Abstract
Custody planning programs for HIV-infected parents help families overcome the obstacles to making future plans for their children in the event of the parent's debilitating illness or death. Using the family resiliency model, custody planning is viewed as a form of adaptation to illness which can reduce stress and uncertainty for children and parents. Case studies of four parents' participation in a custody planning program illustrate patterns that can inform service provision, including the role of social services in facilitating that process, while recognizing the uniqueness of each family's experience. As people with HIV are living longer, service needs have shifted to developing and maintaining family adaptation and stability, with custody planning as one component. Service providers with HIV-affected families must recognize the impact of low socioeconomic status on service access and use, with sensitivity to stigma, substance abuse, and mental health.
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