Cited by 151Substance Abuse Treatment and OutcomesHIV, Drug Use, Sexual RiskHIV/AIDS Research and Interventions

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Substance Abuse Treatment in Persons with HIV/AIDS: Challenges in Managing Triple Diagnosis

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Durvasula, Ramani, Miller, Theodore R.·2014·Behavioral Medicine

DOI 10.1080/08964289.2013.866540PMC PMC3999248

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Abstract

Clinical management of HIV must account for the "triple diagnosis" of HIV, psychiatric diagnosis, and substance use disorders and requires integrated treatment services that focus beyond just mitigation of substance use and psychiatric and medical symptoms but also address other health behaviors. Because clinical management of HIV/AIDS has shifted significantly with the advent of highly active antiretroviral therapies (HAART) in the mid 1990s, a literature review focusing on literature published since 2000, and using relevant key words was conducted using a wide range of literature search databases. This literature review was complemented by studies to expand on specific treatment modalities for which there was a dearth of literature addressing HIV infected cohorts and to provide discussion of issues around substance abuse treatment as an HIV prevention tool. Existing models of substance abuse treatment including cognitive behavioral therapy and motivational interviewing have proven to be useful for enhancing adherence and reducing substance use in outpatient populations, while methadone maintenance and directly observed treatment have been useful with specific subgroups of users. Contextualization of services heightens the likelihood of successful outcomes and relapse prevention.

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Authors: Durvasula, R., & Miller, T. R.
Affiliations: California State University Los Angeles (US)
Chapman University (US)
Corresponding author: Durvasula, Ramani
ORCID: Durvasula, Ramani
Miller, Theodore R.
Venue: Behavioral Medicine
Publisher: Informa UK Limited
Published: 2014-04-03
Volume: 40
Issue: 2
Pages: 43-52
ISSN: 0896-4289 (ISSN-L)
1940-4026
DOI: 10.1080/08964289.2013.866540
PMC: PMC3999248
OpenAlex: W1969660039
Cited by: 151
References: 82
Citations by year: 2026: 2 · 2025: 18 · 2024: 8 · 2023: 15 · 2022: 11 · 2021: 18 · 2020: 17 · 2019: 19 · 2018: 17 · 2017: 13 · 2016: 10 · 2015: 3
FWCI: 3.16
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (SC1MH093181)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: HIV/AIDS, addiction treatment, psychiatric comorbidity, substance use disorders, highly active antiretroviral therapy, HIV prevention, cognitive behavioral therapy, motivational interviewing, methadone maintenance treatment, directly observed therapy, medication adherence, relapse prevention, outpatient care
MeSH terms: Acquired Immunodeficiency Syndrome, Mental Disorders, Combined Modality Therapy, Humans, Patient Acceptance of Health Care, Risk-Taking, Cognitive Behavioral Therapy, Substance-Related Disorders, Antiretroviral Therapy, Highly Active, Cultural Competency, Motivational Interviewing

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Substance Abuse Treatment in Persons with HIV/AIDS: Challenges in Managing Triple Diagnosis

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