title: Residential substance user treatment programs as venues for HCV pharmacological treatment: client and staff perspectives.
abstract: Hepatitis C virus (HCV) infection is highly prevalent among drug users. While there are antiviral medications available to combat the virus, the medication regimen is quite arduous, presenting special issues for drug users. We examined the challenges and benefits of using residential substance user treatment programs as venues for clients to undergo HCV medication regimens. Analyses of qualitative data collected from clients and staff in 2003 at four residential substance user treatment programs in the U.S. indicate that challenges primarily include issues involving the medications' side effects, and both financial and communication concerns. Benefits especially involve clients' feelings that they are being proactive in addressing health issues in an environment that provides much-needed support. Findings illuminate the complex issues involved for both clients and the programs, and some steps that programs can take to better support HCV-infected clients regarding HCV medication concerns.
authors.affiliation: National Development and Research Institutes, Inc., 71 West 23rd Street, 8th floor, New York, New York 10010, USA. strauss@ndri.org
authors.forename: Shiela M
authors.initials: SM
authors.lastname: Strauss
authors.forename: Janetta M
authors.initials: JM
authors.lastname: Astone
authors.forename: Corrine
authors.initials: C
authors.lastname: Munoz-Plaza
authors.forename: Holly
authors.initials: H
authors.lastname: Hagan
authors.forename: Don
authors.initials: D
authors.lastname: Des Jarlais
mesh_terms: D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use*; D003142:Communication; D005260:Female; D006282:Health Personnel; D006293:Health Promotion; D006526:Hepatitis C / Q000188:drug therapy* / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D012114:Residential Treatment; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation*
chemical_list: D000998:Antiviral Agents