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Abstract
In this paper we describe a home-based, interdisciplinary, environmentally-based model of intervention with children with human immunodeficiency virus (HIV) and their caregivers. The environmental perspective is focused on the animate and inanimate environments of the child and caregiver as the major agent of change. Following a detailed assessment of the supports and constraints of environments, the stress level and coping strategies of the caregiver, and the skills and capacities of the child, an interdisciplinary team meeting is held to summarize the data and make suggestions for intervention. The interdisciplinary team then develops an intervention plan which is shaped and guided by interactions and feedback with the caregiver. Effectiveness of the intervention is measured by specific outcomes reflecting enhanced competence in the caregiver and child as well as cost effectiveness. We anticipate that a program based on this model will address the need for cost effective, culturally relevant services for the increasing population of children and families infected with and affected by HIV.
Additional information
Notes on contributors
Roseann C. Schaaf
Michael Lepp, PT, is in private practice, Associate Instructor of the Upledger Institute, and Clinical Instructor, Case Western Reserve University School of Dentistry, Cleveland, OH.
Laurie N. Sherwen
Michael Lepp, PT, is in private practice, Associate Instructor of the Upledger Institute, and Clinical Instructor, Case Western Reserve University School of Dentistry, Cleveland, OH.
Nancy Youngblood
Michael Lepp, PT, is in private practice, Associate Instructor of the Upledger Institute, and Clinical Instructor, Case Western Reserve University School of Dentistry, Cleveland, OH.