TY - JOUR
T1 - Addressing the HIV-Related needs of substance misusers in New York state
T2 - The benefits and barriers to implementing a "one-stop shopping" model
AU - Strauss, Shiela M.
AU - Mino, Milton
N1 - Funding Information:
Samaritan Village Inc. provides health care services for clients in its SUTPs as described on its Web site (http://www.samvill.org/). This includes on-site primary medical care and health promotion integrated with substance user treatment. All clients admitted to Samaritan Village for substance user treatment are medically interviewed, physically examined, and screened by New York State licensed medical providers for possible abnormalities of the blood and urine and exposure to tuberculosis. Samaritan Village’s health services component operates New York State Department of Health licensed Article 28 diagnostic and treatment clinics at its four residential locations. At these four sites, HIV primary care and pharmacy care are available at on-site clinics to treat clients with a preadmission history of HIV infection or to medically treat and manage newly diagnosed HIV-positive clients. In addition, at one site, dental, ophthalmology, gynecology, and podiatry services are provided. This colocated model of health care provides a care continuum for Samaritan Village’s clients that allows for a system of regular cross-disciplinary communication and the ability to ensure the provision of quality health care. The health care and HIV services are supported through funding from the New York State Department of Health AIDS Institute, New York State Office of Alcoholism and Substance Abuse, and the HIV Care Services Program of New York City Inc.’s Medical and Health Research Association (MHRA).
Funding Information:
New York State’s Substance Abuse Initiative (SAI) was conceived and developed as a collaboration between the New York State Department of Health AIDS Institute and the New York State Office of Alcohol and Substance Abuse Services (Rothman et al., 2007). It was intended to respond to the frequent co-occurrence of HIV and addiction and a state mandate that required SUTPs to address HIV/AIDS. Designed to develop a colocated continuum of comprehensive HIV prevention and primary care services in SUTPs throughout the state, the SAI was funded with allocations and grants from New York State, Ryan White funds through the Health Resources and Service Administration, the Centers for Disease Control and Prevention, and the Substance Abuse and Mental Health Services Administration.
Funding Information:
This work was supported by grant number DA013409 from the National Institute on Drug Abuse and by the Muriel and Virginia Pless Center for Nursing Research at the College of Nursing, New York University. We also thank Jeffrey Rothman for providing updated information on New York State’s Substance Abuse Initiative (SAI). 1The journal’s style utilizes the category substance abuse as a diagnostic category. Substances are used or misused; living organisms are and can be abused. The authors’ “substance abuse treatment program (SATP)” has consequently been changed to “substance use treatment program (SUTP)”. Editor’s note. Address correspondence to Shiela M. Strauss, Ph.D., Center for Drug Use & HIV Research, College of Nursing, New York University, 726 Broadway, 10th Floor, New York, NY 10003; E-mail: [email protected].
Funding Information:
Associate Professor at the College of Nursing, New York University, and Co-Director of the Statistics and Data Management Core for New York University’s Colleges of Dentistry and Nursing. Her research funded by the National Institutes of Health and the Robert Wood Johnson Foundation has especially focused on the organizational response to hepatitis C virus and HIV and on optimal methodologies to collect and analyze data to understand this response.
PY - 2011/1/10
Y1 - 2011/1/10
N2 - Substance misusers are at risk for contracting HIV/AIDS, and substance user treatment programs (SUTPs)1 are uniquely situated to address their HIV-related needs. In New York State, some SUTPs have implemented a centralized model of substance user treatment and HIV care. We synthesize past literature and use data from semistructured interviews with SUTP staff, analyzed with qualitative software, to describe implementation barriers. These interviews were conducted in 2003-2004 at three SUTPs in Texas and New York as part of a study funded by the National Institutes of Health. With study limitations noted, main implications include a need for a combined medical-addiction treatment philosophy to facilitate multidisciplinary care.
AB - Substance misusers are at risk for contracting HIV/AIDS, and substance user treatment programs (SUTPs)1 are uniquely situated to address their HIV-related needs. In New York State, some SUTPs have implemented a centralized model of substance user treatment and HIV care. We synthesize past literature and use data from semistructured interviews with SUTP staff, analyzed with qualitative software, to describe implementation barriers. These interviews were conducted in 2003-2004 at three SUTPs in Texas and New York as part of a study funded by the National Institutes of Health. With study limitations noted, main implications include a need for a combined medical-addiction treatment philosophy to facilitate multidisciplinary care.
KW - HIV services
KW - New York State
KW - colocation
KW - staff attitudes
KW - substance user treatment program
KW - treatment model
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U2 - 10.3109/10826084.2011.521465
DO - 10.3109/10826084.2011.521465
M3 - Article
C2 - 21303237
AN - SCOPUS:79951571983
SN - 1082-6084
VL - 46
SP - 171
EP - 180
JO - Substance Use and Misuse
JF - Substance Use and Misuse
IS - 2-3
ER -