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LEGEND:
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| 4.0 Summary |
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| PCM is a hybrid intervention for providing both time-limited case management and HIV prevention. The premise of PCM is that by helping high-risk persons address their most pressing medical and psychosocial needs in a supportive, case management relationship, (1) they will be able to prioritize and understand HIV prevention, and (2) they may be better able to remove themselves from high-risk situations or environments. CDC originally issued guidance for PCM in 1995 (CDC, 1995). However, because PCM is a relatively new intervention and implementation issues have emerged, revised guidelines have been issued (CDC, 1997). Although extensive outcome evaluation of case management is not yet available, case management remains a widely used approach that is being applied to an increasingly broad array of populations to address an increasing variety of problems. In addition, HIV and STD individual-level interventions have been effective in changing risk behavior (Kamb et al., 1997; Choi & Coates, 1994; Kalichman, Carey, & Johnson, 1996). The evaluation and research of other types of case management programs provide many lessons that should be useful to PCM programs. In addition, a review of current practices has highlighted barriers to implementation and areas that need attention. These data underscore the need for guidelines for the practice of PCM and indicate the need for research on the structure, implementation, and effectiveness of this hybrid model.
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