The intervention cascade for HIV prevention: An alternative to traditional approaches

1
The intervention cascade for HIV prevention An
alternative to traditional approaches
Michael B. Blank PHD Center for Mental Health
Policy and Services Research University of
Pennsylvania School of Medicine
YES (70)80 NO
YES (5)80 NO
INTERVENTION CASCADE
Randomization of Sample
CONTROL treatment as
usual
EXPERIMENTAL All receive basic intervention
YES 80 Adherent? NO (70)
Social Support
YES 80 Adherent? NO (10)

• NOTE if 80 adherence is
• maintained for three observation periods, then it
  reverts back to the lower level
• Estimated percent successful

Beepers
YES 80 Adherent? NO (5)
REFERENCES Blank MB, Mandell DS, Aiken L, et al
Co-occurrence of HIV and serious mental illness
among Medicaid recipients. Psychiatric Services
53868-873, 2002.
Cell Phones
YES 80 Adherent? NO (5)
Directly Observed Therapy
YES 80 Adherent? NO (5)
Additional logo here, if desired