title: Achieving adherence to antiretroviral medications for pediatric HIV disease using an empirically supported treatment: a case report.
abstract: Adherence to antiretroviral medication regimens among human immunodeficiency virus positive-children is influenced by a number of psychosocial factors including characteristics of the child, the caregiver, the medical team, and the medications. To address these factors requires treatment approaches that are flexible and comprehensive. One such treatment approach is multisystemic therapy (MST), an empirically supported intensive home-based treatment approach that has been proven effective with other chronic pediatric conditions. This case report describes the use of MST with a poorly adherent, perinatally infected adolescent.
authors.affiliation: Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina 29425, USA. cunninpb@musc.edu
authors.forename: Phillippe B
authors.initials: PB
authors.lastname: Cunningham
authors.forename: Sylvie
authors.initials: S
authors.lastname: Naar-King
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Ellis
authors.forename: Steven
authors.initials: S
authors.lastname: Pejuan
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Secord
mesh_terms: D000293:Adolescent; D019380:Anti-HIV Agents / Q000008:administration & dosage* / Q000009:adverse effects; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000523:psychology; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D004493:Education; D005500:Follow-Up Studies; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology* / Q000635:transmission / Q000821:virology; D006801:Humans; D018445:Infectious Disease Transmission, Vertical; D008297:Male; D002189:Marijuana Abuse / Q000523:psychology; D010379:Peer Group; D012008:Recurrence; D019233:Retreatment; D012931:Social Environment; D012944:Social Support; D013223:Statistics as Topic; D016312:Treatment Refusal / Q000523:psychology*; D019562:Viral Load
chemical_list: D019380:Anti-HIV Agents