Triply diagnosed people aren't all the same.
Nor are local HIV/AIDS service systems. To reflect this diversity,
the HIV/AIDS Treatment Adherence, Health Outcomes, and Cost
Study uses a multisite design that allows for demographic
and services diversity. Assisted by Federal collaborators
and a coordinating center housed at James Bell Associates,
eight sites are participating in the study:
- The Boston Medical Center offers brief
motivational therapy to multiply diagnosed individuals.
- Duke University relies on case managers
and transportation services to help multiply diagnosed people
in rural areas access intensive outpatient mental health
and substance abuse counseling and HIV/AIDS care.
- The CORE
Center, Cook County Bureau of Health Services,
has created integrated primary care, mental health, substance
abuse, and case management treatment teams in an urban Chicago
- Montefiore Medical Center works with
individuals in methadone maintenance clinics and is particularly
interested in individuals diagnosed with Borderline Personality
- The National Development and Research Institutes,
Inc./Guadenzia, Inc., offers a "therapeutic community"
aftercare program to triply diagnosed graduates of its residential
substance abuse treatment program.
- The University of Missouri in St. Louis
uses a multidisciplinary mental health and substance abuse
treatment team coordinated by case managers.
- The University of Washington in Seattle
offers individualized counseling and group counseling, both
aimed at improving treatment adherence.
- The Well-Being Institute, Inc., relies
on intensive case management by nurses to get triply diagnosed
women "lost" to medical followup re-engaged in treatment.