title: Integrated nested services: Delaware's experience treating minority substance abusers at risk for HIV or HIV positive.
abstract: Treating minority substance abusers at risk of HIV or HIV positive is a critical public health issue. Delaware has achieved success in treating this population through its integrated nested services approach. Through three Center for Substance Abuse funded projects, Delaware has synthesized a number of evidence-based and best practices from the HIV medical treatment, substance abuse treatment and mental health treatment. Evaluation findings show that Project HOPE and Meeting the Challenges are having a positive impact on clients in a number of areas, including medical compliance, physical health, sobriety, employment/income and living situations. Clearly, this approach benefits all stakeholders, including the State of Delaware, local communities, staff and clients.
authors.affiliation: Independent Evaluator, Delaware State University, Dover, Delaware, USA. dorothydillard@comcast.net
authors.forename: Dorothy
authors.initials: D
authors.lastname: Dillard
authors.forename: Arlene K
authors.initials: AK
authors.lastname: Bincsik
authors.forename: Christopher
authors.initials: C
authors.lastname: Zebley
authors.forename: Kefa
authors.initials: K
authors.lastname: Mongare
authors.forename: James
authors.initials: J
authors.lastname: Harrison
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Gerardi
authors.forename: David W
authors.initials: DW
authors.lastname: Parcher
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000191:economics / Q000379:methods*; D003299:Cooperative Behavior; D003691:Delaware / Q000453:epidemiology; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000208:ethnology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D016320:Substance Abuse Treatment Centers / Q000191:economics / Q000379:methods*; D019966:Substance-Related Disorders / Q000208:ethnology / Q000534:rehabilitation* / Q000821:virology; D016896:Treatment Outcome