Specifying the integration of mental health and primary health care services for persons with HIV/AIDS: The Indiana integration of care project

Most health care providers agree that the integration and coordination of primary and mental health care is critical for improving the continuity of care and the overall health status of people with HIV/AIDS. While some research examines programs designed to coordinate services for people living wit...

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Bibliographic Details
Published in:Social networks 1995-07, Vol.17 (3), p.319-340
Main Authors: Wright, Eric R., Shuff, I.Michael
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
AIDS
Delivery Systems
Health care
Health Services
HIV
Human Service Organizations
Indiana
Interorganizational Relations
Mental health
Mental Health Services
U.S.A
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Summary:Most health care providers agree that the integration and coordination of primary and mental health care is critical for improving the continuity of care and the overall health status of people with HIV/AIDS. While some research examines programs designed to coordinate services for people living with HIV, very little research addresses the systems-level network integration of services in AIDS care. In this paper, a research-services demonstration program, the Indiana Integration of Care Project (IICP), is described. The program is intended to enhance the integration of mental health centers with the primary health-care sector for people living with HIV/AIDS in Indiana. A network theory of the structural factors influencing the patterns of integration between these sectors is offered. Drawing on baseline survey data, the current pattern of interorganizational network relationships of mental health centers with the AIDS care sector is described, and a preliminary examination of the theoretical framework guiding the IICP program is presented. The authors conclude with an overview of the planned systems-level network development intervention designed to enhance the ties between these service areas in the northeastern region of the state.
ISSN:0378-8733
1879-2111
DOI:10.1016/0378-8733(95)00269-T