HIV Care for Substance Users with Psychiatric Disorders

对患有精神疾病的药物使用者的艾滋病毒护理

基本信息

批准号：
7675454
负责人：
SETH S HIMELHOCH
金额：
$ 17.84万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-01 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7675454
关键词：
AIDS/HIV problem Accident and Emergency department Acquired Immunodeficiency Syndrome Acute Address African American Alcohol or Other Drugs use Applications Grants Award Baltimore Belief Biometry Caring Case Management Charities Chemicals Cities Clinic Clinical Trials Clinical Trials Design Cognitive Collaborations Communities Contracts Data Databases Development Diagnostic Disease Effectiveness of Interventions Ensure Extramural Activities Feasibility Studies Female Gender General Population Goals Grant HIV HIV Infections Health Health Services Healthcare Highly Active Antiretroviral Therapy Homelessness Hospitalization Improve Access Individual Inpatients Intervention Lead Length of Stay Letters Longitudinal Studies Maryland Medical Mental Health Mental disorders Mentally Ill Persons Mentored Research Scientist Development Award Mentors Methodology Minority Morbidity - disease rate National Institute of Drug Abuse National Institute of Mental Health National Institute on Alcohol Abuse and Alcoholism Neighborhoods Outcome Outpatients Paranoia Patients Pattern Perception Persons Population Prevalence Process Psychosocial Factor Qualitative Methods Race Reliance Reporting Request for Proposals Research Research Personnel Research Project Grants Research Proposals Research Training Secure Services Social support Substance Use Disorder Substance abuse problem Symptoms System Testing Time Training Transportation Uninsured base care systems career community based participatory research design dual diagnosis effectiveness trial health care service utilization high risk improved meetings mortality patient oriented programs residence severe mental illness social skills symposium

项目摘要

DESCRIPTION (provided by applicant): This proposal outlines an integrated training and research program for a NIDA K23 Mentored Research Scientist Development Award. Dr, Himelhoch's long-term goal is to become an academic health services researcher studying access, provision and outcomes of HIV related medical care for HIV+ individuals with co-occurring psychiatric and substance disorders. A crucial challenge is to find effective ways to help individuals with co-occurring psychiatric and substance disorders successfully access and coordinate HIV related health care. To address this challenge, key HIV stakeholders in the City of Baltimore have proposed the development of a case-management intervention that may help these individuals better access and coordinate their HIV related health care. My immediate career goal then is to partner with these stakeholders using a community based participatory framework to help develop and then study the feasibility of using this case-management intervention. The training plan includes didactic coursework in advanced biostatistics, design of clinical trials, qualitative methods, and tutorials in community based participatory research, feasibility and effectiveness trials and case management interventions. This training plan will be integrated with three mentored research projects. First, a longitudinal study using data from the HIV Research Network Database will be used to study patterns of HIV related health care utilization to help identify potential factors that may be targeted in the community-based intervention. Second, a qualitative study will be employed to investigate the patient's perspective as it relates to obstacles to receiving HIV related medical care. This study will help ensure that relevant patient centered information is not excluded from the design process. Third, a pilot feasibility study using the final case management approach will be studied. If the results of these studies suggest the case management intervention is feasible it will inform the subsequent development of an extramural grant proposal aimed at studying the effectiveness of this intervention.

描述（由申请人提供）：该提案概述了NIDA K23指导研究科学家发展奖的综合培训和研究计划。 Himelhoch博士的长期目标是成为一名学术卫生服务研究人员，研究患有同时发生的精神病和物质障碍的HIV+患者的艾滋病毒相关医疗服务的访问，提供和结果。一个至关重要的挑战是找到有效的方法来帮助患有精神病和物质障碍的个人成功获得并协调与HIV相关的医疗保健。为了应对这一挑战，巴尔的摩市的主要艾滋病毒利益相关者提出了案件管理干预措施的发展，该干预措施可能可以帮助这些人更好地访问并协调其与HIV相关的医疗保健。然后，我的直接职业目标是使用基于社区的参与式框架与这些利益相关者合作，以帮助开发并研究使用这种案例管理干预的可行性。培训计划包括高级生物统计学的教学课程，临床试验设计，定性方法的设计以及基于社区的参与性研究，可行性和有效性试验以及案例管理干预措施的教程。该培训计划将与三个受过指导的研究项目集成。首先，使用来自HIV研究网络数据库数据的纵向研究将用于研究与HIV相关的医疗保健利用模式，以帮助识别可能针对基于社区的干预措施的潜在因素。其次，将采用一项定性研究来调查患者的观点，因为它与接受HIV相关的医疗服务的障碍有关。这项研究将有助于确保不排除相关患者以患者为中心的信息。第三，将研究使用最终案例管理方法的试点可行性研究。如果这些研究的结果表明案件管理干预是可行的，它将为旨在研究该干预效果的壁外赠款提案的随后开发。

项目成果

期刊论文数量（9）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Understanding associations between serious mental illness and HIV among patients in the VA Health System.

了解退伍军人事务部卫生系统患者中严重精神疾病与艾滋病毒之间的关联。

DOI：
10.1176/ps.2007.58.9.1165
发表时间：
2007
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
0
作者：
Himelhoch,Seth;McCarthy,JohnF;Ganoczy,Dara;Medoff,Deborah;Dixon,LisaB;Blow,FredericC
通讯作者：
Blow,FredericC

Acceptability of technology-based methods substance abuse counseling in office based buprenorphine maintenance for opioid dependence.

基于技术的方法药物滥用咨询在基于办公室的丁丙诺啡维持治疗阿片类药物依赖中的可接受性。

DOI：
10.1080/10550490902772553
发表时间：
2009
期刊：
The American journal on addictions
影响因子：
0
作者：
Gandhi,Devang;Welsh,Christopher;Bennett,Melanie;Carreño,Jaymee;Himelhoch,Seth
通讯作者：
Himelhoch,Seth

Medical inpatients' adherence to outpatient psychiatric aftercare: a prospective study of patients evaluated by an inpatient consultation liaison psychiatry service.