Consultation, Assessment, and Evaluation

Mary Ann Adler Cohen, Danielle Wilkin, Mark V. Bradley, Luis F. Pereira, Kelly L. Cozza, Christina M. Patel

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Persons with HIV can live longer healthier lives if they are engaged in HIV care and adherent to antiretroviral medication. With adherence, persons with HIV/AIDS may have the same longevity as the general population. However, psychiatric disorders may interfere with both care engagement and medication adherence. This chapter presents the most prevalent psychiatric disorders that may disrupt the clinician-patient relationship, prevent adequate care engagement, increase HIV transmission, and decrease adherence to antiretroviral medication. With the goal of HIV/AIDS treatment being viral suppression, consistent engagement of persons with HIV/AIDS in their medical management is essential. Missed appointments, nonadherence to ART, biopsychosocial factors, and comorbid mental illness all can prevent patient involvement in treatment, leading to a lack of viral suppression. Nonadherence to medical care complicates the course of illness, intensifies patient suffering, strains relationships, and increases morbidity and mortality. Missed appointments are associated with all-cause mortality in persons with HIV. In this chapter, we present the basic assessment needed to evaluate persons with HIV for comorbid psychiatric disorders to decrease HIV transmission and increase adherence to HIV care.

Original languageEnglish
Title of host publicationHIV Psychiatry
Subtitle of host publicationA Practical Guide for Clinicians
PublisherSpringer International Publishing
Pages67-91
Number of pages25
ISBN (Electronic)9783030806651
ISBN (Print)9783030806644
DOIs
StatePublished - 1 Jan 2021

Keywords

  • Adherence
  • Assessment
  • Care engagement
  • Consultation
  • HIV prevention
  • HIV transmission
  • Missed appointments
  • Nonadherence
  • Psychiatric disorders
  • Viral suppression

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