This workshop was facilitated by Dr. Glenda Clare. As a result of attending this workshop participants were be able to: List factors resulting in foster care placement Identify factors which place foster care youth at high risk for HIV Identify strategies to provide HIV prevention and treatment services to youth in foster care Identify resources for future work with youth in foster care

1. 1
Does Anyone Really Care?
Providing HIV/AIDS
Prevention Education to
Youth in Foster Care
Glenda Clare
G. Portlynn Clare & Associates
g_portlynnclare@hotmail.com

2. 2
Objectives:
By the end of this workshop, participants will be able to:
 List factors resulting in foster care placement
 Identify factors which place foster care youth at high
risk for HIV
 Identify strategies to provide HIV prevention and
treatment services to youth in foster care
 Identify resources for future work with youth in foster
care

3. 3
A Snapshot of America’s Children
Child population under age 18 in 2002 72,894,483
White children under 18 in 2002 76.6%
Non-white children under 18 in 2002 23.4%
Children & youth under 12 in 2000 66.4%
Children & youth 12 & older in 2000 33.6%

4. 4
America’s Most Vulnerable Children
Referrals of possible abuse & neglect 2,673,000
Children substantiated or indicated as abused or
neglected
903,089
Children who died as a result of abuse or neglect 1,321
Children in foster care 9/30/01 542,000
Children adopted from foster care 50,000
Children waiting to be adopted 9/30/01 126,000
Children living in poverty 12,000,000
Children living in extreme poverty 5,000,000

5. 5
Overview of the
Foster Care System
Goal: To ensure the
safety and well-being of
vulnerable children

6. 6
Ethnicities of Youth in Care
0%
5%
10%
15%
20%
25%
30%
35%
40%
White
Black
Hispanic
Indian
Other

7. 7
Ages of Youth in Care
0%
10%
20%
30%
40%
50%
60%
<6 years
6-15 years
16+ years

8. 8
Entry into the System
 Abuse and Neglect
– Domestic Violence
– Mental Illness
– Physical Illness
– Poverty
– Substance Abuse

9. 9
Entry into the System
 Parental Death
 Parental Incarceration
 Physical Abuse
 Psychological Abuse
 Sexual Abuse
 Substance Abuse

10. 10
Out of Home Care
 Foster Care Homes
 Group Homes
 Institutions
 Juvenile Justice
 Kinship Care

11. 11
HIV Prevention Education
Assumption:
Individuals engage in high-risk activities not
because they lack relevant information but
because they lack behavioral and cognitive
skills to use available information

12. 12
Characteristics of Youth in Care
Affected & High Risk for Infection
 Agency Distrust
 Behavioral & Emotional Problems
 Family Instability & Disruption
 Health Problems

13. 13
Characteristics of Youth in Care
Affected & High Risk for Infection
 Hidden & Underserved
 History of physical & sexual abuse
 Homelessness
 Incarceration

14. 14
Characteristics of Youth in Care
Affected & High Risk for Infection
 Infection of Significant Others
 Incarceration
 Infection of Significant Others
 Lack of Medical Insurance

15. 15
Characteristics of Youth in Care
Affected & High Risk for Infection
 Public Assistance
 School Failure
 Sexually Transmitted Disease
 Shame & Stigma

16. 16
Characteristics of Youth in Care
Affected & High Risk for Infection
 Substance Abuse
 Teen Pregnancy & Early Parenting
 Unemployment

17. 17
Expanded Life Options
& HIV Risk
When there are few life options,
programs focusing on changing
knowledge, attitudes & skills may
not be sufficient to motivate
youth to reduce risky behaviors

18. 18
Expanded Life Options
& HIV Risk
Educational aspirations & positive
relationships with teachers are
predictors of AIDS related knowledge,
attitudes & behaviors

19. 19
Expanded Life Options
& HIV Risk
Behavior change should be linked to
skills and incentives for
educational planning and
expanding life options

20. 20
Expanded Life Options
& HIV Risk
An integral part of disease
prevention is believing
one’s future is worth protecting

21. 21
Expanded Life Options
& HIV Risk
Provided with life options, youth
may think and behave differently –
they may act as if they have a
future worth living

22. 22
Expanded Life Options
& HIV Risk
HIV prevention is an integral part of
preparing youth for the transition
to adulthood

23. 23
8 Key Components of Prevention
Services for High Risk Youth
1. Adolescent Specific HIV Testing &
Counseling Services
2. Basic Needs Services
3. Case-management
4. HIV+ Youth Speakers

24. 24
8 Key Components of Prevention
Services for High Risk Youth
5. Outreach
6. Peer Education
7. Wide Referral Network
8. Youth Involvement (Staff & Volunteers)

25. 25
Interdisciplinary Connections
 Child Protective Services
 Juvenile Justice System
 Mental Health
 Public Health
 Public School System

26. 26
Resources
 Adolescent AIDS Program, Montefiore Medical
Center
www.adolescentaids.org
 C2P
www.adolescentaids.org/c2p.html
 Centers for Disease Control (CDC) Statistics By
Cumulative Cases by Age
www.cdc.gov/hiv/stats.htm
Child Welfare League of America
www.cwla.org