CHILDRENS HOSPITAL LOS ANGELES

A program funded by the HIV/AIDS Bureau of the Health Resources and Services Administration as a Special Project of National Significance

The CHLA program links high-risk youth through outreach into HIV testing, HIV risk-harm reduction, and health care services at the Los Angeles Free Clinic.

Project Director: Arlene Schneir, M.P.H., Division of Adolescent Medicine, P.O. Box 54700, Mail Stop #2, Los Angeles, CA 90054-0700, Phone 213.669.2390, Fax 213.913.3614, Email: aschneir@chla.usc.edu. The Childrens Hospital Los Angeles web site is located at http://www.chla.org.

Project Internet Resources

Project Web Flyer

Childrens Hospital Los Angeles [PDF]

Evaluation Reports on CHLA

Psychosocial Characteristics of Male-to-Female Transgender, Gay/Bisexual, and Heterosexual Youth in an HIV-Risk Reduction Program
Lisa A. Melchior, Ph.D.; G. J. Huba, Ph.D.; Arlene Schneir, M.P.H.; Mari Radzik, Ph.D.; Marvin E. Belzer, M.D.; A. T. Panter, Ph.D.
This paper describes the psychosocial characteristics of youth participating in an HIV risk reduction clinic with a transgender-specific service component and compares participants based on Gender/Sexual Orientation and HIV status. Results are discussed in terms of designing services to meet the needs of these vulnerable youth.

A Comparison of Transgender, Gay/Bisexual, and Heterosexual Youth: Service Needs in an HIV Risk Reduction Clinic
Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; Arlene Schneir, M.P.H.; Mari Radzik, Ph.D.; Marvin E. Belzer, M.D.; G. J. Huba, Ph.D.
This paper examines risk factors among youth attending an HIV risk reduction clinic with special services designed to engage and retain transgender youth. Indices are used to compare the service needs of youth in HIV risk reduction services and may be useful predictors of clinical outcomes for youth at risk.

Retention of Transgender, Gay/Bisexual, and Heterosexual Youth in an HIV Risk Reduction Program
G. J. Huba, Ph.D.; Lisa A. Melchior, Ph.D.; Arlene Schneir, M.P.H.; Mari Radzik, Ph.D.; Marvin E. Belzer, M.D.; A. T. Panter, Ph.D.
This paper examines the ability of an HIV risk reduction clinic – with special services for male-to-female transgender youth – to keep youth connected to care. Results suggest that services can retain transgender youth in care at least as long as other youth if targeted, appropriate care is provided.

Service Utilization Patterns of Youth in an HIV Risk Reduction Program
Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; Arlene Schneir, M.P.H.; Mari Radzik, Ph.D.; Marvin E. Belzer, M.D.; G. J. Huba, Ph.D.
This paper describes the service utilization patterns of youth attending an HIV risk reduction clinic and examines whether these patterns differ based on Gender/Sexual Orientation Group and HIV status. Results find that youth-attractive, youth-relevant services, coupled with an active outreach strategy throughout the most-affected communities, can attract high-need, historically underserved youth into care.

Cross-Cutting Papers

Cross-Cutting Evaluation Papers from the Adolescent HIV/AIDS Care Projects
These papers present cross-cutting evaluation results from the 10 HRSA SPNS Adolescent HIV/AIDS Care Projects. Results presented in these papers include those relating to the characteristics of thousands of young people served through this initiative, the services provided by these 10 innovative care models, and various outcomes related to service utilization patterns, retention, and other program impacts.

Project Resources

Enhanced Outreach for the Treatment and Support of HIV Positive and other High Risk Youth
Arlene Schneir, M.P.H. Childrens Hospital Los Angeles, CA.

Structured Telephone Interview for HRSA SPNS Program Adolescent Care Projects: Telephone Interview on HIV Testing Services Developed by The Measurement Group and Childrens Hospital Los Angeles
The following telephone interview template was developed by The Measurement Group and Childrens Hospital Los Angeles and is used to assess a collaborating agency's HIV testing and counseling capacity. This interview is presented as a sample of a feedback form which can be used to assess HIV testing and counseling service components of adolescent focused programs.

Childrens Hospital Los Angeles Project Summary
This presentation examines the outreach efforts of Childrens Hospital of Los Angeles. CHLA's program is designed to identify high-risk HIV youth in the Hollywood area and link them to clinic services. Their model also integrates services for youth through the use of a peer empowerment model to assist with outreach, linkage, support and retention. The local evaluation is conducted by The Measurement Group. Presented in Washington, D.C. on January 31, 1997. [PDF / View as HTML]

Childrens Hospital Los Angeles Project Update
This presentation is an update to the outreach efforts of Childrens Hospital of Los Angeles. CHLA's program is designed to identify high-risk HIV youth in the Hollywood area and link them to clinic services. Their model also integrates services for youth through the use of a peer empowerment model to assist with outreach, linkage, support and retention. The local evaluation is conducted by The Measurement Group. [PDF / View as HTML]

Adolescent Project SPNS/Fax

Supplement Features HRSA/HAB's SPNS Adolescent Care Projects

CHLA Uses High Tech and Peer Oriented Strategies for Youth Programs

Project Material Presented at Professional Conferences

A Comparison of Transgender, Gay/Bisexual, and Heterosexual Youth in an HIV Risk Reduction Clinic
Melchior, L. A., Huba, G. J., Schneir, A., Radzik, M., & Belzer, M. E. (Society of Adolescent Medicine)

Health Care for High-Risk and HIV-Infected Transgender Youth
M Belzer, K Lee, M Radzik. Childrens Hospital Los Angeles. (National AIDS Update Conference)

Cross-Cutting Presentations and Abstracts

Overview of HRSA/HAB's SPNS Adolescent Care Grantees, January 1997
This presentation is an introduction to the nine Adolescent HRSA/HAB's SPNS Adolescent Care Grantees. In addition, Major Program Objectives and Selected Program Outcomes are outlined. [HTML / PDF]

Outreach Activities in 10 Adolescent-Targeted Projects for HIV/AIDS Services
This presentation is an introduction to the outreach strategies and models of the 10 adolescent-targeted projects. Examined are perceived outreach successes, challenges and agency achievements. [HTML / PDF]

Enrolled Clients in 10 Adolescent-Targeted Projects for HIV/AIDS Services
This presentation is an overview of targeted youth enrolled in the 10 adolescent-targeted projects. In addition, summaries of enrollment successes, challenges and lessons learned are included. [HTML / PDF]

Interventions Provided in 10 Adolescent-Targeted Projects for HIV/AIDS Services
This presentation is a summary of interventions provided to targeted youth. Included are perceived successes, challenges and lessons learned about providing individual youth services. [HTML / PDF]

Poster by the 10 Adolescent Care Projects: Alcohol Use In A Sample of Adolescents at High Risk for HIV
The following poster was given at the 1997 Annual Meeting of the Research Society on Alcoholism (July 19-24, 1997 in San Francisco, California).
[HTML / PDF]

Outreach to Adolescent Women with or At-risk for HIV
This presentation was made at the 1997 National Women and HIV Conference in Pasadena, California. [HTML / PDF]

A Profile of Adolescent Women With or At-Risk for HIV: Personal and Service Needs
This presentation was made at the 1997 National Women and HIV Conference in Pasadena, California. [HTML / PDF]

Abstract for the 10 Adolescent Care Projects: Alcohol Use In A Sample of Adolescents at High Risk for HIV
This paper was presented at the 1997 Annual Meeting of the Research Society on Alcoholism. (July 1997 in San Francisco)

Abstract for the 10 Adolescent Care Projects: The Role of Case Management in Innovative HIV Programs for Youth
This paper was presented at HIV/AIDS '97 - The Social Work Response: The 9th Annual Conference on Social Work and HIV/AIDS (June 1997).

Innovative Services for Young Women: Addiction, Mental Health, and HIV
This paper was presented at the Substance Abuse and Mental Health Services Administration (SAMHSA) National Conference on Women in Phoenix (September 1997).

Addiction and Related Psychosocial Issues among Young HIV-Positive Women
This paper was presented at the Substance Abuse and Mental Health Services Administration (SAMHSA) National Conference on Women in Phoenix (September 1997).

Multi-site Evaluation Methods for 10 National Demonstration Projects on Adolescent HIV/AIDS Care
This poster, presented at Evaluation '98–the 1998 conference of the American Evaluation Association in Chicago, Illinois, describes a number of methods designed and implemented by The Measurement Group in the cross-cutting evaluation of HRSA/HAB's SPNS Adolescent Care Projects.

Evaluation of Client Retention in Services in 10 Adolescent HIV Programs
This poster, presented at Evaluation '98–the 1998 conference of the American Evaluation Association in Chicago, Illinois, shows patterns of retention in care by the 10 Adolescent Care Projects. In addition to overall retention, the presentation addresses two related questions: 1. When in a treatment episode do young people receive psychosocial counseling and peer support services?, and 2. How does utilization of case management affect other service utilization?

Cross-Cutting Papers

Cross-Cutting Reports

The Infrastructure for Adolescent HIV Services in Six Cities: A Cross-Cutting Evaluation of the Health Resources and Services Administration Special Projects of National Significance Program
This report summarizes the findings of adolescent care projects in six cities (San Francisco, Boston, Los Angeles, Bridgeport, Seattle, and Birmingham) in relation to evaluating the service infrastructure for HIV-related youth services. The report looks at the type and quantity of HIV-related service availability for youth in each city as well as the barriers to providing such services. In addition, this report documents the cohesiveness of the service continuum as well as service provider consensus of HIV youth services design.

Youth-To-Youth–Peer Workers in HIV/AIDS Youth Programs: A Peer Development Guide
In 1993, the Health Resources and Services Administration (HRSA) Special Projects of National Significance (SPNS) Program funded ten national demonstration projects focusing on youth and adolescent HIV/AIDS services. Seven of these projects have collaborated to assemble a manual describing the best practices and lessons learned from programs that use peers in the development and delivery of HIV services. The manual also includes advantages and the challenges of youth involvement in service delivery. To view a flyer for the Peer Manual, click here.

Summary of the Journal of Adolescent Health Supplement on Ten Models of Adolescent HIV Care (August 1998)
Provides a summary, list of editors, and table of contents of the Journal of Adolescent Health Supplement on Ten Models of HIV Care. The supplement contains a Preface, information about the ten adolescent models of HIV care, a national consensus model for adolescent-targeted services, and articles about the HIV care models.

Report on Outreach Activities in 10 Adolescent-Targeted Projects for HIV/AIDS Services
A series of reports are being written about the activities of the 10 projects on adolescent-targeted HIV services funded in 1993 by the HRSA Special Projects of National Significance (SPNS) Program. This first report examines the methods that the projects use to recruit adolescents with, or at high risk to acquire, HIV. The report was written by The Measurement Group in collaboration with the Adolescent Care Projects and HRSA staff. The report covers the period from 1993 to 1996.

Report on Enrolled Clients in 10 Adolescent-Targeted Projects for HIV/AIDS Services
A series of reports are being written about the activities of the 10 projects on adolescent-targeted HIV services funded in 1993 by the HRSA Special Projects of National Significance (SPNS) Program. This second report examines the demographics, needs, and behaviors of the clients enrolled in HIV prevention and HIV treatment services. The report was written by The Measurement Group in collaboration with the Adolescent Care Projects and HRSA staff. The report covers the period from 1993 to 1996.

Report on Interventions Provided in 10 Adolescent-Targeted Projects for HIV/AIDS Services
A series of reports are being written about the activities of the 10 projects on adolescent-targeted HIV services funded in 1993 by the HRSA Special Projects of National Significance (SPNS) Program. This third report examines the services provided to the clients enrolled in HIV prevention and HIV treatment services. The report was written by The Measurement Group in collaboration with the Adolescent Care Projects and HRSA staff. The report covers the period from 1993 to 1996.

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