Strategies to improve access to and utilization of health care services and adherence to antiretroviral therapy among HIV-infected drug users

Chinazo O. Cunningham, Nancy L. Sohler, Nina A. Cooperman, Karina M. Berg, Alain H. Litwin, Julia H. Arnsten

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

We review five innovative strategies to improve access, utilization, and adherence for HIV-infected drug users and suggest areas that need further attention. In addition, we highlight two innovative programs. The first increases access and utilization through integrated HIV and opioid addiction treatment with buprenorphine in a community health center, and the second incorporates adherence counseling for antiretroviral therapy in methadone programs. Preliminary evaluations demonstrated that these strategies may improve both HIV and opioid addiction outcomes and may be appropriate for wider dissemination. Further refinement and expansion of strategies to improve outcomes of HIV-infected drug users is warranted.

Original languageEnglish (US)
Pages (from-to)218-232
Number of pages15
JournalSubstance Use and Misuse
Volume46
Issue number2-3
DOIs
StatePublished - Jan 10 2011

Keywords

  • HIV
  • access to care
  • adherence counselors
  • adherence to antiretroviral therapy
  • case management
  • directly observed therapy
  • drug treatment
  • health care utilization
  • integrated treatment
  • outreach
  • patient navigation
  • peer support

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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