Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity
Identifieur interne : 001715 ( Main/Exploration ); précédent : 001714; suivant : 001716Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity
Auteurs : Marie Soller [États-Unis] ; Neda Kharrazi [États-Unis] ; Diane Prentiss [États-Unis] ; Stephen Cummings [États-Unis] ; Gladys Balmas [États-Unis] ; Cheryl Koopman [États-Unis] ; Dennis Israelski [États-Unis]Source :
- AIDS Care : (Print) [ 0954-0121 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Pauvreté.
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Abstract
Introduction: HIV-infected individuals face a tremendous burden of psychiatric comorbidity. This study evaluates a community health care system's effort to screen for psychiatric disorders among patients at an HIV clinic and evaluate adherence to psychiatric service utilization. Methods: Standardized screening measures were used to identify participants who met diagnostic symptom criteria for post-traumatic stress disorder (PTSD), acute stress disorder (ASD) and depression. All participants who screened positive were referred for psychiatric follow-up. Rates of utilization were measured and barriers to adherence were investigated. Results: Of the 210 participants, 118 patients met screening criteria for PTSD, ASD, and/or depression, and 116 of these had medical records available for review. Of the 116 patients with psychiatric comorbidity, 46.6% saw a psychiatrist and/or were prescribed a psychiatric medication. Thirty-two percent of Latinos, 40.5% of African Americans, and 38.5% of heterosexuals utilized referred psychiatric services, and these rates were significantly less than their counterparts. One hundred patients were seen by a social worker. Discussion: While a large burden of psychiatric comorbidity exists among this population of HIV-positive patients, only half adhered to recommended psychiatric services referrals. Further research is warranted to examine cost-effective interventions to maximize psychiatric screening, referral, and follow-up with mental health services in this vulnerable population.
Affiliations:
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type="wicri:Area/Main/Exploration">001715</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity</title><author><name sortKey="Soller, Marie" sort="Soller, Marie" uniqKey="Soller M" first="Marie" last="Soller">Marie Soller</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>San Mateo County Behavioral Health and Recovery Services, Psychiatry Residency</s1><s2>San Mateo, CA</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Kharrazi, Neda" sort="Kharrazi, Neda" uniqKey="Kharrazi N" first="Neda" last="Kharrazi">Neda Kharrazi</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>PGSP-Stanford PsyD Consortium</s1><s2>Stanford, CA</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Prentiss, Diane" sort="Prentiss, Diane" uniqKey="Prentiss D" first="Diane" last="Prentiss">Diane Prentiss</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>San Francisco Department of Public Health</s1><s2>San Francisco, CA</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Cummings, Stephen" sort="Cummings, Stephen" uniqKey="Cummings S" first="Stephen" last="Cummings">Stephen Cummings</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>San Mateo County Medical Center</s1><s2>San Mateo, CA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Balmas, Gladys" sort="Balmas, Gladys" uniqKey="Balmas G" first="Gladys" last="Balmas">Gladys Balmas</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>San Mateo County Medical Center</s1><s2>San Mateo, CA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Koopman, Cheryl" sort="Koopman, Cheryl" uniqKey="Koopman C" first="Cheryl" last="Koopman">Cheryl Koopman</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Psychiatry, Stanford University</s1><s2>Stanford, CA</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Israelski, Dennis" sort="Israelski, Dennis" uniqKey="Israelski D" first="Dennis" last="Israelski">Dennis Israelski</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>School of Medicine, Stanford University</s1><s2>Stanford, CA</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Acute stress disorder</term><term>Concomitant disease</term><term>Depression</term><term>Human immunodeficiency virus</term><term>Mental disorder</term><term>Posttraumatic stress disorder</term><term>Poverty</term><term>Stress</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pauvreté</term><term>SIDA</term><term>Trouble psychiatrique</term><term>Association morbide</term><term>Virus immunodéficience humaine</term><term>Stress</term><term>Etat de stress posttraumatique</term><term>Etat de stress aigu</term><term>Etat dépressif</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Pauvreté</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction: HIV-infected individuals face a tremendous burden of psychiatric comorbidity. This study evaluates a community health care system's effort to screen for psychiatric disorders among patients at an HIV clinic and evaluate adherence to psychiatric service utilization. Methods: Standardized screening measures were used to identify participants who met diagnostic symptom criteria for post-traumatic stress disorder (PTSD), acute stress disorder (ASD) and depression. All participants who screened positive were referred for psychiatric follow-up. Rates of utilization were measured and barriers to adherence were investigated. Results: Of the 210 participants, 118 patients met screening criteria for PTSD, ASD, and/or depression, and 116 of these had medical records available for review. Of the 116 patients with psychiatric comorbidity, 46.6% saw a psychiatrist and/or were prescribed a psychiatric medication. Thirty-two percent of Latinos, 40.5% of African Americans, and 38.5% of heterosexuals utilized referred psychiatric services, and these rates were significantly less than their counterparts. One hundred patients were seen by a social worker. Discussion: While a large burden of psychiatric comorbidity exists among this population of HIV-positive patients, only half adhered to recommended psychiatric services referrals. Further research is warranted to examine cost-effective interventions to maximize psychiatric screening, referral, and follow-up with mental health services in this vulnerable population.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Soller, Marie" sort="Soller, Marie" uniqKey="Soller M" first="Marie" last="Soller">Marie Soller</name></region><name sortKey="Balmas, Gladys" sort="Balmas, Gladys" uniqKey="Balmas G" first="Gladys" last="Balmas">Gladys Balmas</name><name sortKey="Cummings, Stephen" sort="Cummings, Stephen" uniqKey="Cummings S" first="Stephen" last="Cummings">Stephen Cummings</name><name sortKey="Israelski, Dennis" sort="Israelski, Dennis" uniqKey="Israelski D" first="Dennis" last="Israelski">Dennis Israelski</name><name sortKey="Kharrazi, Neda" sort="Kharrazi, Neda" uniqKey="Kharrazi N" first="Neda" last="Kharrazi">Neda Kharrazi</name><name sortKey="Koopman, Cheryl" sort="Koopman, Cheryl" uniqKey="Koopman C" first="Cheryl" last="Koopman">Cheryl Koopman</name><name sortKey="Prentiss, Diane" sort="Prentiss, Diane" uniqKey="Prentiss D" first="Diane" last="Prentiss">Diane Prentiss</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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