Patients who are infected with HIV and who also have simultaneous substance abuse problems and mental illness have complex medical and psychosocial needs that challenge traditional care models. But a growing body of research suggests that integrated care models may improve the quality of life for these patients and reduce further spread of the infection.
As many as half of individuals with substance abuse problems are estimated to have comorbid mental illness, and these dual-diagnosis patients have a relatively high risk of becoming infected with HIV. Studies have found that between 10% and 40% of patients at HIV clinics have a “triple diagnosis” of HIV, substance abuse disorder, and psychiatric illness, said Antoine Douaihy, MD, an associate professor of psychiatry at the University of Pittsburgh School of Medicine.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Graphic Jump Location
Treating substance abuse has a collateral benefit of reducing HIV transmission. Researchers have found that opioid users who receive methadone treatment for their addiction are substantially less likely to become infected with HIV than are opioid users who are not in treatment.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 2
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Users' Guides to the Medical Literature
For example, a trial of intravenous immunoglobulin in advanced human immunodeficiency infection...
The Rational Clinical Examination
Evidence Summary and Review 3
All results at
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.