positive impact - Minnesota AIDS Project

PO S I T I VE I M PAC T
FA L L / W I N T E R 2 0 10
•
A NE WSLE T T ER FOR FRIENDS OF T HE MINNESO TA AIDS PRO JEC T
SERVING THE COMMUNITY SINCE 1983
Changing Lives
on a Case by
Case Basis
Two of the important goals for the
Minnesota AIDS Project are supporting
those living with HIV and working to
reduce the number of new infections in the
state. The case management program is an
example of those goals coming together. The
case management team assists HIV-positive
people assess their ongoing healthcare
needs, develop a plan to meet these needs,
and connect them to community resources
and services. Every day, case managers help
clients manage their HIV status both with
emotional and physical support.
With two to three appointments a day and
a clientele of about 40-45 patients, case
managers at the Minnesota AIDS Project
see a variety of individuals and cases. Each
client develops a relationship with their case
manager who helps them make informed
health decisions and access needed resources.
To best determine what the needs of each
Minnesota
AIDS Walk
2010
04
client are in order to make decisions on how
to assist them, clients move about the case
management system on a level based on
“tiers.” When an individual starts their work
with a case manager, they start on a “tier
three” level. After assessing basic needs such
as housing, insurance, health, knowledge of
HIV, a case manager will then assist their
client in accessing services and programs
as needed. This could include referrals to
physicians, support groups, legal assistance,
vocational services or mental health
resources. Periodically, another assessment
is given with the goal of
helping clients reach “tier
one” which means they
are able to continue their
lives as HIV-positive
successfully with less
support from their case
manager.
But it is not always an easy
road to a “tier one” status.
Jaime Christmas, a current
case manager at the
Minnesota AIDS Project,
describes the period after
diagnosis with HIV as a
struggle because people
Lorraine Teel
— 20 Years
05
are often fearful and feel embarrassed about
their status. Just disclosing their status to
others is life-altering. Disclosure is a very
difficult process due to societal attitudes,
stigmas and myths existing about HIV
and AIDS. Disclosing HIV status can be a
very hurtful process for some clients. Case
managers are able to assist clients through
this by connecting them to safe support
networks and places where they can feel
accepted.
Regardless of how people felt about HIV
before being infected, becoming HIV
CHANGING LIVES continued on back cover
Promoting
Health
06
Positive Impact
is a publication of the
Minnesota AIDS Project
1400 Park Avenue
Minneapolis, MN 55404
612-341-2060
612-341-4057 (fax)
www.mnaidsproject.org
Photo by Sophia Hantzes
HIV PREVENTION – IS IT REALLY A
SIMPLE MESSAGE?
A recently-released public service announcement (PSA)
developed by the New York City Health Department has
generated a great deal of conversation nationally within
the HIV community. The PSA promotes the message that
“It’s never just HIV” by pointing out that those who are
HIV-positive are at greater risk for osteoporosis, anal cancer,
and dementia. And the PSA graphically portrays those
conditions. The ad ends with the message of “Stay HIV free.
Always use a condom.” People are upset.
Executive Director
Lorraine Teel
MAP Board of Directors
Danielle Anderson
Eric Anderson
Pete Bissonette
Peter Farstad
Gene Frampton
Alan Lifson, MD
Arleta Little
Melissa Palank
Brad Palecek
Caroline Palmer
Eric Peterson
Rick Stafford
Karen Starr
Jennifer Thompson
Patrick Troska, Chair
Is the message effective? Is it too graphic? Which audience
will best hear this message? People at risk? Young people?
Those who are HIV-negative and engaging in risk behavior?
In the maelstrom of electronic dialogue going on about this
ad, clearly a number of people are offended by the message.
Some assert that it won’t resonate with young people as most young people don’t even know
someone with HIV let alone witness these co-occurring conditions – and if it doesn’t exist in their
world, well, it simply doesn’t exist.
Francisco Rogue, director of community health for Gay Men’s Health Crisis in New York states
that the PSA portrays gay men living with HIV “as these sort of disease-ridden vessels, and so the
message is really sort of ‘Stay away from gay men’. He goes on to state that the ad “had a ‘horror
movie’ like quality with eerie music that appeared to demonize gay men.”
Others are talking about how fear-based messaging doesn’t work and can even backfire. A recent
study showed how students reacted differently to stories about global warming. Those who read
reports about climate change with positive messages about what specific actions can slow down
this warming trend tended to believe more that science could find a solution and that indeed
global warming does exist. Those who read stories with “apocalyptic warnings” tended to be more
skeptical about global warming’s existence and less likely to take any actions to slow down the
trend.
How should we be responding to a new, young generation most of whom did not even become
sexually active until after the turn of this century? For them, the experience of looking back 30
years at the experience of AIDS would be a lot like the 1960 baby-boomers basing their life choices
on the experience of those coming of age in the 1930’s and 1940’s. For them, the stories they hear
about AIDS these days have more to do with the possibility of taking medications to prevent HIV
transmission, or with the news from a Swiss study that those with HIV who have an undetectable
viral load are virtually unable to transmit virus.
The mission of the
Minnesota AIDS Project
is to lead Minnesota’s fight
to stop HIV through advocacy,
education and service.
AIDSLine:
(statewide)
(metro TTY)
(statewide TTY)
612-373-AIDS
800-248-AIDS
612-373-2465
888-820-AIDS
©2010 Minnesota AIDS Project
Over the past 30 years, we’ve learned much about HIV prevention in terms of what’s worked and
what hasn’t worked. We know how important it is to provide messages that speak to the reality of
every day experience. If you have low self worth, for example, messages that offer a future and work
to validate your importance in this world have more impact. And when targeting a group, such as
gay men, who has a legacy of non-conformity and rebellion to established ‘rules’, doesn’t a fingerpointing and shaming message backfire as these men rebel against someone dictating to them what
is right and what is wrong?
So in the face of contradicting approaches to HIV prevention – scare tactics, or sex-positive,
gay-affirming – what should we do? I propose that the question is flawed – this is not an “either
or” discussion, it is a “both” discussion. We need to set off the alarm bell again as it is not being
heard. Too many Americans believe that AIDS is no longer a problem in this country and that is
02
POSITIVE IMPACT •
FALL/WINTER 2010
translating down to too many young gay men believing they are not at
risk. If nothing else, the NYC campaign is a wake-up call that it’s time to
again talk about HIV.
The “It’s never just HIV” campaign is but one advertising strategy coming
out of the NYC Health Department. They also have a NYC condom
campaign that is very sex positive, upbeat and distributes free condoms
at hundreds of locations throughout the city. They have also recently
launched a “Bronx Knows HIV Testing Initiative” along with a similar
campaign in Brooklyn. Thus the “it’s never just HIV” campaign is but
one of several ad campaigns. As a standalone message, sure I can see why
some were offended. I can understand the hurt experienced by those
who have spent years and years affirming the simple rights of gay men
to simply “be” only to now fear that those gains are lost in the face of
messages that appear to demonize these same men.
In summary, when it comes to what’s the right message to stop HIV, there
is no one simple message that will work for everyone. The experiences
of an isolated gay teenager living in rural Minnesota is generally very
different than those of an out urban young man in Minneapolis. And
the experiences of a gay man who has survived through the early days
of AIDS while witnessing the death and suffering of many of his peers is
miles apart from those of the young gay man who has yet to even meet
someone living with HIV.
We can never hope to have one message that reaches all – but we can, and
must, have as some of those messages a loud and clear clarion call. Do I
expect that a young gay man who might see the NYC ad would suddenly
stop and change his ways to always and correctly use condoms? No, I don’t.
But I do think that his peers, his elders, and others around him will begin
to have some dialogue about HIV and in that environment this young
man might realize that he indeed does have some choices to make about
the level of risk he’s willing to take.
Over my many years in this field, I’ve been a part of distributing many
different messages about preventing HIV. Some were direct and simplee
– use a condom. Others were a bit more in your face – “safer sex
is hot sex.” Some messages didn’t even use the terms “HIV” or
“condoms” or “sex” – some targeting gay men challenged the viewer
to consider that “there is a future, make it happen.” So whether or
not the message is an in-your-face hard-hitting message, such as that
put out by the NYC Health Department or the campaign coming
from the University of Illinois portraying two loving black gay men
and the statement “love self first” – we need them all.
A DAY TO
MAKE A
DIFFERENCE
Since 1988, December 1 has represented a day
of remembrance and a day of hope for the future
where HIV will no longer exist. At a time when HIV is
on the rise both nationally and locally, the Minnesota
AIDS Project and its supporters recognized this
important day at the Mall of America in Bloomington.
Host Jason Matheson, board chair of the Minnesota
AIDS Project Patrick Troska, and community member
Bobbi Gass spoke about the importance of HIV
education today nearly 30 years after the first cases
of HIV in our state.
A
Attendees enjoyed
a evening of
an
i
information
and
e
entertainment
while helping
the organization
by submitting
ideas for HIV
prevention
A long time ago, some unnamed pundit quipped, “I don’t care what
they say about me as long as they spell my name right.” In this case,
it’s just these three little letters. H – I – V. Say it, write it, sing it, put
it on a billboard. We need to get the conversation started again about
HIV. It isn’t going away and we need to talk so that ultimately we can
change behavior to lower risk.
staff
ota AIDS Project
Photo by Minnes
messages to
share in the
community. Hopefully World AIDS Day will someday
shift to a remembrance of an epidemic solved. Until
that time, the Minnesota AIDS Project will be here
steadfastly working to reduce the impact on lives in
our community.
Lorraine Teel
Executive Director
Visit www.mnaidsproject.org
to learn how you can make a
difference.
03
POSITIVE IMPACT •
FALL/WINTER 2010
MINNESOTA AIDS WALK AND
RUN FOR THE RIBBON 2010
The Lake Calhoun Boys were the topraising community team this year, bringing
in over $23,000, followed by the University
of Minnesota with over $14,000 and the
Minneapolis Movie Bears with over $12,000.
As always, the Minnesota AIDS Project staff
teams were some of the top fundraisers
with around $45,000 in funds raised
between its teams.
As hope filled the
park, dedicated
walkers and
runners crossed
the finish line,
proving once
again how
inspiring making
a difference is.
Thank you all
for making
the 2010 AIDS
Walk a success
and helping us
to spread our
message for 2010.
We hope to see you all again next year on
May 15, 2011.
The third annual
Run for the Ribbon
kicked off the
morning prior to
the AIDS Walk.
Following a 4-mile
course along the
beautiful Mississippi River, runners were
out in force this year as the run grows each
year. We want to thank all the runners for
participating and, of course, your speed is
most admired.
Photos by Life Image (4)
Thousands of
people came
out on May 16,
2010 for the
Minnesota
AIDS Walk at
Minnehaha
Park. The
weather was
beautiful and
over a half
million dollars
was raised to benefit the Minnesota AIDS
Project to provide prevention education,
advocacy, and services for people living
with HIV. It was a great turnout and we
want to send out our sincere thanks to all
who participated this year.
04
RED RIBBON RIDE RECAP
POSITIVE IMPACT •
FALL/WINTER 2010
LORRAINE TEEL
20
The eighth annual Red Ribbon Ride was
a great success and we want to sincerely
thank everyone who participated in the
event and contributed time and effort.
YEARS
Your dedication is appreciated. This
year’s ride raised over $320,000, and
80 percent of these funds go directly to eight
AIDS service organizations in Minnesota.
The 6-member Minnesota AIDS Project team
raised over $9,000 dollars. Harvey Zuckman
of Team YES YWCA Endurance Sports was
the top-raising individual cyclist bringing
in over $8,000, and Team OZ was the
top-raising team, bringing in over $43,000.
Congratulations!
On Friday, July 23, 2010, the City of Minneapolis
declared Lorraine Teel Day in honor of her
twenty-year term as the Executive Director of the
Minnesota AIDS Project.
Lorraine Teel’s strong input and guidance along with
Cyclists began at the Mall of America on July
15th and biked almost 300 miles throughout
the beautiful rolling hills of southern
Minnesota, and finished at the Capitol in
Saint Paul. This event raises necessary funds
for stopping HIV and inspires and
strengthens the community in
our efforts to support those
living with and affected
by HIV.
her irrefutable leadership has made the Minnesota
AIDS Project the organization it is today. With
programs and services that are expanding and
growing along with numerous awards and grants. She
has been a leader locally and nationally in the fight
against HIV. Staff and friends celebrated outside
the Minnesota AIDS Project building with a brief
program followed by a game of croquet.
Interested in riding
or crewing for next
year’s rise? Go to
www.redribbonride.org
to learn more and download
your 2011 registration form.
Lorraine started her leadership at the Minnesota
AIDS Project on June 4th, 1990. Since then, she has
had many experiences: from winning the Human
Rights Campaign “Brian Coyle Leadership Award” in
1998 to attending the International AIDS Conference
Agencies:
The African American AIDS Task Force
The Aliveness Project
Clare Housing
Hope House of St. Croix Valley
Minnesota AIDS Project
One Heartland
Park House
Rural AIDS Action Network
in Durban, South Africa, in 2000. More recently,
the organization was awarded its first major CDC
funding grant to focus on HIV prevention under
Lorraine’s undeniable leadership.
05
POSITIVE IMPACT •
PROMOTING
health
FALL/WINTER 2010
OVER HIGH RISK
For many years, the Minnesota AIDS
Project has offered services to gay and
bisexual men, either HIV-positive or with
high risk behaviors, with substance use
issues. Naturally, when individuals engage
in activities such as using alcohol or drugs, it
increases the risk of HIV transmission. As a
new case of HIV is reported in Minnesota
every 24 hours, the Minnesota AIDS
Project is working to reduce this infection
rate by increasing its efforts and working
individually with those with active substance
abuse problems.
Minnesota AIDS Project staff has provided
Rule 25 assessments for clients since 2008.
Rule 25 is a tool used for placing individuals
in treatment and planning their aftercare
services. To be eligible for this assessment
through the organization and receive
county funding, the individual must be
HIV-positive, have no insurance, and be
below the federal level of poverty. After a
year of using this tool, the Linkage Case
Management model was introduced to link
individuals to their own specific substance
abuse treatment. This model is a five-session
system that uses the Rule 25 assessment for
the first meeting, followed by four additional
meetings. Christine Kerno, Manager of
Chemical Health Services, explains it this
way, “Clients get the complete chemical
health treatment as well as correct HIV
treatment.” This system is entirely based on
each client’s specific strengths and treatment
is implemented accordingly.
Kerno’s work with Rule 25 and the Linkage
Case Management model has proven to be
strong supportive HIV prevention by linking
clients to services that provide a stable
recovery environment, referring clients to
case management, and making sure they’re
in correct medical care. The most recent
data showed over 90 percent attendance
at treatment and 77 percent completion of
treatment. Even last month, Kerno picked
up the phone to call another AIDS program
and a previous client answered the phone.
They were clean and sober and planning on
completing a degree in social work.
AIDS Project has developed expertise at the
individual, community, and state levels in
the area of HIV and substance abuse.
However, the Minnesota AIDS Project’s
Darin Rowles, AIDSLine Manager, says,
work in chemical health and substance abuse
“We are in a unique position to provide
goes beyond just one-on-one support and
one-on-one support for those who are HIVtreatment. The Minnesota AIDS Project
positive and negative, while also getting
AIDSLine is a program that provides a
them into support groups and increase
broader service for anyone that needs
awareness.” Most training agencies have
resources for chemical health, HIV and
expertise at either micro-level or individual
more. Want to get tested for HIV? Worried
training, or the macro-level training but
you might be at risk? The AIDSLine has all
not both. Rowles describes the mix at the
the resources to answer the community’s
Minnesota AIDS
questions about
Project as, “very
HIV. In addition, the
As a new case of HIV is
innovative,” as it
AIDSLine has two
reported in Minnesota every boosts awareness
training programs
and knowledge on
for community
24 hours, the Minnesota
both levels.
members. The first
trains licensed alcohol AIDS Project is working to
The organization
and drug counselors
reduce this infection rate by is still expanding
throughout the state
the work within
increasing its efforts and
to better understand
the health services
working individually with
the intersection of
arena. It will be
chemical health
those with active substance continuing work
and HIV in order
with assessments
abuse problems.
to raise the capacity
and counseling and
of chemical health
plans to increase
services for people
the department’s outreach with the help of
that are HIV-positive and encourage HIVa recent grant awarded from the Centers for
negative people to get tested, therefore
Disease Control (CDC).
reducing risk of transmission. The second
There are two programs funded by the
trains community members to be Red
CDC grant currently in the works at the
Cross HIV trainers in order to present
Minnesota
AIDS Project that will increase
HIV prevention materials at community
the
outreach
toward young gay and bisexual
agencies and events. Thus, the Minnesota
06
POSITIVE IMPACT •
men with active substance abuse problems to
reduce their risk of infection or transmission.
The first program to be introduced is called
CLEAR (Choosing Life Empowerment
Action Results). CLEAR targets gay or
bisexual men ages 18-24, either HIVpositive or at high risk, with chemical health
concerns. CLEAR includes up to 27 oneon-one sessions and focuses on developing
emotional awareness and healthy behaviors.
Bob Zemsky
Beth Zemsky
FALL/WINTER 2010
The second program that will come into
effect with the CDC grant is SHIELD
(Self-Help in Eliminating Life-Threatening
Diseases). SHIELD will train former and
current drug users to be peer educators
that conduct outreach by sharing HIV risk
reduction information. This decreases risky
behaviors both in the groups that receive the
information as well as the educators. Both
programs are expected to begin their work in
the near future.
Sharlene Paradis
Vickie Coombes
The new grant will help the organization’s
existing departments like the AIDSLine and
the already extensive chemical health services
expand with these new programs and staff.
By engaging and educating individuals on
both micro and macro-levels, regardless
of their HIV status, the Minnesota AIDS
Project continues to expand the methods
used to prevent HIV in Minnesota.
Don Hoberg
Gordon & Alvia Farrar
Jennifer A. Keesey
Julie Nye
Linda Weber
Kristin Huntington
Gifts In
Bobby Christian
Dale Meuwissen
Donald Knutson
Gordon Gunderson
Jerome Samuels
Kathleen Hagen
Mary Sticha
Brian T. Knutson
Keith Raff erty
Jamie Graham
Memory
Bradly Elliott
Dan Gough
Dorinda Bennett
Gordon Paulson
Jerry Ion
Sally Daniels
Dee Tvedt
Donna Johnson
Joyce Richards
David Hanson
Michael Cummins
Gordon Voog
Jim Chalgren
Ernest McCallum
Gordon J. Huser
Jessica Flatequal
Aaron Fischer
Richmond Amporful
Adam Churchward
Brian Horstmann
Dan Ofsthun
Ann Bajari
Marie Garbe
Brian Stienstra
Daniel L. Doty
Jann Cather Weaver
David Olson
Erin Curran
Faye Moore
Stan Moore
Anonymous Donor
Bunny Anderson
Helen M. Iverson
Joyce M. Anderson
Patricia Burggraff
Bruce Brockway
Daniel Wolpin
Ford Campbell
Cheryl L. Jones
Bruce Johnson
Danny S.
Karen Larson
Noelle Noonan
Adrian Woolhouse
Bruce Lynch
Darrell Keller
Kim M. Hunt
Ron A. Fink
Sandie Sullivan
All who have suffered
Chris Schlichting
Hannah Kramer
Katie Zaff rann
Kevin Obsatz
David Green
Gary Barsness
Frank Salvatore
Cindy L. Dill
Richard Scott
Bud Grossman
David Ludke
Gary Gerdes
Mary Jo Murphy
Janette Brost
David Olsen
Gary Howey
Barry G. Leavitt
Anne Crews
Cindy Baubie
Jennifer Johnson
Michael Schmitt
Robin & Richard
Swerdlick
Tim & Jane Johnson
Children Of Africa
David W. Lund
Michelle Holland
Tony & Stacy
Woolhouse
Anthony Wilkinson
Alene R. Grossman
Robert S. Wilkinson
Cathy Fejes
Baawah & Sefa
Jason Howard
Muriel Adom-Boakye
Chad Berus
Bennett Corley
Darcy Berus
Leslie Wille
Charles R. Laster
Betty D. Ahlcrona
(Loving mother of Bob
Ahlcrona)
Debra Buzar
Betty D. Ahlcrona
Roger H. Frommelt
Bill & Terry Treacy
Bonnie Treacy
Bob A. Randy
Amanda Erdman
Bob Turner
Rebecca Erickson
Bob Twiggs
Bobbie Towns
Charles Dwamina
Christopher Vincente
Lili Hall Scarpa
Clyde Frampton
Diedre & Gary Jones
Dale Christensen
Glad Woolstenhulme
Dale Maskrey
Heather Maskrey
Margo Doyle
Mary Sibley
Patricia Moore
Phyllis Wilson
Robert Moore
Frank Ryan
Matthew Ryan
Frankie
Kellie Sabin
Gary Ashmore
Gary Kondziolka
Amy Kondziolka
Gary Stevenson
Bart Brueshoff
Gene Field
Lynn Jensen
Martha Gohmert
Mary Schroedl
Rex Field
Gene Novak
Beth Barker
David Westmoreland
Rebecca Hiatt (Smith)
Gene Sowder
Margie Sowder
Dean Hardy
Jason A. Mooney
Deirdre A. Myslis
Don Gillis
David A. Bjork
07
Jim Frost
Joan Calof
Greg Thul
Jim Geiwitz
Linda J. Zimmerman
Lisa A. Odom
Bob Geiwitz
Cynthia Geiwitz
Dana & Denise Peff er
Dawn D. Fedora
Dawn Griffin
Destiny Schaefer
John Geiwitz
Katie Renz
Ron Geiwitz
Gregg Goetz
Theresa M. McKasy
Gregory Slag
Kim Timmers
Gregory Witcher
H. Mark & M. Salzman
Jim Neumeier
Cheryl Weise
Sara Greenbaum
J. T. Septynski
Jim Ogdie
Kate Booth
Al & Maren Ogdie
Joy Delong
James Hussey
Jim Morehouse
Jim Pacale
Judy Rudenick
James Merchant
Lynn Seeling
Jim Roberts
Lee L. Roehl
James Ogdie
Dennis DeLong
Jimmy Forte
Sheryl Hough
Jeane Wheelr
Anwar Parvez
Jimmy Tomasek
Timothy Lingenfelder
Jeff Bourgeois
Joseph St James
Jeff Moore
David Farnham
Kimberly Jasicki
Lorenzo Moore
George Hill
Jeff Ruiz
Paula Ekman
Larry J. Brandts
George Carr
Laura Myslis
Greg Chevalier
Laura K. Piotrowski
Gloria J. Peterson
Jeffrey Bonnett
Carolyn E. Culley
Toni Wenzell
Jimmy Vosika
Barbara Henry
Connie Clawson
Janet Jackson
Jerry Pierce
Judith Boettcher
Kristine Kroll
Linda Skillingstad
Mark Riedel
Patty Vosika & Tim
Gustafson
Ray & Lisa Owen
POSITIVE IMPACT •
FALL/WINTER 2010
Joe Hunt
Julie Brown
Sheila P. Quinn
Joanne Swanson
Marcus Mahogany/
Marsha W. Butler
Teresa Neal
John
Keith Gann
Patrick Jensen
Marylee A. Hendricks
Richard Leyva
Marguerite Vasshti
Butler
John Ause
Kelly Swenning
Heather Bakke
Deborah Lanners
John Boyer
Ken Kilian
Rebecca L. Erdahl
Jenny Batten
Darryl Kozak
John Chasse
Colleen Schnortz
John Faranda
Patricia M. Mingee
John Greavu
David Greavu
Greg & Mary Kay
Palank
Jeff & Leigh Ann
Greavu
Melissa K. Palank
Steven Greavu
John John
Timtohy Giesinger
John Severns
Michael Hosier
John Tucker & Corey
Allyn
Todd T. Masman
Kerry Grippe
Peggy Barton
Amanda Nelson
Matthew Wilson
Kirk Dillon
Ken Therkildsen
Darcy Juhl
Maurice Jones
Klaus Nomi
Shannon C
McDonough
Larry Elmer
Marie Neal
Larry Nettles
William L. Larson
Larry O.
Thomas D. Nechodomu
Lavonne Sink
David Grayson &
Lydia Artymiw
Raelynn Sink
Linda M. Meyer
Betty Sandvik
Chris Rathburn
Connie Martin
Lynn Olson
Megan Trounce
Jon Nelson
Greg Egertson
Rev. Lloyd A. & Ms.
Doris Jean J. Heroff
Lynn M. Mickelson
Jonathan Severns
Mark Peterson
Kirk Boyum
John Zeno
Johnny Pearson
Jennfier Bymark
Martin Kostrzab
Beth Levine
Charlie Durenberger
Emily Durenberger
Joyce Lovestrand
Lois M. Durenberger
Sara Durenberger
Mark Loynachan
Andrena Feaster
Lance Kroot
Paul C. Johnson
Michael Shasky
Kevin Jones
Noah Baker
Kathryn Jensen
Mark Jackson
Carrie Koeneke
Rachel Bishop
Tiff any Klenken
Jodie Butler
Patrick & C. Hartman
Paul Christenson
Elizabeth A.
Christenson
Malini Srivastava
Margret A. Anderson
Mary E. Christenson
Melissa Feinkind
Paul Kenney
Bonnie Kenney Casey
Paul Rice
Michael Ashburn
Jana Llynn
Jason Vig
Paul Wellstone
Michael Branscom
Michael Resnick
Craig B. Carnahan
Pedro Zamora
Michael Millett
Kevin Miller
Ed Reuter
Peter G. Gokey
Michael S. Ysebaert
Pamela Andrusko
Emily Ysebaert
Peter Quarry
Michael White
Carlus & Carolyn
Dingfelder
Dinyar Mehta
Peter Schaefer
Mike Ashburn
Anne Marie M. Seward
Loren Erickson
Alycia Ashburn
Ashburn Pet Products
LLC
Carolyn Ashburn
Jon/Lisa Ashburn
Kathy Dingmann
Kurt A. Larsen
Larry Ashburn
Royal & Brenda
Ashburn
Tom Ashburn
Gary J. Mazzone
Mike Bohn
LTC D. Gilbert
Kay Mellstrom
Kareem Smith
Gerald (Jay) Woldt
Mitch D. Lilja
Richard Michael
Margaret Thompson
Lisa M. (cousin)
Tina Peterson-Fong
Liv Bacon
Curt & Jen Hanson
L. Jay Goodyear
Jason Schumann
Peter Thielen
Andrea Ayres
Venugopal Maddipati
Rick Losleben
Susan Lenarz
Laurie Rochel
Marie Lenarz
Robert Carwell
Sy & J. Turbes
Brian J. Neil
Elizabeth M.
McCambridge
Robert G. Baesman
Robert Baesman
Robert Heinz
Robert Robertson
Terry Erdman
Monty Smith
Robert S. Ahlcrona
Terry McKane
Kathy M. Barnett
Lynn Hill
Ben Molnar
Robert Slaughter
Joyce Slaughter
Robert Yunker
Melissa Yunker
Roger Klein
Carol Klein
Ron
Craig Seacotte
Ron Duda
Doug Olson
Roy Richardson
Tom Westbrook
Ruth Bissonette
Joseph N. Gregorich
Michelle Simpson
Nicholas Swardson
Raymond King
Sarah E. Simmons
William Chandler
Bearden
Susan Smith
Rheuhanamus Smith
Sandra K. Wolfe
Ruth Ellis
Scott A. Wilson
Scott M. Muchow
W Keith Henry
Mitchell Mucha
Richard Puncochar
Lyle Haugeto
Patricia Latch
Mary Jo Gustafson
My Cousin KK
Joshua R. Hall
Lyle Pierce
Karla Plante
Katherine Land
Starri Hedges
Mike L. Friedges
Neil Sandstad
Joyce Cassidy
Ragen Pry
Allison Williams
Scott Markl&
Mary Pumper
Veronica Tinderholm
Terri Logan
Scott Olson
Tom Hanson
Richard Whitely
Lisa Dorfman
Keith Frutiger
08
Codie Pasternak
Thom Hart
Amy Hart
Thom V. Strusinski
Rob Strusinski
Thomas Burkhart
Sarah Baker
Thomas Linder
Jack Thompson
Tim Whitehead
David Wolf
Todd Crawford
Mary Grams
Todd DeMeza
Pam Henry
Todd Roy
Steven Smisek
Todd W. Balow
Aaron Tretter
Eric Briggs
Michelle M. Jawish
Ronda M. Seiler
Tom Burkart
Diane & Gary
Kammerude
Gary Kammerude
Lisa Hansen
Lora Schwendinger
Matthew Schwendinger
Susan Kilmer
Stanley Rutkowski
Tom Conlow
Vicky Diamond
Steve Haus
Tom Cox
Robert Burgett
Chris Larson
Rick Fure
Leslie Rosen
Terry McKane
Kevin Rutkowski
Rick Filipowski
Christie Sandstad
Gail McGillis
J. Seely
Jane A. Lien
Kenneth Sandstad
Tundra Sandstad
Marlene Hockinson
Sheri Yokoyama
Ryan White
Nicole Menard
Lyle L. Schlundt
Teri Wulff
Ray Swope
Deborah J. Holderness
Ted Herbert
Marcy J. Rupert
Pete D. Heinz
Ann M. Francis
Lupe Avendano
Breck Cassidy
Surapneni
Kantaratnam
Patricia Thielen
Rebecca L. Graetz
Cristina Rodriguez
Joann S. Anderson
Joel Goergen
John Severns
Karen Severns & J.
Koichi Mori
Melanie Brandabur
Mac Stevenson
Rick Lind &
M. Bacca
Steven A. McIver
Sherrie C. Beal
POSITIVE IMPACT •
FALL/WINTER 2010
Tom Youngblood
Amy J. Stark
Brant J. Vlasak
Cody Bielski
Doug E. George
Bill Schlicting &
Steve Lenius
Jim Stark
Mark Sullivan
Cynthia Levey
Tony Lemoncello
Amy K. Brugh
Faye Sullivan
Lindsay Nutting
Nick Kovich
Sara B. Stevens
Darlene George
Jennifer Nilles
Jessica Deegan
Robert Koelbl
Scott Pfeifle
Sherilyn Loeffler
Jay Miller
Torgny Horn
Carina Moore
Tracy Chambers
Benjamin B. Gleason
Gifts In
Honor
2007 Camp
Heartland LITs
Ginny Shea
Brett Chin
Amy Schrempp
Allen Chin
Jeff Chin
Katie Korb
Andre’ Flynn
Brian Bode
Everett Flynn
Bob & Char Bode
Roberta Peterson
Shelly Whittet
Tracy Leary
Glenn Leary
Andrew Stanton
A Friend
Angela Carter
Brian Gilligan’s Home
Purchase
Veronica Koes
Tristan Weaver
Valerie E. Weaver
Anne Breckbill
Adrienne Widener
Michelle Burkholder
Janet Widener
Troy Devin
Daniel Adamson
Anne Eaton
Agape Home
Linda Reisenweber
Karen Smith
Uncle Dale
Christina Fadden
Anthony Mantini
Aimee Reese
Michael Molina
Jan Anderson
Vern Johnson
Shirley A. Shimota
Alexa Christenson
Patricia Franklin
Vernon Seidler
Neal Seidler
Alison Moore
Patricia Griffith
Warren Ingram
Cheryl Hepola
Darla Keller
Alissa Lyon
Ashley Basmoen
Jane Dresser
Bridgett Baldwin
Jaysen Saly
All my clients
and friends
Ashlie & S. Kerr
Wayne Pearson
Lynn M. Mickelson
Andrena Ingram
Wayne Klopotek
Diane McLoyd
Kerr Family
Eileen C. Krenner
Brittany Edwards
Dan J. Delaney
Bronwyn Bouthim
Elizabeth Tegen
Kathy Polach
Maryetta Lane
Randi L. Lyders
Daniel Wolter
Ann Cieslak
Carla B. Carlson
Graham Gillette
Jean Quam
Jill Martin
Scott Cornelius
Thomas R. Masanz
Jane Goodnight
Chaz Student
Darien Sandburg
Danny Reorda
Victoria J. Bayerl
Jeff rey Adler
Children Of Africa
Darryl Carr
Christine M. Kerno
David Farrar
Claude Kerno
Dessa Gemar
All the world
Christina Hurst
David Jensen
Elizabeth Polach
Eric Anderson
Christopher
Ackerman
Dana Reynolds
Benjamin R. Latz
Kathi Ackerman
Les Lofgren
David Knapp
Michael & Judy Ptacek
Curtis Hagedorn
Zachary Foellmi
Jeremy Dowd
Baiba Olinger
Jonny Bennett
Kristianne Hansen
Seelye
William Harren
Daina & Laila Robins
Brian Gjerde
James Hlad
Katie Jones
Lula James
Theresa Ford
Jay Miller
Deborah Kalbfleisch
Jeff ery A. Alspaugh
Dain Capps
All those who have
died of HIV/AIDS
Bryan Vacinek
Eric Rud
Benjamin Pasch
Mike & Linda
Fiterman
Sara Lynn Newberger
Benjamin Sunderlin
Christopher Wogaman
Jason M. Berke
Bill Fitzgerald
Amanda Carter
Amber Peters
Amelious N. Whyte
Ann Cieslak
Brian Bergquist
Elia Tello
Marianne Meyer
Matt Hoskin
Royee Vlodaver
Sean Lamb-Vosen
Christopher Broll
Jeff rey Adler
In celebration of
all those who still
need care
All people living
with HIV
Stephen Wallbank
Chloe Jennings
Ben Ptacek
Christopher M. Haley
Howard Zack
Sherri Feuer
Christopher Raymond
Alkaline AL Graham
Gary Rensch
James C Stamps
Robyn Waters
Judi M. Gordon
Bob Tracy
Paula R. Nancarrow
Bobby Long
Christopher Vicente
Betsy Black
Brenda Long
Carrie OBrien
Shawna Faith F.
Thompson
Brad Crawford
Adriana Moryski
Ming Deng
Clay Forester
Jeff rey Adler
Jill Parrino
Julie Graupmann
Dean Ottman
Dale Ottman
Desdamona Ross
Peter J. Heege
Destiny Schaefer
Rebecca Sawallich
Diana Connelly
Michelle Grose
Donald Helland
Carol Ives
Scott Kidd
Donetta Jackson
Fran Mattson
Dorinda Wider
Brian Rochel
09
Ed Smelser
Stephanie Tatting
Edwin Morrill
Paula Neuman
Bear Miller
All of the courageous
people willing to
support the need
William Alspaugh
Andrew Cripps
James R. Ufer
Michael Roith
Duane N. Bandel
Anders Conroy
Bernice Baker
Susan Ostlund
Chase Martin
Aram Eskridge
Curtis Brock
Brad T. Palecek
Kimberly Correll
Carol & Gary Ewoldt
Cuddle Bug
Jeff rey Chaney
Miguel Mendoza
Cassie J. Frisbie
Appisit Sorasit
Colman Lydon
Evan Futterman
Elliot Durko-Lynch
Paula Doyle
Elliott Lynch
Megan Mayer
Emily B. Schulz
Richard Troska
Emily Eastwood
Randy Presuhn
Emily R. Shor
Christine Hammes
Emma Abbott
Marlene Backhaus
Ephraim Olani
Aster Tesema
Eric A. Anderson
Claire M. Todd
Eric Hurst
Pete Kormanik
Eric O’Briant
Gwen McCaff rey
Erik Wakefield
Amy Kelly
Jan P. Edison, Jr.
Jennifer Brueggemann
Linda Wakefield
Robert Edison
Erika Bach
Steve Bach
Eva Budzynski
Paula Stefan
Evan M. Jones
Wesley Koster
POSITIVE IMPACT •
Everyone who
supports HIV/AIDS
organizations
Jacob Griffin
Jeffrey Chaney
Josh Klein
Lauren DeLand
Matthew Haas
Frank Raasch
Douglas Whitt
Jason M. Lutes
Jeff rey Chaney
Samuel Eldal
Tamora Larson
Vicki Long
James Higgins
Rob DeLand
Carol Schmidt
Margaret Towle
Justin Jagoe
Scott Oslick
Jaime E. Christmas
Fay M. Page
Jakub Saufl
Ellen Christmas
Charlene Barghini
Cheryl Geisbauer
Florence Honore
James Harrington
Sumi Jung
Franny Van Nevel
Elisabeth Bach-Van
Horn
Friends in Africa
Nicholas Cross
Fritzpatrick Strom
Kerstin Strom
Gary E. Greenfield
Jay Jaff ee
Gary J. Mazzone
Kirk Gryder
Gary Kurth
Adriana Moryski
Gary Null
Amy Lent
Anthony Hagerman
Darwin Lynner
David Olson
Frank Peterson
Kathy Lindgren
Allison Drusch
Barb & Kurt Angell
Chris Nygren
Connie Harrington
Eric Mark Olson
Frank Morales
James Garbarini
James Harrington
Jenny Hopkins
Kristina Stuart
Lori Ford
Michael Hannah
Nancy Jappe
Pamela Knourek
Patricia Casutt
Paula Jean Fredrickson
Richard Esvang
Richard Harrington
Robb Krueger
Rosalie Tenseth
Steve & Cecile
Richardson
Siobhan Bremer
Susan Malone
Timothy Berndt
Jamie Vesel
Gilbertson
James Vesel
Karen Zimmerman
Janine Borchardt
Jennie Freeburg
Jenna Bluhm
Jereme B. Fish
Jacquie L. Meissner
Jeremy Schnorenberg
Eric Giff ord
Jerry Savanto
Mary Ellen Connolly
Jim Summer
John Bergman
Abbie Wessel
Chris Gonzales
Rei Knutson
Reggie Wendorf
Kelly M. Flannigan
John Itzin
David Misukanis
Susan L. Isaacson
Ken Malkin
John J. Greer
Rob Malkin
Sandra Harmon
Jason J. John
Howard Barber
Ken Barber
Jay Miller
Isabel Bailey
John Larsen
Sharon Lessard
Emma Bailey
Jeanette Beger
J. Bahr
Catharine Strauss
Rose Day
Jeffery A. Alspaugh
J. J. Nathan &
B. Langer
Jameson Langer
Jack & R. Ingleman
Julie Ingleman
Donna & Larry Sele
Jeffery Perkey
Debbie Thompson
Dina Rogalla
Keith W. Elstad
Anna Lee Hardesty
Shannon Ralph
Duane Pfleiger
Mary Nelson
Candace Yath
Kathy Jensen
Linda Siverson-Hall
Alexander Nowakowski
Eric Grotegut
Jessica Rau
Joseph Bowmaster
Joseph Lehman
Leslye Murrieta-Serna
Marc Donahue
Peter Minns
Colleen Millechek
Joey Hardesty
Chelanda ChapmanEdwards
Gary Summerville
Millie &Bob Grandt
Justin Hartman
Keith Blaisdell
Myo-O Habermas-Scher
John Schultz
Jason Vig
Jennifer L. Mack
Matt Lindsay
Suzanne Arnold
Diana Lucca
Jon & Shirley Little
Harry A. Hartigan
Leona Chlanda
Jacquelyn Bingham
Katrina Seitz
Jim J. Lawser
Greg Nelson
Robert Johnson
Justin D. Fritz
Danielle Hodson
Sarah Seidelmann
Jason A. Little
Jason King
Ksenija Garton
Katie Masich
Jessey Gilbertson
DeAnna Steiger
Trudy Berg
Lavra Rad
Jason McConnell
Chue Lee
Amy Quist
Grace Leary
Jeff & Kelly Grosklags
JT’s Bar & Grill
Ka Vue
Jesse Quist
Thomas Jensen
Guy Blodgett
FALL/WINTER 2010
Melanie Arata
Kevin M. Vandenberg
Jonah Bridger
Dale Callaway
Jonathan Norris
Jonathan Severns
Mama Waithera
Mike Ashburn
Mike Blade
Jen Keavy
Daniel Gitonga
Mike Cassidy
Margaret Sandberg
Lee Anderson
Tom Knabel
Darien Sandberg
Mark A. Brown
Robyn Brown
Mark F. Kinney
Mark Kennedy
James Holthaus
10
Anne & Pastor David
L. Andert
Linda J. Lee
Mary K. Kennedy
Laura Rad
Emily Fredricksen
Mary Beth Fecht
Jason Vig
Katy DeJesus
Kirby Pumper
Jeremy Lane
Josh Fecht
Lynn M. Mickelson
Mollie J. Roediger
Shelli Schottler
My adopted son’s
mother who is
struggling with AIDS
Kiley Sarazin
Larry McDonough
K. Daniels
Christian Mattocks
Teri Bayer
Michelle Sarazin
Kristi M. Bergland
Joseph Menkevich
Mike & Patty Klemz
Barry Rubin
Kevin Winge
Mary W. Thorpe-Mease
Mark J. Tundel
James Davies
Marie Spain-Maas
Lorraine Teel
Michael Nelson
Paula Nelson
Jon & Shirley Little
Brenda Gliniany
Joseph M. Hager
Lora Elfmann
Lora Elfmann
Michael Lee
Jennifer Edsall
Best Buy Children’s
Foundation Tag
Team Awards
Kobow
Kathleen Marvin
Terry R. Williams
Lolly Elmer
Kathleen E. Owings
Michael Kroeger
Christophe Bartl
Corey Baker
Frank Raasch
Michael Hovde
Lonny Phernetton
Larry Kuhn
Steve English
Jonathan Norris
Liz Marson
Sarah Marson
Melissa Newman
Laurel Kuehneman
Jim E. Seas
Kevin Rajotte
Mark Bordogna
Kate Cromett
Meg Veitenheimer
Jennifer Veitenheimer
George & Anne D.
Green
Patty Wirz
Terrence Duff y
Bill & Margaret Smith
Mary Smith
John Severns
Lisa with Sparkle
and Support
Meg Treacy
Zachary Oswald
Mary E. Christenson
Nathan Bauer
Nathan Syverson
Mary Giff ord
Nonginthirath
Mark A. Wagner
Anthony Nonginthirath
Maryah Tift
Catherine Kennedy
OTWCAC Family
Planning
Matt Alley
Cynthia Rastedt
Lillian Dolan Ziff
Patrice C. Koelsch
Matt Doyal
Donna Buchholtz
Marisha Chamberlain
Jennifer Richardson
Matthew A. Bosch
Cathy Bosch
POSITIVE IMPACT •
Patrick J. Troska
Richmond Amporful
Sarah E. Westman
Arlene Reed
Brad T. Palecek
Christine Ganzlin
Dick & Linda Virden
Dottie Schwantz
Jason M. Berke
Jerry &Sylvia Timian
John Larsen
Kari Suzuki
Kathy Schaaf
Leslie Parker
Mark & Nan Carlson
Mark L. Baumgartner
Nancy Tellett-Royce
Rajiv Shah
Richard Troska
Sarah A. Stoesz
Suzan Corben
Desmond Brobby
Sedgil Wartemberg
Jesse Young
Rick Perry
Margaret Carman
People we love and miss
Shana Hardy
Pete D. Heinz
Jerry Van Rennes
Peter D. Farstad
Stephanie Rosenow
Tom Johnstone
Robert B. Bitzan
Alberta Zais
Andrew R. Matson
Robert Cooley
Margaret Austin
Roger L. Kahler
Virginia Flo
Tonia L. Blumer
St. Mark U. Atlanta
Jason Henderson
Surya & Tony Rochel
Julius Andrews
Rebecca A. Maddaus
Deb Roberts
Jody Strakosch
Sharon Elmore
Sharon Cunagin
Reva R. D’Nova
Stacey L. Cooley
Kathryn Varns
Bobak Razavi
Sue Hammons
Rotimi Lamikanra
Susan K. Mukuha
Rotimi Lamikanra
Carin Osvog
Royal Palmer
Susan Pelofske
For the marriage of
Timothy P. Dordell &
Kirk Ballard
Kris Palmer
Glena Kratzer
Denise Hollingsworth
Ryan Adams
Tait Schleisman
Todd Birch
Donna Schleisman
Amber Sauve
Teri Wulff
Todd M. Evangelist
Cory Hockinson
Logan Skarphol
Rick & Laurie
Hockinson
Heather Davison
Tom Ashburn
Terry Williams
Tom Gitaa
Jason & Tammy Allen
Bradley Koranda
Tom Kedrowski
Colleen Adams
Richard B. Adams
Thomas Adams
Ryan V. Splawski
Bill Linder-Scholer
Meera Ramakrishnan
Rebecca Schenk
Sarah Chandler
Donna Johnson
Michael L. Harris
Sandra White Hawk
Kurt Seidler
Richard Laska
Kévin Gourjau
Kurt Seidler
Joel Weixel
Andrea LaDouceur
Anne Hakes
Chase Powell
Chris Schodt
Cody Tabbert
Elizabeth Siggerud
Jan & Dan Foley
Julie Foley
Kate Goodpaster
Keyla Herbenson
LeeAnn Dochniak
Monica Fleegel
Patrick E. Foley
Rebecca Hauch
Sarah Kell
Shane Kaio
Susan Crow
Susan Limpert
Whitney Raasch
Shawna Gabrielle
Laura Pollak
Rayna Alston
Timothy Foley
Nancy Scheelar
Rosa’s Mom
Dwayne Purrington
Rolland Toenges
Nicole Menard
Shawn Bjerklie
Becky Omdahl
Randall Toenges
Tim Menard
Leonard Bjerklie
Lindsey Bacon
Patti Chuang
Philip Lowe
Tracy Christenson
Katherine Harris
Shaun Fischer
Steve Eue
Rose M. Block
Tim & K. Harris
Sean Irish
Nancy & Harry Cohen
For the birthday of
Rachel M. Meurett
Sarah Chandler
Toni Plante
Scott Showalter
Scott D. Showalter
Ann Johnson
Sheila Peterson
Robert Johnson
Michael Platt
Erik P. Kolz
Lissa Jones
Peter G. Gokey
Tommy Garland
Christopher Foster
Marjory Johns
Ron Joki & J. Pearson
(40th Wedding
Anniversay)
Jason C. Prodoehl
Adam Engelman
Rachel Christ
Thomas Ruter
Dawn Rupp
Robert McConnell
Thomas Engelman
Scott K. Belcher
Robert F. Hubbard
Lori Angeli
Adam M. Wright
Tommy Biender
John Butler
Gracie & Moxie
Hedlund
Robert Griffith
Thomas D.
Nechodomu
Sarah Moon
Sean Irish
Thomas Hubbard
FALL/WINTER 2010
Robin Foss
Tracey Casey
Patrick Keane
Travis B. Lenander
Cynthia Vyrostek
Travis Wetteland
Joy Schober
Tristan Cole
Adam Ceteras
Crispin Trevino
Crystal Goodness
Dixie HerreraMarshall
Eugene Espinosa
Jeremy Manos
Kate LeMay
Troy Ziesmer
Judy Macintyre
Virat A. Madia
Virat A. Madia
Zach Johnson
Susan L. Isaacson
Zaiga Robins
Baiba Olinger
Heather Flannigan
Paul Musherure
Hans W. Gasterland
The Weekend
Yoga Group
Tom Trotter
Allen L. Blaich
Theresa F. Flynn
Thomas J. Flynn
Brad Lovelace
The above gifts were received April – October, 2010. We make an effort to publish all Tributes received (unless requested not to do so).
If you notice an omission or error, please contact Ben Goldish at 612-373-2407 or ben.goldish@mnaidsproject.org.
11
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Permit No. 2772
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Minnesota AIDS Project has again received
full accreditation by the Minnesota Charities
Review Council.
CHANGING LIVES continued from cover
But whatever you think about being HIV-positive, it is important to get
the resources needed to make informed health decisions, including safer
sex and medication adherence. This is one of many essential services case
managers can provide.
Case managers can help
Many individuals
navigate these support systems underestimate the
until clients are able to manage commitment to their
medications and
their needs independently.
the risk of ignoring
HIV and their health. Case managers stress the importance of accessing
healthcare resources for their clients and will give them referrals to
physicians specializing in HIV as well as helping them overcome barriers to
maintaining care such as homelessness or mental health challenges.
Case managers can help navigate these support systems until clients are able
to manage their needs independently.
By empowering clients to advocate for themselves and by providing them
with the tools and resources they need to be successful and self sufficient,
case managers are able to help clients reach their goals. Each client has
many successes while working with a case manager, but those who are the
most proactive about their self care have the best outcomes. Eventually,
a client who has progressed to a “tier one” level may live a full, happy,
and healthy life despite the barriers and challenges that living with HIV
presents. Christmas says, “We know as case managers we are doing a good
job when our clients no longer need us because they have obtained stability
and self sufficiency.”
Matt came to the Minnesota AIDS Project
as a new client in case management. He
had moved to Minnesota two months
before to attend inpatient treatment and
was new in his sobriety from meth. Being
new to Minnesota, he needed help locating
resources for basic needs and benefits
counseling, in addition to addressing his
HIV health and mental health. Our case
manager helped connect him with the
benefits counselor, and together discussed
his options for public and private healthcare
and signed up for the appropriate plans. His case
manager also helped connect him with different
programs to provide home-delivered meals, reducedfare bus rides, and help with rent. He was able to move
into a sober house and met many people who were a
positive addition to his growing sober support network.
He also found an
HIV doctor, therapist,
and psychiatrist, and
started attending
regular appointments
with all of them. Matt
is now working at a
part-time job and
volunteering at an
AIDS-service organization every week. He is planning
to enroll in school next year to study social services. He
has maintained his sobriety since completing inpatient
treatment and continues to practice good HIV care.
CASE STUDY
positive can, and often does, have a profound effect on clients’ lifestyles,
behaviors, relationships, emotional and physical health moving forward.
Many people do not realize all the barriers that people living with HIV
encounter until they experience it firsthand. Over time, many clients are
able to come to terms with a new set of expectations and a new reality that
they have to adjust to; still others struggle significantly.