The Harlem family model: a unique approach to the treatment of tuberculosis.

With the increased incidence of tuberculosis and especially of resistant cases in the United States, directly observed therapy as a mechanism for ensuring completion of therapy has been advocated. This mechanism has been primarily pioneered and utilized in developing countries. Few models have been tailored to specific patient populations in this country. At Harlem Hospital, in recognition of the special needs and characteristics of our patients with tuberculosis, we have developed a unique program. This program revolves around a family model with all components of the program contributing to the cohesiveness of all the program participants and staff. In the brief period since its inception, the program has been successful in enrolling and retaining a large number of patients with tuberculosis.