This TIP, Substance Abuse Treatment for Persons With HIV/AIDS, is a revision of TIP 15, Treatment for HIV-Infected Alcohol and Other Drug Abusers (CSAT, 1995b). Treatment Improvement Protocol 37.
Chapter 1 provides a basic overview of HIV/AIDS, including the latest available epidemiological data from the Centers for Disease Control and Prevention. Chapter 2 discusses medical assessment and treatment of HIV/AIDS. Chapter 3 discusses the treatment of mental health disorders in substance abusers with HIV/AIDS. Chapter 4 explains HIV/AIDS prevention, and Chapter 5 provides information about how to integrate treatment services via collaboration, so that all the needs of HIV-infected clients with substance abuse disorders can be met. Chapter 6 discusses case management and how to access the services that clients need. Chapter 7 provides information about counseling clients with HIV/AIDS and substance abuse disorders, including information on staff issues, screening, and cultural competency. Chapter 8 discusses ethical issues, and Chapter 9 presents legal issues, including confidentiality and clients' access to services and programs. Chapter 10 provides information about funding sources for programs treating clients with HIV/AIDS and substance abuse treatment. The appendixes in this TIP provide additional information on several topics and include the 1993 Revised Classification System for HIV and AIDS, Federal and State codes of ethics, AIDS-related websites, and a list of State and Territorial health agencies and AIDS hotlines.
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Table of Contents:
What Is a TIP?
Editorial Advisory Board
Consensus Panel
Foreword
Executive Summary and Recommendations
Chapter 1-- Introduction to HIV/AIDS
Overview of HIV/AIDS
Changes in the Epidemiology of HIV/AIDS Since 1995
Chapter 2—Medical Assessment and Treatment
Adherence to Medical Care
Barriers to Care for HIV-Infected Substance Abuse Disorder Clients
Models of Integrated Care
Medical StandardsOf Care
Pharmacologic Aspects
Prophylaxis Against Opportunistic Infections
Chapter 3—Mental Health Treatment
Linkages With Mental Health Services
Common Mental Disorders in HIV-Infected Clients
Assessment and Diagnosis
Pharmacologic Treatment For Psychiatric Disorders
Mental Health and Substance Abuse Disorder Counseling
Chapter 4—Primary and Secondary HIV Prevention
HIV/AIDS Risk Assessment
Risk-Reduction Counseling
Infection Control Issues For Substance Abuse Treatment Programs
Chapter 5—Integrating Treatment Services
HIV/AIDS Services in Substance Abuse Treatment
Issues of Integrated Care
Examples of Integrated Treatment
Chapter 6—Accessing and Obtaining Needed Services
The Use of Case Management To Coordinate Care
Resources for HIV-Infected Substance Abusers
Finding and Funding Services
Income and Other Financial Concerns
Hospice Programs
Suggestions on Finding Resources
Chapter 7—Counseling Clients With HIV And Substance Abuse Disorders
Staff Training, Attitudes, And Issues
Screening
HIV/AIDS-Specific Substance Abuse Counseling Issues
Case Studies
Chapter 8—Ethical Issues
Ethical Issues for Treatment Providers
Basic Ethical Principles
Ethical Issues in Working With HIV-Infected Substance Abusers
A Step-by-Step Model for Making Ethical Decisions
Additional Resources for Ethical Problemsolving
Chapter 9—Legal Issues
Access to Treatment--Issues of Discrimination
Confidentiality of Information About Clients
Conclusion
End Notes
Chapter 10—Funding and Policy Considerations
Keys to Successful Grantseeking
How To Identify Potential Funding Sources
State and Federal Policy Shifts
Federal Initiatives
State and Local Initiatives
Special Populations
Grantwriting Information
Strategies To Ensure Ongoing Funding
Appendix A -- Bibliography
Appendix B—Glossary
Appendix C—1993 Revised Classification System For HIV Infection and Expanded AIDS Surveillance Case Definition For Adolescents and Adults
Appendix D --Screening Instruments
Appendix E—Sample Codes of Ethics
Appendix F—AIDS-Related Web Sites
Appendix G—State and Territorial Health Agencies/Offices of AIDS
Appendix H—Mini Mental State Examination (MMSE)
Appendix I—Standards of Care: Client Assessment/Treatment Protocol
Appendix J -- Resource Panel
Appendix K—Field Reviewers
This publication is intended to help a wide range of providers become familiar with the various issues surrounding clients with both substance abuse and human immunodeficiency virus (HIV) and to foster a better understanding of the roles of other providers.
Product Details
- Treatment Improvement Protocol 37
- HIV AIDS
- Human Immunodeficiency Virus
- Acquired Immune Deficiency Syndrome
- Substance Abuse
