Delivering mental health care to HIV-positive individuals. A comparison of two models.
Data on initial psychiatric evaluations performed in 1995 were compared to assess whether psychiatric consultation for human immunodeficiency virus (HIV)-positive/acquired immunodeficiency syndrome (AIDS) patients provided on-site in an infectious disease (ID) clinic improved compliance and were preferred by staff to evaluations performed in a specialized AIDS psychiatric program. Compliance with initial appointments remained below 50% in both settings, but more patients seen in the ID clinic had received prior psychiatric treatment and medication and they were more likely to receive a psychotropic prescription at this initial visit. The ID clinic staff preferred on-site consultations. Stationing psychiatric consultants in the ID clinic may reach a more impaired population but did not improve compliance with the initial visit.
Gomez
M F
MF
Department of Psychiatry, Montefiore Medical Center, Bronx, New York 10467, USA.
Klein
D A
DA
Sand
S
S
Marconi
M
M
O'Dowd
M A
MA
D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology*; D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000175:diagnosis / Q000523:psychology; D000328:Adult; D003156:Community Mental Health Services; D003695:Delivery of Health Care; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D008297:Male; D010348:Patient Care Team; D010349:Patient Compliance / Q000523:psychology; D012803:Sick Role; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology