Models of Medical Care for HIV-infected Drug Users

Abstract

HIV-infected substance users present a variety of challenges to successful health care delivery. Difficulties in care arise from several issues including provider-patient mistrust, lack of education on the part of providers regarding issues related to addiction, and personal disorganization on the part of active users. Each of these issues affects patient adherence to medical regimens and access to care. Standard ambulatory medical settings may not effectively engage addicts in longitudinal comprehensive care. We present an overview and critique of models specifically designed to treat this population.