Performance Improvement 2001. Services Integration: HIV, STD, TB and Substance Abuse - AFeasibility Study for a Demonstration Project


The expanding HIV/AIDS epidemic has shed light on a persistent public healthchallenge: vulnerable individuals with one health or social condition often are simultaneously faced with other conditions or problems. For eample, a person with serious and persistent mental illness may be at risk of HIV transmission and become exposed to multi-drug resistant tuberculosis. The public health challenge is to address the needs of the person--whatever they might be--using multiple, but not always fully linked or coordinated, categorical public health programs and resources. This report proposes a shift in the paradigm from a categorical disease intervention model to an integrated services approach, and offers some practical approaches for pursuing such a shift. The target audiences are local, state, and federal public health officials and elected leaders, and other public health and social service decisionmakers.


FEDERAL CONTACT: Deborah von Zinkernagel, 202-690-5560

PIC ID: 6321

PERFORMER: John Snow, Inc., Boston MA