If You Need HIV Treatment but You Don't Have Health Insurance, Then Take This First Step.

 

What's Your HIV Plan of Care?

So you just found out that you are HIV positive. You may have heard about all of the current medication treatments and you are probably wondering where do I go if I can not afford health insurance? Well, there is an online tool to get you started. If you are thinking that you can not afford the treatment, well there are options out there for you. The people at these services are here to help you and not to judge you in any way regardless of your situation. Take the first step and connect with one of them.

Step one

  Go to  https://findhivcare.hrsa.gov/ and input your zip code or your city and state. For example, I will use Antioch Tennessee.

Step two

Find the treatment center that you want to attend and click on their website or use there phone number and call them.

Step 3

Using the website's dropdown menu click on the service that you need which in this case is the First Response Primary Care Clinic.

 Step four

With this example, I did not see a phone number, but there was a Contact Us page where you can send a message. Some sites may have a phone number and an address. Most of the sites give an actual physical address. 

• This was just an example and your results will vary depending on where you live. I picked this place at random just to give you an idea of the process to get started.

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Can I get HIV services?

🏳️‍🌈You can get RWHAP HIV care and support services if:

🏳️‍🌈You are diagnosed with HIV or AIDS 

🏳️‍🌈You are low income (as decided by city, county, state, or clinic financial criteria) 

🏳️‍🌈You have no health insurance or you have insurance that doesn’t pay for the care you need

What happens when I go for services?

When you go for services, a case manager can help you: 

• Understand what services you can get 
• Apply for health care coverage 
• Find out if you have to pay for any of the costs yourself 

What services can I get?

1. Medical Care
2. AIDS Drug Assistance Program Treatments 
3. AIDS Pharmaceutical Assistance 
4. Early Intervention Services  
5. Health Insurance Premium and Cost-Sharing Assistance for Low-Income Individuals 
6. Home and Community-Based Health Services 
7. Home Health Care 
8. Hospice  
9. Medical Case Management, including Treatment Adherence Services 
10. Medical Nutrition Therapy 
11. Mental Health Services 
12. Oral Health Care 
13. Outpatient/Ambulatory Health Services 
14. Substance Abuse Outpatient Care 

Support Services (Available Care & Services | Ryan White HIV/AIDS Program, n.d.): 

• Child Care Services 
• Emergency Financial Assistance 
• Food Bank/Home Delivered Meals 
• Health Education/Risk Reduction 
• Housing 
• Legal Services 
• Linguistic Services 
• Medical Transportation 
• Non-Medical Case Management Services 
• Other Professional Services 
• Outreach Services 
• Permanency Planning 
• Psychosocial Support Services 
• Referral for Health Care and Support Services 
• Rehabilitation Services 
• Respite Care 
• Residential Substance Abuse Services


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This is a lot of information and may appear overwhelming. Just take it one step at a time by setting small goals. For instance, a single goal for today could be to just look up a care center and either call or use their online contact form. Do not overwhelm yourself by worrying if will qualify or how you will pay for the meds, just schedule an appointment at one of the centers.

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References

 Available Care & Services | Ryan White HIV/AIDS Program. (n.d.). Ryanwhite.hrsa.gov. https://ryanwhite.hrsa.gov/hiv-care/services

‌Find a Ryan White HIV/AIDS Program Medical Provider. (n.d.). Findhivcare.hrsa.gov. https://findhivcare.hrsa.gov/

Metropolitan FRC |. (n.d.). Retrieved September 2, 2023, from https://metropolitanfrc.com/

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Erikson

Erikson

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• Erik Erikson was born in 1902 in Germany and trained at the Vienna Psychoanalytic Institute before coming to the United States.

🧱Taught atYale University

🧱Taught at the University of California at Berkley

🧱Taught at Harvard

🧱 Worked as a psychology practitioner

🧱Erikson proposed that the ego is supposed to develop in stages

Erikson's eight stages of development (Shiraev, 2016). 

  Stage                                      Ego Crisis                                     Age                        Positive Outcome

     One                                    TrustVs.Mistrust                           0-2                                  Hope

     Two                               Autonomy vs shame/doubt                2-3                                  Will

    Three                             Initiative vs Guilt                               3-5                                Purpose

      

   Four                             Industry vs Inferiority                      5-12                           Competence

    

  Five                                Ego identity vs role confusion         adolescence                 Fidelity

Six                                 Intimacy vs. Isolation                        Young Adulthood        Love

Seven                             Generativity                                        Adulthood             Care

Eight                              Ego integrity vs despair                       Maturity               Wisdom

 

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According to Erikson if the crisis for a certain stage was not met, then the ego would lose strength which would result in poor adaption (Shiraev, 2016). 

🧱Identity Crisis

Erikson believed it was the result of tension or conflict between the developing ego and the changing world (Shiraev, 2016). 

• Erikson's theory differed from psychoanalysis which theorized that the personality is shaped during infancy and early childhood. 
• So basically Erikson's theory of development stated that development was an ongoing process, and psychoanalytic theories believed that infancy and early childhood developed personality.

🧱1969 Erikson wrote about the great Indian Mohandas Gandhi

Erikson believed the goal of psychotherapy was to encourage the growth of whatever virtues a person was missing so that person could achieve happiness(Shiraev, 2016).  

References

Shiraev, E. (2016). Personality Theories: A Global View. SAGE Publications, Inc. (US). https://bookshelf.vitalsource.com/books/9781506300795

 Anna Freud

Sigmund Freud's youngest daughter, Anna Freud, was born in Vienna. " At the age of 15, she was reading her father's articles and books (Shiraev, 2016). She trained in Germany to work as a teacher and in 1938 she along with her family escaped persecution by the Nazis and migrated from Austria to London. 

🥏She started the Anna Freud Centre a child therapy clinic. 

🥏She was awarded the Decoration of Honor for Services to the Republic of Austria.

🥏She emphasized that children could not explain their psychological problems the way adults could

🥏She wrote The Ego and the Mechanisms of Defense in 1966

She wrote about the ego's struggle with the overwhelming demands of the id, on the one hand, and powerful restrictions imposed by reality, on the other (Shiraev, 2016).

Ego Defenses

Unconscious structures enable an individual to avoid awareness of unpleasant, anxiety-arousing issues (Shiraev, 2016). 

🟥The ego functions to defend itself from these issues.

🟥The ego does this automatically in an unconscious way.

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Anna Freud theorized ten basic defense mechanisms (Shiraev, 2016).

🧩 Repression

🧩Regression 

🧩Reaction formation

   🧩  Undoing        🧩 Isolation

🧩
Projection                                                     🧩 Self-Harm                       🧩 Introjection

🧩 Rationalization                          🧩Displacement

References

Shiraev, E. (2016). Personality Theories: A Global View. SAGE Publications, Inc. (US). https://bookshelf.vitalsource.com/books/9781506300795