Case Management For Substance Abusers With Hiv aids: A Randomized Clinical Trial

In a random assignment study, substance-abusing patients with HIV AIDS in a public general hospital received a brief contact condition or received 12 months of case management delivered by paraprofessionals. Patient outcomes included substance use, HIV transmission risk, physical health, psychologic...

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Bibliographic Details
Published in:The American journal of drug and alcohol abuse 2003-01, Vol.29 (1), p.133-150
Main Authors: Sorensen, James L., Dilley, James, London, Julie, Okin, Robert L., Delucchi, Kevin L., Phibbs, Ciaran S.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome - complications
Acquired Immunodeficiency Syndrome - therapy
Addictive behaviors
Adult
Adult and adolescent clinical studies
AIDS
Biological and medical sciences
Case Management - utilization
Clinical trials
Drug addiction
Female
Follow-Up Studies
HIV
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Patient Dropouts
Patient Selection
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sexual Behavior
Substance abuse treatment
Substance-Related Disorders - complications
Substance-Related Disorders - therapy
Treatment Outcome
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:In a random assignment study, substance-abusing patients with HIV AIDS in a public general hospital received a brief contact condition or received 12 months of case management delivered by paraprofessionals. Patient outcomes included substance use, HIV transmission risk, physical health, psychological status, and quality of living situation. In both conditions, a significant decrease occurred in a range of problems from Intake to the 6-month interview, followed by no significant pattern of change at 12- and 18-month interviews. On major outcome variables, there were no significant differences between the brief contact and case management conditions. Sixteen percent had died by the 18-month interview. Process data indicated wide variation in the amount of case management received by participants, and the amount of case management was not related to improvement in the outcome measures. The study has limitations yet does not support the hypothesis that case management improves outcomes better than brief contact for this population.
ISSN:0095-2990
1097-9891
DOI:10.1081/ADA-120018843