Comprehensive AIDS Resource Emergency (CARE)
The Federal Ryan White Comprehensive AIDS Resource Emergency (CARE) Act was originally enacted on August 18, 1990. The HIV Care Program is a two-tiered approach to service prioritization and delivery:
- Tier One: Outpatient/Ambulatory Medical Care services include diagnostic testing, early intervention and risk assessment, preventive care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, education and counseling on health issues, well-baby care, continuing care and management of chronic conditions, and referral to and provision of specialty care (includes all medical subspecialties).
- Tier Two: Approach services include case Management Services (non-medical), Child Care Services, Early Intervention Services (EIS), Emergency Financial Assistance, Food Bank / Home-Delivered Meals, Health Education/ Risk Reduction, Health Insurance Premium and Cost Sharing Assistance, Home and Community-Based Health Services, Home Health Care, Hospice Services, Housing Services, Legal Services, Linguistic Services, Local AIDS Pharmaceutical Assistance, (APA, not ADAP), Medical Transportation Services, Medical Case, Management Services (including treatment adherence), Medical Nutrition Therapy, Mental Health Services, Oral Health Care, Outreach Services, Psychosocial Support Services, Referral for Health Care / Supportive Services, Rehabilitation Services, Respite Care, Substance Abuse Services (outpatient), Substance Abuse Services (residential), and Treatment Adherence Counseling.
There are two agencies who provide case management services with this funding:
Kern County Public Health Services Department’s, Health Education and Linkage Program (HELP) provides case management to individuals who are HIV-positive or have AIDS. Each client will receive an individualized care plan and a case manager to provide support, health education, and linkage to medical and social services. The goal of this program is to increase clients’ access to proper treatment of HIV/AIDS and related complications.
Clinica Sierra Vista (CSV) Life Linkage Program provides case management to HIV/AIDS clients to assess client’s need and develop a care plan, link clients to HIV/AIDS primary care services, ADAP, Mental Health, Dental and Vision Services. Staff work directly with client of the program and clinic providing information services, supports the program in the area, transportation, distribution of food and other basic needs.