Linking HIV+ adolescents into care: The effects of relationships between local health departments and adolescent medicine clinics.

BACKGROUND The fragmentation of HIV-related diagnostic and treatment services, especially for youth, is a significant barrier for transitioning to care. The study identified key elements that affected care linkage efforts. METHODS We conducted 64 interviews across 15 clinical sites. The constant comparative method was used. RESULTS Primary linkage to care processes are illustrated through three geographically diverse case studies. Factors included: inter-agency relationships, data sharing protocols, and service duplication concerns. Program improvement strategies were discussed. CONCLUSIONS A strong, citywide network is helpful in coordinating care linkage services. These partnerships will be critical in effectively realizing the goals of the National HIV/AIDS.