Case management and patient navigation models for people living with or at risk of HIV

Key take-home messages

• Common approaches in the models examined included a strengths-based approach to care to encourage clients to use their inner strengths to gain resiliency or a team-based approach which included various service providers to assist with client needs. Interventions also used integrated or holistic models to address both clinical outcomes as well as social barriers to care.
• Many studies examined client care through population-focused interventions such as those among individuals recently released from prison or jail, transgender individuals, and individuals experiencing homelessness.
• Evidence shows mixed results in terms of effectiveness of case management, while patient navigation models generally have moderate to positive findings. Many studies show positive effects in terms of improving linkage to care, retention in care, and clinical outcomes such as decreases in viral load.

• Population(s)
  • General HIV+ population
  • General HIV- population
• Engagement and Care Cascade
  • Linkage/engagement in care
  • Retention in care
  • Treatment
• Health Systems
  • Delivery arrangements