Edward Wagner and his colleagues introduced the chronic care model to propose a more comprehensive model to improve the current health care system at the time; with the increase of chronic conditions exceeding acute and infectious diseases as the major causes of death in the US, and the overall costs these conditions have placed on the system. In a nutshell, “this model applies equally to the prevention as to the treatment of chronic disease, both of which require helping patients to change the behavioral risk factors that cause or complicate their illnesses’ (Kovner, & Knickman, 2011, p. 143). There are six components each of which are proactive instead of reactive to patient centered care that is population-based and is inclusive of outreach
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The integrated treatment and case management services support patient self-management in treatment. In addition to primary care and medication treatments, counseling by licensed mental health professionals is provided for adapting to an HIV diagnosis, depression, anxiety, substance use and mental health (FDOH – Bureau of HIV/AIDS, n.d.; Orange County Government –Florida, n.d.). At the end 2008, a needs assessment was completed that showed only ¼ of organizations included peer educators as part of the treatment team, however at the most recent US Conference on AIDS, it was a concept presented to retain and engage patients in treatment that a coordinator at the Health Department and the consortia of the local Consumer Advisory Group felt would play a critical role (FDOH – Bureau of HIV/AIDS, n.d). Peer mentoring staff were added to the treatment team to assist patients in navigating the clinical system and community resources, provide one-on-one support for the patients, assisting in the development and progress of patient’s treatment goals, coach patients in adapting to treatment recommendations and facilitating the support groups and communication between the patients and practitioners (FDOH – Bureau of HIV/AIDS, n.d., p. 3). The peer mentoring program creates an increased awareness and encourages patients to be better informed and take charge of their own care. HUG-Me Program director states that peer mentoring has provided individuals with a role model that illustrates it is possible to live with the disease (FDOH – Bureau of HIV/AIDS, n.d., p.
The integrated treatment and case management services support patient self-management in treatment. In addition to primary care and medication treatments, counseling by licensed mental health professionals is provided for adapting to an HIV diagnosis, depression, anxiety, substance use and mental health (FDOH – Bureau of HIV/AIDS, n.d.; Orange County Government –Florida, n.d.). At the end 2008, a needs assessment was completed that showed only ¼ of organizations included peer educators as part of the treatment team, however at the most recent US Conference on AIDS, it was a concept presented to retain and engage patients in treatment that a coordinator at the Health Department and the consortia of the local Consumer Advisory Group felt would play a critical role (FDOH – Bureau of HIV/AIDS, n.d). Peer mentoring staff were added to the treatment team to assist patients in navigating the clinical system and community resources, provide one-on-one support for the patients, assisting in the development and progress of patient’s treatment goals, coach patients in adapting to treatment recommendations and facilitating the support groups and communication between the patients and practitioners (FDOH – Bureau of HIV/AIDS, n.d., p. 3). The peer mentoring program creates an increased awareness and encourages patients to be better informed and take charge of their own care. HUG-Me Program director states that peer mentoring has provided individuals with a role model that illustrates it is possible to live with the disease (FDOH – Bureau of HIV/AIDS, n.d., p.