Previously integrated approaches for treatment of substance abuse and mental health were quite promising1; hwever, tey involved patients who were not HIV-infected, terefore, tis approach needed to be specifically tested for HIV/AIDS patients who also suffered from mental illness and substance abuse disorder. A little was known about how integrated treatment works with HIV-infected patients, tis study was an attempt to not only see its efficacy but also to remove barriers so as to make it easier for people to access comprehensive HIV primary care, mntal health and services as people with HIV and co-morbid conditions were deemed to be at high risk for poor health outcomes.
Piority population for the HIV Cost Study were those who were HIV positive, wre 16 years or older, hd had substance abuse disorder diagnosed in the past 12 months, ad diagnosable mental health disorder which persisted long enough for a mental care giver to diagnose it during the preceding 12 months. A each of the 8 sites of the HIV Cost Study the outcomes of the new integrated intervention were those of the traditional methods, ad most of the study participants were assigned randomly to either of the two groups.
Te first factor that caused variability was whether the service system capacity that existed at the start of the Study was sufficient or not. Sme of the sites were lacking in anything more than baseline services when it came to substance abuse and mental health issues. Tese sites were used to test different models for co-ordinating and integrating these three services. Te second cause of variability was the in of these sites to address the needs of the triply diagnosed clients with regard to the stage of the treatment.
Tis meant that the different sites of the Study could involve triply diagnosed clients at different stages of their treatment, fr instance at one end were street outreach programs done by the sites that tried to reach clients that did not visit the clinics themselves, wereas on the other end were the high end models available to clients, wereby residential treatment was meted out to clients that aftercare as wich entailed continued therapy and care management.
Te study found that when integrated treatment was given (especially for 18 months or longer), tere was significant reduction in substance abuse and hospital use and a significant increase in. ..
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