Use of Mental Health and Substance Abuse Treatment Services Among Adults With HIV in the United States

Simple item page
dc.contributorVirginia Techen
dc.contributor.authorBurnam, M. Audreyen
dc.contributor.authorBing, Eric G.en
dc.contributor.authorMorton, Sally C.en
dc.contributor.authorSherbourne, Cathy Donalden
dc.contributor.authorFleishman, John A.en
dc.contributor.authorLondon, Andrew S.en
dc.contributor.authorVitiello, Benedettoen
dc.contributor.authorStein, Michaelen
dc.contributor.authorBozzette, Samuel A.en
dc.contributor.authorShapiro, Martin F.en
dc.date.accessioned2017-10-19T15:36:57Zen
dc.date.available2017-10-19T15:36:57Zen
dc.date.issued2001-08en
dc.description.abstractBackground: The need for mental health and substance abuse services is great among those with human immunodeficiency virus (HIV), but little information is available on services used by this population or on individual factors associated with access to care. Methods: Data are from the HIV Cost and Services Utilization Study, a national probability survey of 2864 HIV-infected adults receiving medical care in the United States in 1996. We estimated 6-month use of services for mental health and substance abuse problems and examined socioeconomic, HIV illness, and regional factors associated with use. Results: We estimated that 61.4% of 231 400 adults under care for HIV used mental health or substance abuse services: 1.8% had hospitalizations, 3.4% received residential substance abuse treatment, 26.0% made individual mental health specialty visits, 15.2% had group mental health treatment, 40.3% discussed emotional problems with medical providers, 29.6% took psychotherapeutic medications, 5.6% received outpatient substance abuse treatment, and 12.4% participated in substance abuse self-help groups. Socioeconomic factors commonly associated with poorer access to health services predicted lower likelihood of using mental health outpatient care, but greater likelihood of receiving substance abuse treatment services. Those with less severe HIV illness were less likely to access services. Persons living in the Northeast were more likely to receive services. Conclusions: The magnitude of mental health and substance abuse care provided to those with known HIV infection is substantial, and challenges to providers should be recognized. Inequalities in access to care are evident, but differ among general medical, specialty mental health, and substance abuse treatment sectors.en
dc.description.sponsorshipThe HIV Cost and Services Utilization Study is being conducted under cooperative agreement U-01HS08578 (Drs Shapiro and Bozzette) between RAND, Santa Monica, Calif, and the Agency for Health Care Policy and Research, Rockville, Md. Additional funding was provided by the Health Resources and Services Administration, Washington, DC, and the National Institute for Mental Health, the National Institute on Drug Abuse, and the National Institutes of Health Office of Research on Minority Health through the National Institute for Dental Research, Bethesda, Md. Additional support was provided by the Robert Wood Johnson Foundation, Princeton, NJ; Merck and Company, Whitehouse Station, NJ; GlaxoSmith Kline, Inc, Research Triangle Park, NC; the National Institute on Aging, Bethesda; and the Office of the Assistant Secretary for Planning and Evaluation in the US Department of Health and Human Services, Washington. Dr Bing received support for this study from the National Institute for Mental Health as a UCLA Faculty Scholar in Mental Health Services Research (MH00990), the California Statewide AIDS Research Program, and from the National Institutes of Health Office of Research on Minority Health through the National Institute on Alcohol Abuse and Alcoholism, Rockville (AA11899).en
dc.identifier.issue8en
dc.identifier.urihttp://hdl.handle.net/10919/79714en
dc.identifier.volume58en
dc.language.isoen_USen
dc.publisherAMAen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.titleUse of Mental Health and Substance Abuse Treatment Services Among Adults With HIV in the United Statesen
dc.title.serialArchives of General Psychiatryen
dc.typeArticle - Refereeden

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
MortonUseofMentalHealth2001.pdf
Size:
191.03 KB
Format:
Adobe Portable Document Format
Description:
Download

Collections

Destination Area: Global Systems Science (GSS)