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Current HIV/AIDS Reports
Published in: Current HIV/AIDS Reports 3/2018

Open Access 01-06-2018 | The Global Epidemic (SH Vermund, Section Editor)

Integrated Models of Care for Individuals with Opioid Use Disorder: How Do We Prevent HIV and HCV?

Authors: Katherine M. Rich, Joshua Bia, Frederick L. Altice, Judith Feinberg

Published in: Current HIV/AIDS Reports | Issue 3/2018

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Abstract

Purpose of Review

To describe models of integrated and co-located care for opioid use disorder (OUD), hepatitis C (HCV), and HIV.

Recent Findings

The design and scale-up of multidisciplinary care models that engage, retain, and treat individuals with HIV, HCV, and OUD are critical to preventing continued spread of HIV and HCV. We identified 17 models within primary care (N = 3), HIV specialty care (N = 5), opioid treatment programs (N = 6), transitional clinics (N = 2), and community-based harm reduction programs (N = 1), as well as two emerging models.

Summary

Key components of such models are the provision of (1) medication-assisted treatment for OUD, (2) HIV and HCV treatment, (3) HIV pre-exposure prophylaxis, and (4) behavioral health services. Research is needed to understand differences in effectiveness between co-located and fully integrated care, combat the deleterious racial and ethnic legacies of the “War on Drugs,” and inform the delivery of psychiatric care. Increased access to harm reduction services is crucial.
Appendix
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Metadata
Title
Integrated Models of Care for Individuals with Opioid Use Disorder: How Do We Prevent HIV and HCV?
Authors
Katherine M. Rich
Joshua Bia
Frederick L. Altice
Judith Feinberg
Publication date
01-06-2018
Publisher
Springer US
Published in
Current HIV/AIDS Reports / Issue 3/2018
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-018-0396-x

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