综合嵌套服务：特拉华州治疗有感染艾滋病毒风险或艾滋病毒呈阳性的少数族裔药物滥用者的经验。

Integrated nested services: Delaware's experience treating minority substance abusers at risk for HIV or HIV positive.

作者信息

Dillard Dorothy, Bincsik Arlene K, Zebley Christopher, Mongare Kefa, Harrison James, Gerardi Kimberly E, Parcher David W

机构信息

Independent Evaluator, Delaware State University, Dover, Delaware, USA.

出版信息

J Evid Based Soc Work. 2010 Jan;7(1):130-43. doi: 10.1080/15433710903176021.

DOI:10.1080/15433710903176021

PMID:20178030

Abstract

Treating minority substance abusers at risk of HIV or HIV positive is a critical public health issue. Delaware has achieved success in treating this population through its integrated nested services approach. Through three Center for Substance Abuse funded projects, Delaware has synthesized a number of evidence-based and best practices from the HIV medical treatment, substance abuse treatment and mental health treatment. Evaluation findings show that Project HOPE and Meeting the Challenges are having a positive impact on clients in a number of areas, including medical compliance, physical health, sobriety, employment/income and living situations. Clearly, this approach benefits all stakeholders, including the State of Delaware, local communities, staff and clients.

摘要

治疗有感染艾滋病毒风险或已感染艾滋病毒的少数族裔药物滥用者是一个关键的公共卫生问题。特拉华州通过其综合嵌套服务方法在治疗这一人群方面取得了成功。通过物质滥用中心资助的三个项目，特拉华州整合了来自艾滋病毒医学治疗、药物滥用治疗和心理健康治疗的一些循证实践和最佳做法。评估结果表明，“希望项目”和“迎接挑战项目”在多个领域对客户产生了积极影响，包括医疗依从性、身体健康、戒酒、就业/收入和生活状况。显然，这种方法使所有利益相关者受益，包括特拉华州、当地社区、工作人员和客户。