treatment, scheduling and making regular HIV primary care and specialty care appointments, and identifying barriers in doing so)


  • Consistent relationship between one case manager and HIV+ person over time; one person coordinating care components (medical, psychiatric, and psychosocial needs)
  • Different Case Management Acuity Scales have been created to assist in identifying the level of case management services needed for an individual


  • May not be able to work outside of clinic/health center environment 
  • Maintaining ongoing connection over time (drops out of care, misses appointments, contact information no longer works)

Resources Required

  • Designated staff with appropriate training and adequate resources

Model Programs



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