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Integrated Care for HIV/AIDS Patients with Co-Occurring Substance Use and Mental Disorders: A Case Study  

Author:  Robyn K.  Inaba, Ph.D..

Source: Volume 06, Number 03, March/April 2005 , pp.35-42(8)

Correctional Health Care Report

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Approximately one million people are now living with human immunodeficiency virus (HIV) in the United States. Recent estimates suggest that nearly half of Americans living with HIV also experience psychiatric symptoms—a rate that is four to eight times higher than the general population (Bing et al., 2001). Psychiatric problems such as depression and substance abuse can affect adherence to medications (Chesney, 1997; Arnsten et al., 2002) and may also compromise adherence to medical advice and appointments (McClure et al., 1999). Providing treatment for substance use and mental disorders in the context of HIV disease management often requires highly integrated medical and psychosocial care. This paper describes a case that was managed by an interdisciplinary team of providers at a public, urban HIV clinic.

Keywords: anti-retroviral therapy, psychiatric medications, substance abuse, Multidisciplinary Treatment, Cross-Disciplinary Training

Affiliations:  1: Cook County Juvenile Temporary Detention Center.

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