Mental health care for people living or affected by HIV/AIDS: A practical guide.

Acuff, Catherine; Archambeault, John; Greenberg, Brian; Hoeltzel, Jeff; McDaniel, J. Stephen; Meyer, Phil; Packer, Craig; Parga, Francisco Javier; Pillen, Michelle B.; Ronhovde, Andrea; Saldarriaga, Martha; Smith, Mickey C.; Stoff, David M.; Wagner, David P.

doi:10.1037/e359072004-001

Cited by 11 publications

(15 citation statements)

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“…In the HIV Cost and Services Utilization Study, more than one half of a national probability sample of 2864 HIV-infected patients screened positive for a current psychiatric disorder, including 36% for depression, 26.5% for dysthymia, 15.8% for generalized anxiety disorder, and 10.5% for history of panic attacks [1]. In a multisite study, Acuff and colleagues [2] found that 59% of HIV patients sought mental health treatment for major depression, 22% for dysthymia, 25% for generalized anxiety disorder, 14% for agoraphobia, 48% for a substance abuse disorder, and 22% for an alcohol disorder. In a cohort of HIV-infected homosexual/bisexual men with no history of injection drug use, Rabkin and colleagues [3] found a 10% rate of current depressive disorder, an 11% rate of anxiety disorder, and an 11% prevalence of noninjection drug or alcohol disorder.…”

Section: Epidemiologic Overview Of Psychiatric Disorders In Hiv Infecmentioning

confidence: 99%

Psychopharmacologic treatment of patients with HIV/AIDS

Ferrando

2009

Curr Psychiatry Rep

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Psychiatric disorders are common among patients with HIV/AIDS, and psychopharmacologic treatment is a cornerstone of management. The efficacy of psychopharmacologic treatment for depression in HIV/AIDS is relatively well established. However, literature on the treatment of other disorders is limited, which means that we still must determine how standard treatment guidelines may need to be modified in consideration of several key aspects of HIV illness. These include the broad differential diagnosis for psychiatric symptoms and the potential for interactions between psychotropic medications and antiretroviral medications. This paper reviews the literature on psychopharmacologic treatments of key psychiatric disorders in HIV/AIDS as well as differential diagnosis and drug-drug interactions.

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Section: Epidemiologic Overview Of Psychiatric Disorders In Hiv Infecmentioning

confidence: 99%

Psychopharmacologic treatment of patients with HIV/AIDS

Ferrando

2009

Curr Psychiatry Rep

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“…8,22 Other structural barriers to HIV care include basic subsistence needs such as food, clothing, housing, or transportation, which compete with health care priorities. [22][23][24] Financial barriers to care include lack of insurance, underinsurance, or the cost of obtaining services. The HIV Cost and Services Utilization Study (HCSUS), a nationally representative sample of HIV-infected individuals enrolled in primary care, found that underinsured HIV-infected adults had less optimal patterns of health care utilization than those with adequate coverage.…”

Section: Barriers To Carementioning

confidence: 99%

Making the Connection: The Importance of Engagement and Retention in HIV Medical Care

Tobias

Cunningham

et al. 2007

AIDS Patient Care and STDs

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Despite the availability and proven efficacy of medical treatment, many individuals living with HIV in the United States today are not engaged in regular HIV medical care or receiving antiretroviral medications. This journal supplement highlights results of a national 5-year multisite Outreach Initiative, funded by the Health Resources and Services Administration (HRSA) in 2001 to "engage people in HIV care, turn sporadic users of care into regular users, and promote retention in care." The introductory paper for the supplement provides background information on the characteristics of individuals who are not engaged in regular HIV care, the barriers they face, intervention options, and the public policy implications of this issue. Interventions to engage and retain underserved populations living with HIV in medical care are essential to ensure access to medical care and to reduce disparities in health outcomes.

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“…Based on a nationally representative probability sample, Bing et al (2001) found that half of adults receiving HIV care in the USA presented with psychiatric disorders, and 42% reported using drugs other than marijuana. In response, treatment providers are adopting a 'biopsychosocial' approach to HIV care and treating concurrently the three diagnoses of HIV infection, mental illness, and substance abuse (Acuff et al, 1999). As Bruce & Altice (2003) noted, the three diagnoses 'should be viewed as overlapping spheres of influence, with each diagnosis affecting the others.…”

Section: Introductionmentioning

confidence: 98%

Literature on integrated HIV care: a review

et al. 2004

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With a significant proportion of HIV-infected patients now presenting with co-occurring substance abuse disorders and mental disorders, interest in integrated HIV care is growing. However, no review of integrated HIV care has been conducted. Using relevant key word searches of the Medline and Psychlit databases, the authors identified about 450 publications. The few evaluations of integrated models tended to focus on measurements of engagement and retention in medical care, and their findings indicated an association between integrated HIV care and increased service utilization. No random assignment controlled studies were identified, except in the peripheral area of integrated care (without HIV primary care) for persons with co-occurring substance abuse disorders and mental disorders. The majority of reviewed articles described integrated models operating in the field and various aspects of implementation and sustainability. Overall, they supported use of a wide range of primary and ancillary services delivered by a multidisciplinary team that employs a 'biopsychosocial' approach. Despite the lack of scientific knowledge regarding the effects of integrated HIV care, those wanting to optimize treatment for patients with multiple interacting disorders can gain useful and practical knowledge from this literature.

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Mental health care for people living or affected by HIV/AIDS: A practical guide.

Cited by 11 publications

References 0 publications

Psychopharmacologic treatment of patients with HIV/AIDS

Psychopharmacologic treatment of patients with HIV/AIDS

Making the Connection: The Importance of Engagement and Retention in HIV Medical Care

Literature on integrated HIV care: a review

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