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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 6/2012

01-06-2012 | Review

Tangible Resources for Preparing Patients for Antiviral Therapy for Chronic Hepatitis C

Authors: Jason E. Bonner, A. Sidney Barritt IV, Michael W. Fried, Donna M. Evon

Published in: Digestive Diseases and Sciences | Issue 6/2012

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Abstract

Background

Chronic hepatitis C (HCV) infected patients with coexisting mental health and/or substance abuse issues face significant barriers to treatment and are often deferred. This paper sought to highlight critical pre-treatment strategies and provide tangible resources for HCV clinicians to facilitate preparation and successful treatment of these patients.

Methods

Guided by the clinical experience of our liver center, a large, tertiary academic medical center, and informed by the extant literature, we summarize pre-treatment strategies and specific resources and recommendations for HCV providers.

Results

Four key pre-treatment strategies include: 1) screening for mental health/substance abuse issues using brief, reliable and validated instruments; 2) locating and establishing collaborative care with mental health and substance abuse specialists; 3) using a motivational interviewing communication style; and 4) addressing adherence-related issues.

Conclusions

HCV clinicians are in a unique position to prepare patients with coexisting mental health and/or substance abuse issues for antiviral therapy.
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Metadata
Title
Tangible Resources for Preparing Patients for Antiviral Therapy for Chronic Hepatitis C
Authors
Jason E. Bonner
A. Sidney Barritt IV
Michael W. Fried
Donna M. Evon
Publication date
01-06-2012
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 6/2012
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-012-2142-3

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