Psychosomatics 40:321-324, August 1999
© 1999 The Academy of Psychosomatic Medine
Delivering Mental Health Care to HIV-Positive Individuals
A Comparison of Two Models
Maria F. Gomez, M.D.,
David A. Klein, M.D.,
Shara Sand, Psy.D.,
Mari Marconi, M.S.W., and
Mary Alice O'Dowd, M.D.
Received November 20, 1997; revised November 24, 1998; accepted December 4, 1998. From the Department of Psychiatry and the Department of Social Work, Montefiore Medical Center, Bronx, New York. Address correspondence and reprint requests to Dr. O'Dowd, Director, Consultation-Liaison, Montefiore Medical Center, 111 E. 210th Street, Bronx, NY 10467.
Data on initial psychiatric evaluations performed in 1995 were compared to assess whether psychiatric consultation for human immunodeficiency virus (HIV)-positive/acquired immunodeficiency syndrome (AIDS) patients provided on-site in an infectious disease (ID) clinic improved compliance and were preferred by staff to evaluations performed in a specialized AIDS psychiatric program. Compliance with initial appointments remained below 50% in both settings, but more patients seen in the ID clinic had received prior psychiatric treatment and medication and they were more likely to receive a psychotropic prescription at this initial visit. The ID clinic staff preferred on-site consultations. Stationing psychiatric consultants in the ID clinic may reach a more impaired population but did not improve compliance with the initial visit.
Key Words: AIDS/HIV • Health Services
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