Recruitment, engagement, and retention of people living with HIV and co-occurring mental health and substance use disorders
| Autor: | R. J. Calsyn, W. D. Klinkenberg, G. A. Morse, J. Miller, R. Cruthis, null for the Hiv/aids Treatment Adherenc |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Social Psychology Adolescent Substance-Related Disorders Population Stigma (botany) HIV Infections Health Services Accessibility Social support Acquired immunodeficiency syndrome (AIDS) Risk Factors medicine Humans education Psychiatry education.field_of_study Health Services Needs and Demand Stereotyping business.industry Delivery of Health Care Integrated Public health Mental Disorders Patient Selection Public Health Environmental and Occupational Health Social Support Patient Acceptance of Health Care medicine.disease Mental health Substance abuse Outreach Female business |
| Zdroj: | AIDS care. 16 |
| ISSN: | 0954-0121 |
| Popis: | People living with HIV/AIDS who have both a co-occurring mental health diagnosis and a substance use disorder (individuals with triple diagnoses) frequently do not receive adequate treatment for one or more of their illnesses. Poverty, risky behaviours, vacillating motivation, and cognitive impairments are additional problems facing many individuals with triple diagnoses. In many communities the service system is inadequately prepared to serve this population. Treatment barriers include stigma associated with the three illnesses, separate funding streams, and lack of co-ordination between medical, mental health, and substance abuse treatment facilities. This paper discusses strategies for recruiting, engaging, and retaining individuals with triple diagnoses in both treatment and research. Recruitment strategies should be directed at both professionals and individuals with triple diagnoses themselves. Recruiting and engaging these individuals in treatment requires that comprehensive services be provided on a 24-hour basis in a flexible and culturally competent manner. A team approach is often the most effective way of providing such services. Retaining individuals with triple diagnoses in a longitudinal research study requires multiple strategies including the collection of detailed tracking information, outreach workers, and financial incentives for completing the interviews. |
| Databáze: | OpenAIRE |
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