Book contents
- Frontmatter
- Contents
- List of contributors
- List of abbreviations
- Foreword
- Preface
- Introduction
- Part I Scientific basis of pediatric HIV care
- Part II General issues in the care of pediatric HIV patients
- Part III Antiretroviral therapy
- Part IV Clinical manifestations of HIV infection in children
- Part V Infectious problems in pediatric HIV disease
- Part VI Medical, social, and legal issues
- 43 Clinical trials for HIV-infected children
- 44 Medical issues related to the care for HIV-infected children in the home, day care, school, and community
- 45 Contact with social service agencies
- 46 Disclosure
- 47 Psychosocial factors associated with childhood bereavement and grief
- 48 Legal issues for HIV-infected children
- Appendices
- Index
- Plate section
- References
45 - Contact with social service agencies
from Part VI - Medical, social, and legal issues
Published online by Cambridge University Press: 03 February 2010
- Frontmatter
- Contents
- List of contributors
- List of abbreviations
- Foreword
- Preface
- Introduction
- Part I Scientific basis of pediatric HIV care
- Part II General issues in the care of pediatric HIV patients
- Part III Antiretroviral therapy
- Part IV Clinical manifestations of HIV infection in children
- Part V Infectious problems in pediatric HIV disease
- Part VI Medical, social, and legal issues
- 43 Clinical trials for HIV-infected children
- 44 Medical issues related to the care for HIV-infected children in the home, day care, school, and community
- 45 Contact with social service agencies
- 46 Disclosure
- 47 Psychosocial factors associated with childhood bereavement and grief
- 48 Legal issues for HIV-infected children
- Appendices
- Index
- Plate section
- References
Summary
Introduction
Though a cure for HIV disease remains elusive, medical advances have demonstrated that the virus can be reduced to undetectable levels and disease progression can be significantly slowed. The use of antiretroviral prophylaxis and cesarian section reduces the rate of perinatal transmission of HIV infection, thus increasing the likelihood that a child born to a mother with HIV infection will not be infected. Medical advances, nutritional support, psychosocial support, co-ordination of key services, and attention to quality of life issues have contributed to improved treatment and prevention outcomes for HIV-exposed and HIV-infected children. Children with HIV infection are living well into their teen years and even their 20s. Parents living with HIV who have access to HIV care are able to be primary caregivers for their children for a longer period of time. Although this chapter is primarily oriented to the experience of patients living in the USA, some of the information, particularly the information concerning broader psychological and social concerns should be helpful to patients in other parts of the world.
Psychosocial concerns
Amidst the notable successes in HIV care, there continue to be a number of important psychosocial issues. Among the most critical issues facing children and families living with HIV are the psychosocial developmental needs of children with HIV infection. Children growing into teenagers with HIV face profoundly challenging adolescent psychosocial developmental issues.
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- Information
- Textbook of Pediatric HIV Care , pp. 652 - 660Publisher: Cambridge University PressPrint publication year: 2005