TY - JOUR
T1 - An invisible barrier to integrating HIV primary care with harm reduction services
T2 - Philosophical clashes between the harm reduction and medical models
AU - Heller, Daliah
AU - McCoy, Kate
AU - Cunningham, Chinazo
N1 - Funding Information:
Research supported by Health Resources and Services Administration, Special Projects of National Significance Grant No. 1H97HA00247-01. Early versions of this paper were presented at the U.S. Conference on AIDS, Anaheim, CA, September 2002; the International Conference on Inner City Health, Toronto, ON, Canada, October 2002; and the National Harm Reduction Conference, Seattle, WA, December 2002.
PY - 2004
Y1 - 2004
N2 - Overall AIDS mortality in the United States has declined in recent years, but declines have not been consistent across all populations. Due to an array of barriers to care, minorities and poor people who are active substance users have not benefited as others have from advances in the treatment of HIV disease. One way to address this problem is to integrate HIV primary care into harm reduction programs that already effectively serve this population. Such collaborations, however, are difficult to initiate and sustain. Philosophical differences between the medical model and the harm reduction model, which often remain invisible to the parties involved, underlie these difficulties. This article addresses the issue by describing a partnership in the Bronx, NY, between CitiWide Harm Reduction Inc. (CitiWideHR) and the Montefiore Medical Center. It focuses specifically on the sources of philosophical differences between models, and briefly assesses the potential for successful collaborations of this sort.
AB - Overall AIDS mortality in the United States has declined in recent years, but declines have not been consistent across all populations. Due to an array of barriers to care, minorities and poor people who are active substance users have not benefited as others have from advances in the treatment of HIV disease. One way to address this problem is to integrate HIV primary care into harm reduction programs that already effectively serve this population. Such collaborations, however, are difficult to initiate and sustain. Philosophical differences between the medical model and the harm reduction model, which often remain invisible to the parties involved, underlie these difficulties. This article addresses the issue by describing a partnership in the Bronx, NY, between CitiWide Harm Reduction Inc. (CitiWideHR) and the Montefiore Medical Center. It focuses specifically on the sources of philosophical differences between models, and briefly assesses the potential for successful collaborations of this sort.
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U2 - 10.1177/003335490411900109
DO - 10.1177/003335490411900109
M3 - Review article
C2 - 15147647
AN - SCOPUS:2442645182
SN - 0033-3549
VL - 119
SP - 32
EP - 39
JO - Public Health Reports
JF - Public Health Reports
IS - 1
ER -