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Youth and HIV/AIDS 2000:
A New American Agenda

Attachments

October, 2000

Attachment A: Acknowledgements
Attachment B: Recommendations from Youth & HIV/AIDS: An American Agenda March, 1996
Attachment C: Glossary


Attachment A
Acknowledgements

In considering a course of action, ONAP sought advice from adult AIDS experts inside and outside of government, and from young people themselves. An advisory group was invited to provide guidance; we appreciate their contributions and have listed their names and affiliations at the time of initial group meetings below.

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In addition, early in the process of writing this report, a focus group was conducted with HIV-positive young people to insure inclusion of their critically important point of view. For reasons of confidentiality, the young people who participated in the focus group are not listed here, but we are deeply grateful for their time and frankness.

Finally, we would like to acknowledge the helpful comments on a draft of this report that were provided by all the Federal agencies and offices the report mentions and from a number of others. ONAP particularly appreciates the support provided for development of the report from HRSA and the AIDS Alliance for Children, Youth & Families.

Rusty Bennett
HUD/ONAP
Washington, DC
Miguel Bustos
Office of Mrs. Gore
Washington, DC
Margaret Campbell
Wayne Wright Resource Center JRI Health
Boston MA
Patricia Flynn, MD
Memphis HIV Family Partnership
Memphis, TN
Donna C. Futterman, MD
Montefiore Medical Center
Bronx, NY
Melvin Harrison
Navajo AIDS Network
Chinle, AZ
Khurram Hassan
Grady Pediatric-Adolescent HIV/AIDS Program
Atlanta, GA
Joan Holloway
HRSA
Rockville, MD
Joyce Hunter
HIV Center for Clinical and Behavior Studies
New York, NY
Loretta S. Jemmott, Ph.D.
University of Pennsylvania
Philadelphia, PA
Michele D. Kipke, Ph.D.
University of Southern Calif. School of Medicine/National Research Council
Washington, DC
Maria Lago
HRSA
Rockville, MD
Chad Martin
CDC
Atlanta, GA
Jaime Martinez, MD
Cook County Hospital
Chicago, IL
Cassandra McFerson
Metro Teen AIDS
Washington, DC
Hugh McGowan
Consultant to HRSA
Rockville, MD
M. Valerie Mills, Ph.D.
SAMHSA
Rockville, MD
Daniel C. Montoya
PACHA
Washington, DC
Matthew Murguia
OMH, DHHS
Rockville, MD
Angela Powell
HRSA
Rockville, MD
Ivonne Reyes
Teen Outreach Worker,
University of Miami
Miami, FL
Audrey Smith Rogers, PhD, MPH
NIH/NICHD
Bethesda, MD
Bret Rudy, MD
Children's Hospital of Philadelphia
Philadelphia, PA
Jane Sanville
Office of National Drug Control Policy
Washington, DC
Sean Sasser
PACHA/Health Initiatives for Youth
San Francisco, CA
Margaret Scarlett, DDS
CDC/DHHS
Washington, DC
Richard Schulman
HRSA
Rockville, MD
Denise Stokes
PACHA
Stockbridge, GA
Todd Summers
ONAP
Washington, DC
Steven Tierney, EdD
Dimock Community Health Center
Roxbury, MA
Alex T. Torrez
Bienestar Human Services
Los Angeles, CA
Ofelia Virtucio
Asian and Pacific Islander
Wellness Center
San Francisco, CA


Attachment B
Recommendations from Youth & HIV/AIDS: An American Agenda March, 1996

Action Requiring Cooperation From All Levels of Society

  • Young people, parents, schools, and communities must be integral partners in developing, delivering, and evaluating HIV prevention approaches for adolescents.

  • Innovative, creative prevention efforts aimed at young people must be encouraged, adequately funded, and evaluated, and -- when found to be effective -- broadly disseminated.

  • Comprehensive HIV/AIDS education -- as part of comprehensive health education -- should be available to all young people in all fifty states and U.S. territories.

  • Routine counseling and voluntary HIV testing should be made more accessible, developmentally appropriate, and affordable to young people.

  • HIV-positive adolescents should be linked to a continuum of health care and support services that will extend their life span and provide them with the information and skills they need to reduce the likelihood of further transmission.

  • Adolescent-specific biomedical and behavioral research should be increased to enhance our knowledge of the progression of HIV disease in adolescents and of the effectiveness of HIV prevention approaches and of HIV/AIDS treatments.

The Federal Role

  • DHHS should create a forum of young people who are infected or affected by HIV as well as their parents, advocates, and providers to work with Federal officials to help identify and articulate the needs of adolescents in fashioning Federal responses to HIV and AIDS.

  • HRSA should encourage the inclusion of young people and their advocates on AIDS care planning councils to help identify local needs and ways to target Federal funds to help meet the distinct developmental and comprehensive care needs of youth.

  • CDC should encourage the inclusion of young people and their advocates in AIDS prevention planning councils to provide their unique perspective of the needs of youth in prevention efforts.

  • The Federal government should continue to help the nation's schools and other youth serving agencies implement comprehensive programs to prevent the spread of HIV among young people.

  • NIH and the Food and Drug Administration should continue to encourage the enrollment of adolescents in government and industry sponsored HIV/AIDS clinical trials.

  • The Public Health Service should work with the researchers, clinicians, medical community, and patients to develop appropriate clinical practice guidelines for adolescents with HIV/AIDS.

  • In releasing data from clinical trials, NIH and FDA should include specific data related to adolescents. In those cases where the number of adolescents participating in a trial is too small, anecdotal data should be released on a limited basis to allow clinicians an opportunity to begin building a base of information for their use in treatment.

  • The Federal government should support expanded access to testing and counseling for young people. The CDC guidelines for testing and counseling should address the special needs of adolescents, such as developmental issues, processes for consent, confidentiality, and payment for services. As part of a grant application for counseling and testing funding, states should demonstrate the availability of testing and counseling services for young people.

  • SAMHSA, CDC, and HRSA should collaborate on substance abuse treatment and prevention strategies affecting adolescents to ensure a coordinated effort.


Attachment C
Glossary

ACTG Adult AIDS Clinical Trial Group, sponsored by NIH
AIDS Acquired Immunodeficiency Syndrome
AMHARN Adolescent Medicine HIV/AIDS Research Network, sponsored by NIH
ASPE Assistant Secretary for Planning and Evaluation, DHHS
CDC Centers for Disease Control and Prevention
CPCRA Community Programs for Clinical Research on AIDS, sponsored by NIH
CPG HIV/AIDS Prevention Community Planning Group
Determinants Factors that have been shown to predict a certain outcome, for example, a disease or risk behavior
DHHS Department of Health and Human Services
EPDSDT Early and Periodic Developmental Screening, Diagnosis, and Treatment
FDA Food and Drug Administration
HIV Human Immunodeficiency Virus -- the virus that causes AIDS
HOPWA Housing Opportunities for Persons with AIDS
HRSA Health Resources and Services Administration
HUD Housing and Urban Development
IDU Injection drug user
IRB Institutional review board
Job Corps Federal job training program for economically disadvantaged youth
Microbicide A topical agent that kills virus, but not necessarily sperm
NIH National Institutes of Health
OMH Office of Minority Health, DHHS
ONAP White House Office on National AIDS Policy
PACTG Pediatric and Adolescent Clinical Trials Group, sponsored by NIH
Regimen A recommended schedule and dosage of a drug or therapeutic agent or activity
RWCA Ryan White CARE (Comprehensive AIDS Resources Emergency) Act
SAMHSA Substance Abuse and Mental Health Services Administration
SCHIP State Children's Health Insurance Program
SPNS Special Projects of National Significance
STD Sexually transmitted disease
Surveillance The regular monitoring of cases of a specific disease or health event
YRBS Youth Risk Behavior Surveillance





  
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This article was provided by White House Press Office. It is a part of the publication Youth and HIV/AIDS 2000: A New American Agenda.
 

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