The HIV Integration Project of The CORE Center, Chicago, Illinois

Overview
The HIV Integration Project (HIP) is run out of The CORE Center, an ambulatory infectious disease clinic in Chicago, Illinois. It is part of a cooperative agreement funded by six Federal agencies. The goal of this project is to evaluate the impact of the integration of primary care, mental health, and substance abuse treatment services on the healthcare costs, treatment adherence, and health outcomes of persons living with HIV/AIDS who also are diagnosed with co-occurring mental health and substance use disorders.
Clients Served
The center serves more than 3,000 HIV-infected clients annually. Clients predominantly are economically disadvantaged minorities, and include 33 percent women, 73 percent African Americans, 14 percent Hispanics/Latinos, and 12 percent Caucasians. Approximately one-third of the clients present with co-occurring mental health and substance use disorders.
Services
Many settings, despite close proximity, may deliver “co-located” care but not fully integrated care. The HIP model focuses on developing a behavioral science triad that consists of a mental health counselor, a substance abuse treatment counselor, and a case manager. Both medical and social service providers are present during outpatient HIV clinic sessions and clients are screened for eligibility onsite. The triad works together to assess, engage, and facilitate clinically appropriate services for clients with HIV and COD. If clients need immediate services—such as housing, psychiatric hospitalization, or detoxification—the appropriate triad member will facilitate linkage and coordination of care. Outpatient mental health care and substance abuse treatment are offered at the same center where clients receive their primary care.
The triads meet jointly with their clients. They develop joint assessments and treatment plans, communicating regularly with medical providers. Emphasis is placed on facilitating six processes among mental health, chemical dependency, case management, and medical providers: (1) interdisciplinary team identity building, (2) coordination and communication, (3) cross-disciplinary learning, (4) outreach for clients who do not engage initially or sustain mental health or substance abuse care, (5) mental health services, and (6) specialized training in the care of triply diagnosed clients.

From: 7 Special Settings and Specific Populations

Cover of Substance Abuse Treatment for Persons With Co-Occurring Disorders
Substance Abuse Treatment for Persons With Co-Occurring Disorders.
Treatment Improvement Protocol (TIP) Series, No. 42.
Center for Substance Abuse Treatment.

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