Skip to main content
Top
Published in: Community Mental Health Journal 4/2006

01-08-2006

Co-location of Health Care for Adults with Serious Mental Illness and HIV Infection

Authors: Greer Sullivan, M.D., M.S.P.H., David Kanouse, Ph.D., Alexander S. Young, M.D., M.S.P.H., Xiaotong Han, M.S., Judy Perlman, M.A., Paul Koegel, Ph.D.

Published in: Community Mental Health Journal | Issue 4/2006

Login to get access

Abstract

This study describes persons with serious mental illness and comorbid HIV infection and examines the effect of co-location of mental health and HIV care on satisfaction, service utilization, and appropriateness of care. One hundred and eighteen subjects completed interviews and gave blood samples; medical records were abstracted. Most reported few barriers to care and satisfaction with mental health and HIV treatment. Co-location of mental health and HIV care did not influence satisfaction with care, utilization of services, or appropriateness of care. This report challenges the notion that persons with serious mental illnesses receive inadequate health care and that they have minimal capacity for illness management. These subjects may be benefiting from increased funding for, and attention to, persons with HIV infection.
Literature
go back to reference Angelino A. F., Treisman G. J. (2001). Management of psychiatric disorders in patients infected with human immunodeficiency virus. Clinical Infectious Diseases 33(6): 847–856PubMedCrossRef Angelino A. F., Treisman G. J. (2001). Management of psychiatric disorders in patients infected with human immunodeficiency virus. Clinical Infectious Diseases 33(6): 847–856PubMedCrossRef
go back to reference Barnes R. F., Mason J. C., Greer C., Ray F. T. (1983). Medical illness in chronic psychiatric outpatients. General Hospital Psychiatry 5: 191–195PubMedCrossRef Barnes R. F., Mason J. C., Greer C., Ray F. T. (1983). Medical illness in chronic psychiatric outpatients. General Hospital Psychiatry 5: 191–195PubMedCrossRef
go back to reference Blank M. B., Mandell D. S., Aiken L., Hadley T. R. (2002). Co-occurrence of HIV and serious mental illness among Medicaid recipients. Psychiatric Services 53(7), 868–873PubMedCrossRef Blank M. B., Mandell D. S., Aiken L., Hadley T. R. (2002). Co-occurrence of HIV and serious mental illness among Medicaid recipients. Psychiatric Services 53(7), 868–873PubMedCrossRef
go back to reference Bogart, L., Fremont, A. M., Young, A. L., Pantoja, P., Chinman, M., Morton, S., et al., (2006). Patterns of HIV care for patients with serious mental illness. AIDS Patient Care and STDs, 20, 175–182PubMedCrossRef Bogart, L., Fremont, A. M., Young, A. L., Pantoja, P., Chinman, M., Morton, S., et al., (2006). Patterns of HIV care for patients with serious mental illness. AIDS Patient Care and STDs, 20, 175–182PubMedCrossRef
go back to reference Bozzette S. A., Berry S. H., Duan N., Frankel M. R., Leibowitz A. A., Lefkowitz D. et al. (1998). The care of HIV-infected adults in the United States. New England Journal of Medicine 339(26): 1897–1904PubMedCrossRef Bozzette S. A., Berry S. H., Duan N., Frankel M. R., Leibowitz A. A., Lefkowitz D. et al. (1998). The care of HIV-infected adults in the United States. New England Journal of Medicine 339(26): 1897–1904PubMedCrossRef
go back to reference Burke A. W. (1978). Physical disorder among day hospital patients. British Journal of Psychiatry 133: 22–27PubMedCrossRef Burke A. W. (1978). Physical disorder among day hospital patients. British Journal of Psychiatry 133: 22–27PubMedCrossRef
go back to reference Cash T. F., Stack J. J. (1973). Locus of control among schizophrenics and other hospitalized psychiatric patients. Genetic Psychology Monographs 87(1): 105–122PubMed Cash T. F., Stack J. J. (1973). Locus of control among schizophrenics and other hospitalized psychiatric patients. Genetic Psychology Monographs 87(1): 105–122PubMed
go back to reference Chinman M. J., Rosenheck R., Lam J. A. (2000). The case management relationship and outcomes of homeless persons with serious mental illness. Psychiatric Services 51(9): 1142–1147PubMedCrossRef Chinman M. J., Rosenheck R., Lam J. A. (2000). The case management relationship and outcomes of homeless persons with serious mental illness. Psychiatric Services 51(9): 1142–1147PubMedCrossRef
go back to reference Cournos F., McKinnon K. (1997). HIV seroprevalence among people with severe mental illness in the United States: A critical review. Clinical Psychology Review 17(3): 259–269PubMedCrossRef Cournos F., McKinnon K. (1997). HIV seroprevalence among people with severe mental illness in the United States: A critical review. Clinical Psychology Review 17(3): 259–269PubMedCrossRef
go back to reference Crews C., Batal H., Elasy T., Casper E., Mehler P. S. (1998). Primary care for those with severe and persistent mental illness. Western Journal of Medicine 169: 245–250PubMed Crews C., Batal H., Elasy T., Casper E., Mehler P. S. (1998). Primary care for those with severe and persistent mental illness. Western Journal of Medicine 169: 245–250PubMed
go back to reference Derogatis L. R. (1983). SCL-90-R: Administration, Scoring & Procedures Manual. (2nd ed). Towson MD, Clinical Psychometric Research Derogatis L. R. (1983). SCL-90-R: Administration, Scoring & Procedures Manual. (2nd ed). Towson MD, Clinical Psychometric Research
go back to reference Dickey B., Normand S. T., Weiss R. D., Drake R. E., Azeni H. (2002). Medical morbidity, mental illness, and substance use disorders. Psychiatric Services 53(7): 861–867PubMedCrossRef Dickey B., Normand S. T., Weiss R. D., Drake R. E., Azeni H. (2002). Medical morbidity, mental illness, and substance use disorders. Psychiatric Services 53(7): 861–867PubMedCrossRef
go back to reference Dixon L., Postrado L., Delahanty J., Fischer P. J., Lehman A. (1999). The association of medical comorbidity in schizophrenia with poor physical and mental health. Journal of Nervous and Mental Disease 187(8): 496–502PubMedCrossRef Dixon L., Postrado L., Delahanty J., Fischer P. J., Lehman A. (1999). The association of medical comorbidity in schizophrenia with poor physical and mental health. Journal of Nervous and Mental Disease 187(8): 496–502PubMedCrossRef
go back to reference Dixon L. B., Kreyenbuhl J. A., Dickerson F. B., Donner T. W., Brown C. H., Wolheiter K. et al. (2004). A comparison of type 2 diabetes outcomes among persons with and without severe mental illnesses. Psychiatric Services 55(8): 892–900PubMedCrossRef Dixon L. B., Kreyenbuhl J. A., Dickerson F. B., Donner T. W., Brown C. H., Wolheiter K. et al. (2004). A comparison of type 2 diabetes outcomes among persons with and without severe mental illnesses. Psychiatric Services 55(8): 892–900PubMedCrossRef
go back to reference Druss B. G., Rohrbaugh R. M., Levinson C. M., Rosenheck R. A. (2001). Integrated medical care for patients with serious psychiatric illness. Archives of General Psychiatry 58(9): 861–868PubMedCrossRef Druss B. G., Rohrbaugh R. M., Levinson C. M., Rosenheck R. A. (2001). Integrated medical care for patients with serious psychiatric illness. Archives of General Psychiatry 58(9): 861–868PubMedCrossRef
go back to reference Felker B., Workman E., Stanley-Tilt C., Albanese R., Short D. (1998). The psychiatric primary care team: A new program to privide medical care to the chronically mentally ill. Medicine & Psychiatry 1: 36–41 Felker B., Workman E., Stanley-Tilt C., Albanese R., Short D. (1998). The psychiatric primary care team: A new program to privide medical care to the chronically mentally ill. Medicine & Psychiatry 1: 36–41
go back to reference Felker B., Yazel J. J., Short D. (1996). Mortality and medical comorbidity among psychiatric patients: A review. Psychiatric Services 47(12): 1356–1363PubMed Felker B., Yazel J. J., Short D. (1996). Mortality and medical comorbidity among psychiatric patients: A review. Psychiatric Services 47(12): 1356–1363PubMed
go back to reference Goldman L. S. (1999). Medical illness in patients with schizophrenia. Journal of Clinical Psychiatry 60(Suppl 21): 10–15PubMed Goldman L. S. (1999). Medical illness in patients with schizophrenia. Journal of Clinical Psychiatry 60(Suppl 21): 10–15PubMed
go back to reference Green M. F. (1996). What are the functional consequences of neurocognitive deficits in schizophrenia? American Journal of Psychiatry 153(3): 321–330PubMed Green M. F. (1996). What are the functional consequences of neurocognitive deficits in schizophrenia? American Journal of Psychiatry 153(3): 321–330PubMed
go back to reference Himelhoch S., Moore R., & Gebo K.A. (2002). Does presence of mental disorder among individuals with AIDS affect the initiation of Highly Active Antiretroviral Therapy (HAART) and duration of treatment? Presented at the Robert Wood Johnson Clinical Scholars Program Annual Meeting, Ft. Lauderdale, November 2002 Himelhoch S., Moore R., & Gebo K.A. (2002). Does presence of mental disorder among individuals with AIDS affect the initiation of Highly Active Antiretroviral Therapy (HAART) and duration of treatment? Presented at the Robert Wood Johnson Clinical Scholars Program Annual Meeting, Ft. Lauderdale, November 2002
go back to reference Holzemer W. L., Corless I. B., Nokes K. M., Turner J. G., Brown M. A., Powell-Cope G. M. et al. (1999). Predictors of self-reported adherence in persons living with HIV disease. AIDS Patient Care and STDs 13: 185–197PubMedCrossRef Holzemer W. L., Corless I. B., Nokes K. M., Turner J. G., Brown M. A., Powell-Cope G. M. et al. (1999). Predictors of self-reported adherence in persons living with HIV disease. AIDS Patient Care and STDs 13: 185–197PubMedCrossRef
go back to reference Katon W., Von Korff M., Lin E., Simon G., Walker E., Unutzer J. et al. (1999). Stepped collaborative care for primary care patients with persistent symptoms of depression: A randomized trial. Archives of General Psychiatry 56(12): 1109–1115PubMedCrossRef Katon W., Von Korff M., Lin E., Simon G., Walker E., Unutzer J. et al. (1999). Stepped collaborative care for primary care patients with persistent symptoms of depression: A randomized trial. Archives of General Psychiatry 56(12): 1109–1115PubMedCrossRef
go back to reference Katz M. H., Cunningham W. E., Fleishman J. A., Andersen R. M., Kellogg T., Bozzette S. A. et al. (2001). Effect of case management on unmet needs and utilization of medical care and medications among HIV-infected persons. Annals of Internal Medicine 135(8 Pt 1): 557–565PubMed Katz M. H., Cunningham W. E., Fleishman J. A., Andersen R. M., Kellogg T., Bozzette S. A. et al. (2001). Effect of case management on unmet needs and utilization of medical care and medications among HIV-infected persons. Annals of Internal Medicine 135(8 Pt 1): 557–565PubMed
go back to reference Katzelnick D. J., Simon G. E., Pearson S. D., Manning W. G., Helstad C. P., Henk H. J. et al. (2000). Randomized trial of a depression management program in high utilizers of medical care. Archives of Family Medicine 9(4): 345–351PubMedCrossRef Katzelnick D. J., Simon G. E., Pearson S. D., Manning W. G., Helstad C. P., Henk H. J. et al. (2000). Randomized trial of a depression management program in high utilizers of medical care. Archives of Family Medicine 9(4): 345–351PubMedCrossRef
go back to reference Lehman A. F., Postrado L. T., Roth D., McNary S. W., Goldman H. H. (1994). Continuity of care and client outcomes in the Robert Wood Johnson foundation program on chronic mental illness. Milbank Quarterly 72(1): 105–122PubMedCrossRef Lehman A. F., Postrado L. T., Roth D., McNary S. W., Goldman H. H. (1994). Continuity of care and client outcomes in the Robert Wood Johnson foundation program on chronic mental illness. Milbank Quarterly 72(1): 105–122PubMedCrossRef
go back to reference McKinnon K., Cournos F., Herman R. (2002). HIV among people with chronic mental illness. Psychiatric Quarterly 73(1): 17–31PubMedCrossRef McKinnon K., Cournos F., Herman R. (2002). HIV among people with chronic mental illness. Psychiatric Quarterly 73(1): 17–31PubMedCrossRef
go back to reference Morrissey J., Calloway M., Johnsen M., Ullman M. (1997). Service system performance and integration: A baseline profile of the ACCESS demonstration sites. Access to Community Care and Effective Services and Supports. Psychiatric Services 48(3): 374–380PubMed Morrissey J., Calloway M., Johnsen M., Ullman M. (1997). Service system performance and integration: A baseline profile of the ACCESS demonstration sites. Access to Community Care and Effective Services and Supports. Psychiatric Services 48(3): 374–380PubMed
go back to reference Rosenheck R., Frisman L., Kasprow W. (1999). Improving access to disability benefits among homeless persons with mental illness: An agency-specific approach to services integration. American Journal of Public Health 89(4): 524–528PubMedCrossRef Rosenheck R., Frisman L., Kasprow W. (1999). Improving access to disability benefits among homeless persons with mental illness: An agency-specific approach to services integration. American Journal of Public Health 89(4): 524–528PubMedCrossRef
go back to reference Rosenheck R., Morrissey J., Lam J., Calloway M., Johnsen M., Goldman H. et al. (1998). Service system integration, access to services, and housing outcomes in a program for homeless persons with severe mental illness. American Journal of Public Health 88(11): 1610–1615PubMed Rosenheck R., Morrissey J., Lam J., Calloway M., Johnsen M., Goldman H. et al. (1998). Service system integration, access to services, and housing outcomes in a program for homeless persons with severe mental illness. American Journal of Public Health 88(11): 1610–1615PubMed
go back to reference Rosenheck R., Morrissey J., Lam J., Calloway M., Stolar M., Johnsen M. et al. (2001). Service delivery and community: Social capital, service systems integration, and outcomes among homeless persons with severe mental illness. Health Services Research 36(4): 691–710PubMed Rosenheck R., Morrissey J., Lam J., Calloway M., Stolar M., Johnsen M. et al. (2001). Service delivery and community: Social capital, service systems integration, and outcomes among homeless persons with severe mental illness. Health Services Research 36(4): 691–710PubMed
go back to reference Rost K., Burnam M. A., Smith G. R. (1993). Development of screeners for depressive disorders and substance disorder history. Medical Care 31(3): 189–200PubMedCrossRef Rost K., Burnam M. A., Smith G. R. (1993). Development of screeners for depressive disorders and substance disorder history. Medical Care 31(3): 189–200PubMedCrossRef
go back to reference Schulberg H. C., Block M. R., Madonia M. J., Scott C. P., Rodriguez E., Imber S. D. et al. (1996). Treating major depression in primary care practice: Eight-month clinical outcomes. Archives of General Psychiatry 53: 913–919PubMed Schulberg H. C., Block M. R., Madonia M. J., Scott C. P., Rodriguez E., Imber S. D. et al. (1996). Treating major depression in primary care practice: Eight-month clinical outcomes. Archives of General Psychiatry 53: 913–919PubMed
go back to reference Shapiro M. F., Morton S. C., McCaffrey D. F., Senterfitt J. W., Fleishman J. A., Perlman J. F. et al. (1999). Variations in the care of HIV-infected adults in the United States: Results from the HIV Cost and Services Utilization Study. Journal of the American Medical Association 281(24): 2305–2315PubMedCrossRef Shapiro M. F., Morton S. C., McCaffrey D. F., Senterfitt J. W., Fleishman J. A., Perlman J. F. et al. (1999). Variations in the care of HIV-infected adults in the United States: Results from the HIV Cost and Services Utilization Study. Journal of the American Medical Association 281(24): 2305–2315PubMedCrossRef
go back to reference Sullivan G., Koegel P., Kanouse D. E., Cournos F., McKinnon K., Young A. S. et al. (1999). HIV and people with serious mental illness: The public sector’s role in reducing HIV risk and improving care. Psychiatric Services 50(5): 648–652PubMed Sullivan G., Koegel P., Kanouse D. E., Cournos F., McKinnon K., Young A. S. et al. (1999). HIV and people with serious mental illness: The public sector’s role in reducing HIV risk and improving care. Psychiatric Services 50(5): 648–652PubMed
go back to reference Sullivan G., Spritzer K. (1997). Consumer satisfaction with CMHC services. Community Mental Health Journal 33(2): 123–131PubMedCrossRef Sullivan G., Spritzer K. (1997). Consumer satisfaction with CMHC services. Community Mental Health Journal 33(2): 123–131PubMedCrossRef
go back to reference Tseng A. L., Foisy M. M. (1999). Significant interactions with new antiretrovirals and psychotropic drugs. Annals of Pharmacotherapy 33(4): 461–473PubMedCrossRef Tseng A. L., Foisy M. M. (1999). Significant interactions with new antiretrovirals and psychotropic drugs. Annals of Pharmacotherapy 33(4): 461–473PubMedCrossRef
go back to reference Walkup J., Sambamoorthi U., Crystal S. (2001). Incidence and consistency of antiretroviral use among HIV-infected Medicaid beneficiaries with schizophrenia. Journal of Clinical Psychiatry 62(3): 174–178PubMedCrossRef Walkup J., Sambamoorthi U., Crystal S. (2001). Incidence and consistency of antiretroviral use among HIV-infected Medicaid beneficiaries with schizophrenia. Journal of Clinical Psychiatry 62(3): 174–178PubMedCrossRef
go back to reference Walkup J. T., Sambamoorthi U., Crystal S. (2004). Use of newer antiretroviral treatments among HIV-infected Medicaid beneficiaries with serious mental illness. Journal of Clinical Psychiatry 65(9): 1180–1189PubMedCrossRef Walkup J. T., Sambamoorthi U., Crystal S. (2004). Use of newer antiretroviral treatments among HIV-infected Medicaid beneficiaries with serious mental illness. Journal of Clinical Psychiatry 65(9): 1180–1189PubMedCrossRef
go back to reference Wang P. S., Demler O., Kessler R. C. (2002). Adequacy of treatment for serious mental illness in the United States. American Journal of Public Health 92(1): 92–98PubMed Wang P. S., Demler O., Kessler R. C. (2002). Adequacy of treatment for serious mental illness in the United States. American Journal of Public Health 92(1): 92–98PubMed
go back to reference Wells K. B., Sherbourne C., Schoenbaum M., Duan N., Meredith L., Unützer J. et al. (2000). Impact of disseminating quality improvement programs for depression in managed primary care: A randomized controlled trial. Journal of the American Medical Association 283(2): 212–220PubMedCrossRef Wells K. B., Sherbourne C., Schoenbaum M., Duan N., Meredith L., Unützer J. et al. (2000). Impact of disseminating quality improvement programs for depression in managed primary care: A randomized controlled trial. Journal of the American Medical Association 283(2): 212–220PubMedCrossRef
go back to reference World Health Organization (1996). Composite International Diagnostic Interview for Primary Care, Version 2.0. Geneva, Switzerland, World Health Organization World Health Organization (1996). Composite International Diagnostic Interview for Primary Care, Version 2.0. Geneva, Switzerland, World Health Organization
go back to reference Young A. S., Sullivan G., Bogart L. M., Koegel P., Kanouse D. E. (2005). Needs for services reported by adults with severe mental illness and HIV. Psychiatric Services 56(1): 99–101PubMedCrossRef Young A. S., Sullivan G., Bogart L. M., Koegel P., Kanouse D. E. (2005). Needs for services reported by adults with severe mental illness and HIV. Psychiatric Services 56(1): 99–101PubMedCrossRef
Metadata
Title
Co-location of Health Care for Adults with Serious Mental Illness and HIV Infection
Authors
Greer Sullivan, M.D., M.S.P.H.
David Kanouse, Ph.D.
Alexander S. Young, M.D., M.S.P.H.
Xiaotong Han, M.S.
Judy Perlman, M.A.
Paul Koegel, Ph.D.
Publication date
01-08-2006
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 4/2006
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-006-9053-8

Other articles of this Issue 4/2006

Community Mental Health Journal 4/2006 Go to the issue

Book Review

BOOK REVIEWS

Book Review

Book Review