TY - JOUR
KW - Adult
KW - Buprenorphine/therapeutic use
KW - Counseling
KW - Delivery of Health Care, Integrated/organization & administration
KW - Female
KW - Focus Groups
KW - Health Services Needs and Demand
KW - HIV Infections/drug therapy/epidemiology/psychology
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Naloxone/therapeutic use
KW - Narcotic Antagonists
KW - Opiate Substitution Treatment
KW - Opioid-Related Disorders/drug therapy
KW - Patient Satisfaction
KW - Primary Health Care/organization & administration
KW - Program Evaluation
KW - Qualitative Research
KW - Quality of Life
KW - Substance-Related Disorders/drug therapy
KW - Young Adult
AU - M. L. Drainoni
AU - C. Farrell
AU - A. Sorensen-Alawad
AU - J. N. Palmisano
AU - C. Chaisson
AU - A . Y. Walley
A1 - 
AB - The benefits of integrating primary care and substance use disorder treatment are well known, yet true integration is difficult. We developed and evaluated a team-based model of integrated care within the primary care setting for HIV-infected substance users and substance users at risk for contracting HIV. Qualitative data were gathered via focus groups and satisfaction surveys to assess patients' views of the program, evaluate key elements for success, and provide recommendations for other programs. Key themes related to preferences for the convenience and efficiency of integrated care; support for a team-based model of care; a feeling that the program requirements offered needed structure; the importance of counseling and education; and how provision of concrete services improved overall well-being and quality of life. For patients who received buprenorphine/naloxone for opioid dependence, this was viewed as a major benefit. Our results support other studies that theorize integrated care could be of significant value for hard-to-reach populations and indicate that having a clinical team dedicated to providing substance use disorder treatment, HIV risk reduction, and case management services integrated into primary care clinics has the potential to greatly enhance the ability to serve a challenging population with unmet treatment needs.
BT - AIDS Patient Care and STDs
C5 - General Literature
CP - 2
CY - United States
DO - 10.1089/apc.2013.0179
IS - 2
JF - AIDS Patient Care and STDs
N2 - The benefits of integrating primary care and substance use disorder treatment are well known, yet true integration is difficult. We developed and evaluated a team-based model of integrated care within the primary care setting for HIV-infected substance users and substance users at risk for contracting HIV. Qualitative data were gathered via focus groups and satisfaction surveys to assess patients' views of the program, evaluate key elements for success, and provide recommendations for other programs. Key themes related to preferences for the convenience and efficiency of integrated care; support for a team-based model of care; a feeling that the program requirements offered needed structure; the importance of counseling and education; and how provision of concrete services improved overall well-being and quality of life. For patients who received buprenorphine/naloxone for opioid dependence, this was viewed as a major benefit. Our results support other studies that theorize integrated care could be of significant value for hard-to-reach populations and indicate that having a clinical team dedicated to providing substance use disorder treatment, HIV risk reduction, and case management services integrated into primary care clinics has the potential to greatly enhance the ability to serve a challenging population with unmet treatment needs.
PP - United States
PY - 2014
SN - 1557-7449; 1087-2914
SP - 71
EP - 81
EP - 
T1 - Patient perspectives of an integrated program of medical care and substance use treatment
T2 - AIDS Patient Care and STDs
TI - Patient perspectives of an integrated program of medical care and substance use treatment
U1 - General Literature
U2 - 24428768
U3 - 10.1089/apc.2013.0179
VL - 28
VO - 1557-7449; 1087-2914
Y1 - 2014
ER -