Presented at the Addiction Health Services Research Conference, Lexington, Kentucky, October 25-27, 2010.
Lawrence S. Brown, Jr., MD, MPH (Addiction Research and Treatment Corporation, GNY Node), Steven Allan Kritz, MD (Addiction Research and Treatment Corporation, GNY Node), Edmund J. Bini, MD, MPH (Veterans Affairs New York Harbor Healthcare System, GNY Node), Benjamin Louie (Addiction Research and Treatment Corporation, GNY Node), James A. Robinson, MEd (Nathan Kline Institute for Psychiatric Research, GNY Node), Donald Alderson, MS (New York State Psychiatric Institute, GNY Node), John Rotrosen, MD (New York University, GNY Node).
Substance abuse is a risk factor for HIV infection. This study, part of protocol CTN-0012, describes the availability and types of HIV services offered in substance abuse programs participating in the National Drug Abuse Treatment Clinical Trials Network (CTN). In a cross-sectional, descriptive, hypothesis-generating design, 269 of 319 treatment program administrators within the CTN provided information utilizing a standardized survey regarding program characteristics, patient characteristics, and availability of HIV services for 3 categories of patients: all patients, newly admitted patients, and HIV-infected patients. The range of HIV-related services provided on-site or via contractual arrangements varied from 10% (Pneumococcal vaccination) to 86% (drug testing) of the treatment programs. HIV antibody testing was provided by 57% of programs co-located in hospitals, medical schools and universities as compared to 35% of programs in family health or mental health facilities; 30% of free-standing addiction treatment agencies; and 50% of programs in other settings. Compared to programs without outpatient pharmacotherapy, programs providing outpatient pharmacotherapy provided a higher mean number of HIV-related health services for all patients, for newly admitted patients, and for HIV-infected patients. HIV-related services were significantly more available in programs where patients either engage in high risk sexual behaviors or are located in areas with higher HIV infection rates. In conclusion, co-location of HIV-related services and substance abuse programs are useful in containing these diseases, although there is great variability in the type of offered services. (Presentation, PowerPoint slides, English, 2010)
Keywords: Community health services | Health services research | Hepatitis C | HIV/AIDS | Sexual risk behavior | Sexually transmitted diseases | Addiction Health Services Research Conference, 2010
Document No: 548
Submitted by Steven Kritz, MD, GNY Node, 11/10/2010.