In 2016, over half of those infected with HIV/AIDS were 50 years or older. This exploratory qualitative study, grounded in ecological systems theory, examined the experiences of older adults (50+) living with HIV/AIDS enrolled in case management programs in Northwest Indiana. Case management, defined as a collaborative process of assessing, planning, and coordinating services to meet clients’ health and social needs, was explored through semi-structured interviews (N = 13). Thematic comparative analysis revealed five key themes: assistance, education, support, availability, and experiences of isolation and grief. Participants viewed case management as essential for accessing healthcare and community resources. Education emerged as a central need, particularly regarding health literacy and medication management. Emotional support, extending beyond practical assistance, was crucial for coping with aging-related challenges, loneliness, grief, and HIV stigma. Availability highlighted concerns about receiving timely and consistent services. These findings suggest that while case management addresses physical and practical needs, its role in providing emotional support and navigating the complexities of aging is equally significant. Future research should explore the long-term impact of case management interventions, particularly in relation to comorbid conditions and mental health, to enhance the well-being of this aging population.
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