Linking HIV-Positive Adolescents Into Care: The Effects of Relationships Between Local Health Departments and Adolescent Medicine Clinics

BACKGROUND: The fragmentation of HIV-related diagnostic and treatment services, especially for youth, is a significant barrier for transitioning to care. The study identified key elements that affected care linkage efforts. METHODS: We conducted 64 interviews across 15 clinical sites. The constant comparative method was used. RESULTS: Primary linkage to care processes are illustrated through three geographically diverse case studies. Factors included: inter-agency relationships, data sharing protocols, and service duplication concerns. Program improvement strategies were discussed. CONCLUSIONS: A strong, citywide network is helpful in coordinating care linkage services. These partnerships will be critical in effectively realizing the goals of the National HIV/AIDS.