Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity

Marie Soller, Neda Kharrazi, Diane Prentiss, Stephen Cummings, Gladys Balmas, Cheryl Koopman, Dennis Israelski

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

HIV-infected individuals face a tremendous burden of psychiatric comorbidity. This study evaluates a community health care system's effort to screen for psychiatric disorders among patients at an HIV clinic and evaluate adherence to psychiatric service utilization. Methods: Standardized screening measures were used to identify participants who met diagnostic symptom criteria for post-traumatic stress disorder (PTSD), acute stress disorder (ASD) and depression. All participants who screened positive were referred for psychiatric follow-up. Rates of utilization were measured and barriers to adherence were investigated. Results: Of the 210 participants, 118 patients met screening criteria for PTSD, ASD, and/or depression, and 116 of these had medical records available for review. Of the 116 patients with psychiatric comorbidity, 46.6% saw a psychiatrist and/or were prescribed a psychiatric medication. Thirty-two percent of Latinos, 40.5% of African Americans, and 38.5% of heterosexuals utilized referred psychiatric services, and these rates were significantly less than their counterparts. One hundred patients were seen by a social worker. Discussion: While a large burden of psychiatric comorbidity exists among this population of HIV-positive patients, only half adhered to recommended psychiatric services referrals. Further research is warranted to examine cost-effective interventions to maximize psychiatric screening, referral, and follow-up with mental health services in this vulnerable population.

Original languageEnglish (US)
Pages (from-to)1351-1359
Number of pages9
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume23
Issue number11
DOIs
StatePublished - Nov 2011
Externally publishedYes

Fingerprint

comorbidity
Psychiatry
Comorbidity
low income
utilization
posttraumatic stress disorder
HIV
psychiatrist
social worker
Stress Disorders, Traumatic, Acute
diagnostic
health service
medication
mental health
health care
Post-Traumatic Stress Disorders
costs
community
Referral and Consultation
Community Health Planning

Keywords

  • Acute stress disorder
  • HIV and psychiatric comorbidity
  • Major depressive disorder
  • Post-traumatic stress disorder
  • Psychiatric services utilization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity. / Soller, Marie; Kharrazi, Neda; Prentiss, Diane; Cummings, Stephen; Balmas, Gladys; Koopman, Cheryl; Israelski, Dennis.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 23, No. 11, 11.2011, p. 1351-1359.

Research output: Contribution to journalArticle

Soller, Marie ; Kharrazi, Neda ; Prentiss, Diane ; Cummings, Stephen ; Balmas, Gladys ; Koopman, Cheryl ; Israelski, Dennis. / Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2011 ; Vol. 23, No. 11. pp. 1351-1359.
@article{ba4b6117449940cfba93b937c5787bdc,
title = "Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity",
abstract = "HIV-infected individuals face a tremendous burden of psychiatric comorbidity. This study evaluates a community health care system's effort to screen for psychiatric disorders among patients at an HIV clinic and evaluate adherence to psychiatric service utilization. Methods: Standardized screening measures were used to identify participants who met diagnostic symptom criteria for post-traumatic stress disorder (PTSD), acute stress disorder (ASD) and depression. All participants who screened positive were referred for psychiatric follow-up. Rates of utilization were measured and barriers to adherence were investigated. Results: Of the 210 participants, 118 patients met screening criteria for PTSD, ASD, and/or depression, and 116 of these had medical records available for review. Of the 116 patients with psychiatric comorbidity, 46.6{\%} saw a psychiatrist and/or were prescribed a psychiatric medication. Thirty-two percent of Latinos, 40.5{\%} of African Americans, and 38.5{\%} of heterosexuals utilized referred psychiatric services, and these rates were significantly less than their counterparts. One hundred patients were seen by a social worker. Discussion: While a large burden of psychiatric comorbidity exists among this population of HIV-positive patients, only half adhered to recommended psychiatric services referrals. Further research is warranted to examine cost-effective interventions to maximize psychiatric screening, referral, and follow-up with mental health services in this vulnerable population.",
keywords = "Acute stress disorder, HIV and psychiatric comorbidity, Major depressive disorder, Post-traumatic stress disorder, Psychiatric services utilization",
author = "Marie Soller and Neda Kharrazi and Diane Prentiss and Stephen Cummings and Gladys Balmas and Cheryl Koopman and Dennis Israelski",
year = "2011",
month = "11",
doi = "10.1080/09540121.2011.565024",
language = "English (US)",
volume = "23",
pages = "1351--1359",
journal = "AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV",
issn = "0954-0121",
publisher = "Routledge",
number = "11",

}

TY - JOUR

T1 - Utilization of psychiatric services among low-income HIV-infected patients with psychiatric comorbidity

AU - Soller, Marie

AU - Kharrazi, Neda

AU - Prentiss, Diane

AU - Cummings, Stephen

AU - Balmas, Gladys

AU - Koopman, Cheryl

AU - Israelski, Dennis

PY - 2011/11

Y1 - 2011/11

N2 - HIV-infected individuals face a tremendous burden of psychiatric comorbidity. This study evaluates a community health care system's effort to screen for psychiatric disorders among patients at an HIV clinic and evaluate adherence to psychiatric service utilization. Methods: Standardized screening measures were used to identify participants who met diagnostic symptom criteria for post-traumatic stress disorder (PTSD), acute stress disorder (ASD) and depression. All participants who screened positive were referred for psychiatric follow-up. Rates of utilization were measured and barriers to adherence were investigated. Results: Of the 210 participants, 118 patients met screening criteria for PTSD, ASD, and/or depression, and 116 of these had medical records available for review. Of the 116 patients with psychiatric comorbidity, 46.6% saw a psychiatrist and/or were prescribed a psychiatric medication. Thirty-two percent of Latinos, 40.5% of African Americans, and 38.5% of heterosexuals utilized referred psychiatric services, and these rates were significantly less than their counterparts. One hundred patients were seen by a social worker. Discussion: While a large burden of psychiatric comorbidity exists among this population of HIV-positive patients, only half adhered to recommended psychiatric services referrals. Further research is warranted to examine cost-effective interventions to maximize psychiatric screening, referral, and follow-up with mental health services in this vulnerable population.

AB - HIV-infected individuals face a tremendous burden of psychiatric comorbidity. This study evaluates a community health care system's effort to screen for psychiatric disorders among patients at an HIV clinic and evaluate adherence to psychiatric service utilization. Methods: Standardized screening measures were used to identify participants who met diagnostic symptom criteria for post-traumatic stress disorder (PTSD), acute stress disorder (ASD) and depression. All participants who screened positive were referred for psychiatric follow-up. Rates of utilization were measured and barriers to adherence were investigated. Results: Of the 210 participants, 118 patients met screening criteria for PTSD, ASD, and/or depression, and 116 of these had medical records available for review. Of the 116 patients with psychiatric comorbidity, 46.6% saw a psychiatrist and/or were prescribed a psychiatric medication. Thirty-two percent of Latinos, 40.5% of African Americans, and 38.5% of heterosexuals utilized referred psychiatric services, and these rates were significantly less than their counterparts. One hundred patients were seen by a social worker. Discussion: While a large burden of psychiatric comorbidity exists among this population of HIV-positive patients, only half adhered to recommended psychiatric services referrals. Further research is warranted to examine cost-effective interventions to maximize psychiatric screening, referral, and follow-up with mental health services in this vulnerable population.

KW - Acute stress disorder

KW - HIV and psychiatric comorbidity

KW - Major depressive disorder

KW - Post-traumatic stress disorder

KW - Psychiatric services utilization

UR - http://www.scopus.com/inward/record.url?scp=84855648587&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84855648587&partnerID=8YFLogxK

U2 - 10.1080/09540121.2011.565024

DO - 10.1080/09540121.2011.565024

M3 - Article

C2 - 21767117

AN - SCOPUS:84855648587

VL - 23

SP - 1351

EP - 1359

JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

SN - 0954-0121

IS - 11

ER -