Women Protecting Women: Case Management Alternatives for African-American Women at High Risk for HIV
Hilary L. Surratt, Principal Investigator
Steven P. Kurtz, Co-Investigator
Project Period: 2006-2013
Funding Amount: $2.9 Million
Funding Source: National Institute on Drug Abuse
The second phase of the Women Protecting Women project was designed to test innovative case management approaches for increasing linkages and engagement with drug abuse treatment, HIV-related care, and other health services among an underserved population of drug-using African American women sex workers. In this regard, the study enrolled and randomized 562 women sex workers to one of two alternative case management conditions. The Specific Aims of the study were to:
- Assess the nature and extent of mental, physical, and other health and social service needs and barriers to “service linkage” and “engagement” among a sample of 550 drug-involved, indigent, African-American women sex workers/exchangers recruited from inner city neighborhoods in downtown Miami, Florida.
- Implement two robust case management conditions designed to increase service linkages and engagement with appropriate drug abuse treatment and other health and social services in the Miami area by randomly assigning participants to:
- a 5-session Strengths-Based / Professional-Only (PO) Condition in which clients participate in a “strengths-based” case management approach with an experienced, professional case manager who partners with the client to set, plan, and achieve goals from a strengths perspective; or,
- a 5-session Strengths-Based / Professional-Peer (PP) Condition in which a team composed of: a) an experienced, professional case manager, and b) a former sex worker/recovering addict working as a peer facilitator – both trained in “strengths-based” case management techniques -- actively work with the client to develop service goals, facilitate implementation of the case plan, as well as assist the client in overcoming obstacles to service access.
- Evaluate the relative effectiveness of the interventions by conducting 3- and 6-month follow-ups with both clients and providers to determine the extent of service linkages and engagement, as well as lifestyle changes as they relate to increases in service utilization (reductions in drug use, HIV risk behaviors, sex work, homelessness, victimization).
- Both across and between the two conditions, assess the patterns of interaction among predisposing, enabling, and illness/need factors described by the Andersen Model of health services utilization, and examine their effects on services linkage and engagement at follow-up.
- Risk and Protective Factors Associated with Personal Mastery Among Sexual Minority African-American Female Sex Workers
- Finding What Works: Predicting Health or Social Service Linkage in Drug Using, African American Female Sex Workers in Miami, FL
- HIV Testing and Engagement in Care among Highly Vulnerable Female Sex Workers: Implications for Treatment as Prevention Models
- Outcomes of a Behavioral Intervention to Reduce HIV Risk among Drug-Involved Female Sex Workers
- An Effective HIV Risk Reduction Protocol for Drug-Involved Women Sex Workers
- HIV risk among female sex workers in Miami: The impact of violent victimization and untreated mental illness
- Foster Care History and HIV Infection among Drug-Using African American Female Sex workers
- Resilience and syndemic risk factors among African-American female sex workers
- Sex Trading, Sex Abuse and Mental Health Problems Among Indigent HIV Positive Women: Implications for HIV Treatment, Adherence, and Diversion
- Promoting Health Service Linkages Among Underserved African American Women at High Risk for HIV
- Serious Mental Illness and Medication Adherence among Vulnerable HIV+ Women
- Strengths-Based Interventions Empower Underserved African American Women Sex Workers