TY - JOUR KW - Adult KW - African Americans KW - Cost of Illness KW - Delivery of Health Care, Integrated/organization & administration KW - Feasibility Studies KW - Female KW - Hispanic Americans KW - HIV Seropositivity/complications/psychology KW - Humans KW - Mental Disorders/complications/therapy KW - Mental Health Services/organization & administration KW - Pregnancy KW - Pregnancy Complications KW - Primary Health Care KW - Treatment Outcome KW - United States AU - S. Dodds AU - N. T. Blaney AU - E. M. Nuehring AU - T. Blakley AU - J. M. Lizzotte AU - J. E. Potter AU - M. J. O'Sullivan A1 - AB - Poor women of color who are disproportionately both infected and affected by HIV/AIDS also face multiple lifestyle and psychosocial burdens that complicate effective delivery of health care, thereby contributing to their poorer prognosis. Addressing these factors within the context of HIV/AIDS primary care for women is the aim of Whole Life, a program to integrate mental health services into primary care for HIV-infected pregnant and non-pregnant women. Whole Life utilizes a theoretically derived clinical services model that provides data for both clinical care and patient outcomes research within the constraints of a clinical setting. During a woman's first two clinic visits, data are gathered in structured interviews with standardized instruments-adapted for relevance to the population-that meet clinical and service needs, as well as measure components of the Whole Life model. Interviews are conducted by existing front-line staff who have been trained in using these instruments to gather information typically recorded in clinical notes. The implementation of Whole Life to date clearly demonstrates the feasibility of mental health-primary care services integration in a publicly funded HIV primary care clinic serving poor women of color. BT - General hospital psychiatry C5 - Healthcare Disparities CP - 4 CY - UNITED STATES IS - 4 JF - General hospital psychiatry N2 - Poor women of color who are disproportionately both infected and affected by HIV/AIDS also face multiple lifestyle and psychosocial burdens that complicate effective delivery of health care, thereby contributing to their poorer prognosis. Addressing these factors within the context of HIV/AIDS primary care for women is the aim of Whole Life, a program to integrate mental health services into primary care for HIV-infected pregnant and non-pregnant women. Whole Life utilizes a theoretically derived clinical services model that provides data for both clinical care and patient outcomes research within the constraints of a clinical setting. During a woman's first two clinic visits, data are gathered in structured interviews with standardized instruments-adapted for relevance to the population-that meet clinical and service needs, as well as measure components of the Whole Life model. Interviews are conducted by existing front-line staff who have been trained in using these instruments to gather information typically recorded in clinical notes. The implementation of Whole Life to date clearly demonstrates the feasibility of mental health-primary care services integration in a publicly funded HIV primary care clinic serving poor women of color. PP - UNITED STATES PY - 2000 SN - 0163-8343; 0163-8343 SP - 251 EP - 260 EP - T1 - Integrating mental health services into primary care for HIV-infected pregnant and non-pregnant women: Whole Life-a theoretically derived model for clinical care and outcomes assessment T2 - General hospital psychiatry TI - Integrating mental health services into primary care for HIV-infected pregnant and non-pregnant women: Whole Life-a theoretically derived model for clinical care and outcomes assessment U1 - Healthcare Disparities U2 - 10936632 VL - 22 VO - 0163-8343; 0163-8343 Y1 - 2000 ER -