TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Continental Population Groups
KW - Delivery of Health Care, Integrated
KW - European Continental Ancestry Group
KW - Female
KW - Health Services Accessibility
KW - Health Services Needs and Demand
KW - HIV
KW - Humans
KW - Male
KW - Mental Health Services/utilization
KW - Middle Aged
KW - Minority Groups
KW - Primary Health Care
KW - Referral and Consultation
KW - Young Adult
AU - K. A. Bottonari
AU - L. M. Stepleman
A1 - 
AB - Stepleman, Hann, Santos, and House (2006) described a brief psychological consultation model, which aims to improve integration of mental health services into HIV primary care. This retrospective chart review sought to examine which patients in our adult Infectious Disease clinic were served by this model in a one-year period. Furthermore, we examined whether the patients who subsequently engage in mental health care differ demographically from the consult population. Results indicated that 26.1% (n=252) of the patients at our Infectious Disease clinic (n=963; 36% female, 75% racial minority) received a mental health consultation. We observed no statistically significant differences between the consult and clinic populations with respect to gender, age, or race. Moreover, 43.3% (n=109) of those patients served by the consult model received specialized psychiatric care. There were statistically significant racial differences between those patients who engaged specialty psychiatric care and those who did not after receiving a consultation (chi(2)(1)=16.65, p<0.001; 70% racial minority in consult vs. 47.7% racial minority in psychiatric care). While our in-clinic consultation service reached a representative population, we had less success recruiting this diverse patient population into traditional psychiatric care. Future efforts will need to examine how mental health consultation and traditional psychiatric services can best reduce barriers to engagement and retention in care.
BT - AIDS Care
C5 - Healthcare Disparities
CP - 2
CY - England
DO - 10.1080/09540120903038358
IS - 2
JF - AIDS Care
N2 - Stepleman, Hann, Santos, and House (2006) described a brief psychological consultation model, which aims to improve integration of mental health services into HIV primary care. This retrospective chart review sought to examine which patients in our adult Infectious Disease clinic were served by this model in a one-year period. Furthermore, we examined whether the patients who subsequently engage in mental health care differ demographically from the consult population. Results indicated that 26.1% (n=252) of the patients at our Infectious Disease clinic (n=963; 36% female, 75% racial minority) received a mental health consultation. We observed no statistically significant differences between the consult and clinic populations with respect to gender, age, or race. Moreover, 43.3% (n=109) of those patients served by the consult model received specialized psychiatric care. There were statistically significant racial differences between those patients who engaged specialty psychiatric care and those who did not after receiving a consultation (chi(2)(1)=16.65, p<0.001; 70% racial minority in consult vs. 47.7% racial minority in psychiatric care). While our in-clinic consultation service reached a representative population, we had less success recruiting this diverse patient population into traditional psychiatric care. Future efforts will need to examine how mental health consultation and traditional psychiatric services can best reduce barriers to engagement and retention in care.
PP - England
PY - 2010
SN - 1360-0451; 0954-0121
SP - 133
EP - 136
EP - 
T1 - Improving access to mental health services via a clinic-wide mental health intervention in a Southeastern US infectious disease clinic
T2 - AIDS Care
TI - Improving access to mental health services via a clinic-wide mental health intervention in a Southeastern US infectious disease clinic
U1 - Healthcare Disparities
U2 - 20390491
U3 - 10.1080/09540120903038358
VL - 22
VO - 1360-0451; 0954-0121
Y1 - 2010
ER -