An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance abuse
An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance abuse
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DOI：
10.1093/hsw/32.4.268
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发表时间：
2007-11-01
影响因子：
1.5
通讯作者：
Swartz, Marvin
中科院分区：
文献类型：
--
作者：
Bouis, Stephanie;Reif, Susan;Swartz, Marvin
为越来越多同时被诊断为吸毒和精神障碍的艾滋病毒抗体阳性者提供有效治疗服务的挑战，直到最近才被确认为影响艾滋病毒治疗和预防的一个重要公共卫生问题。本文介绍了一种治疗模式，创建了一个研究的综合治疗艾滋病毒阳性的个人与物质使用和精神障碍。治疗模式是基于行为改变的跨理论模型，以及广泛用于治疗物质使用和精神障碍双重诊断的循证实践。该模型涉及医疗和行为卫生保健专业人员之间的合作，并强调跨学科目标强化的重要性。此外，它还包括发展和加强客户的动机，利用个人对改变的准备来改变医疗和行为健康风险行为，并提供全面护理，解决可能影响治疗结果的客户需求的连续性。治疗方式包括个体治疗、团体治疗和精神科药物管理。在综合治疗研究中，这种治疗干预与积极的结果相关，并且可以适用于各种精神病或医学治疗环境。
The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern affecting both HIV treatment and prevention. This article describes a treatment model that was created for a study of integrated treatment for HIV-positive individuals with substance use and mental disorders. The treatment model was based on the transtheoretical model of behavior change as wen as evidence-based practices that are widely used in the treatment of individuals dually diagnosed with substance use and mental disorders. The model involved collaboration between medical and behavioral health care professionals and emphasized the importance of goal reinforcement across disciplines. Furthermore, it included the development and enhancement of client motivation to modify medical and behavioral health-risk behaviors using individual readiness for change and offered comprehensive care addressing a continuum of client needs that may influence treatment outcomes. Treatment modalities included individual therapy, group therapy, and psychiatric medication management. This treatment intervention was associated with positive outcomes in the integrated treatment study and can be adapted for use in a variety of psychiatric or medical treatment settings.