An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance abuse.
Journal Article
The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern affecting both HIV treatment and prevention. This article describes a treatment model that was created for a study of integrated treatment for HIV-positive individuals with substance use and mental disorders. The treatment model was based on the transtheoretical model of behavior change as well as evidence-based practices that are widely used in the treatment of individuals dually diagnosed with substance use and mental disorders. The model involved collaboration between medical and behavioral health care professionals and emphasized the importance of goal reinforcement across disciplines. Furthermore, it included the development and enhancement of client motivation to modify medical and behavioral health-risk behaviors using individual readiness for change and offered comprehensive care addressing a continuum of client needs that may influence treatment outcomes. Treatment modalities included individual therapy, group therapy, and psychiatric medication management. This treatment intervention was associated with positive outcomes in the integrated treatment study and can be adapted for use in a variety of psychiatric or medical treatment settings.
Full Text
Duke Authors
Cited Authors
- Bouis, S; Reif, S; Whetten, K; Scovil, J; Murray, A; Swartz, M
Published Date
- November 2007
Published In
Volume / Issue
- 32 / 4
Start / End Page
- 268 - 278
PubMed ID
- 18038728
Pubmed Central ID
- 18038728
International Standard Serial Number (ISSN)
- 0360-7283
Digital Object Identifier (DOI)
- 10.1093/hsw/32.4.268
Language
- eng
Conference Location
- United States