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Review
. 2013 Jun 1;63 Suppl 1(0 1):S44-8.
doi: 10.1097/QAI.0b013e318293067b.

Tailored treatment for HIV+ persons with mental illness: the intervention cascade

Michael B Blank  1 , Marlene M Eisenberg
Affiliations
Review

Tailored treatment for HIV+ persons with mental illness: the intervention cascade

Michael B Blank et al. J Acquir Immune Defic Syndr. .

Abstract

The public health literature demonstrates disturbingly high HIV risk for persons with a serious mental illness, who are concurrently comorbid for substance abuse. Many HIV positives have not been tested and therefore do not know their status, but for individuals who are triply diagnosed, adherence to HIV treatment results in meaningful reductions in viral loads and CD4 counts. Barriers to treatment compliance are reviewed, low-threshold/low-intensity community-based interventions are discussed, and preliminary evidence is presented for the efficacy of the intervention cascade, defined as an integrated intervention delivered by specially trained nurses who individualize a treatment compliance intervention in real time as an adaptive response to demand characteristics of the individual.

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Conflict of interest statement

Conflicts of Interest: None reported.

Figures

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Figure 1
Theory of Reasoned Action
Figure 2
Figure 2
Theory of Planned Behavior
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