Document 0470
 DOCN  M9440470
 TI    A model integrating mental health and primary care services for families
       with HIV.
 DT    9404
 AU    Feingold A; Slammon WR; Division of Psychiatry, Boston City Hospital,
       Boston University; School of Medicine, MA 02118.
 SO    Gen Hosp Psychiatry. 1993 Sep;15(5):290-300. Unique Identifier :
       AIDSLINE MED/94140102
 AB    The need to integrate mental health and primary care service delivery
       for individuals and families living with human immunodeficiency virus
       (HIV) and acquired immune deficiency syndrome (AIDS) has been well
       documented. Accessibility, flexibility, and cultural specificity are
       qualities necessary, but generally lacking, in existing models of
       integrated care. In this paper, NOAH (No One Alone with HIV), an
       innovative, hospital-based program of family-focused HIV mental health
       services, will be described. NOAH is designed to meet the needs of
       primary care providers, allied professionals/paraprofessionals, and the
       diversity of inner-city patients they serve. Central to the model are
       population-specific family health facilitators, who collaborate with
       providers by offering mental health interventions at one or more levels
       along a continuum of service intensity. Whenever possible, primary care
       team members are empowered to manage mental health problems directly.
       When more intensive services are required, responsibility for direct
       intervention transfers to the family health facilitator. With the locus
       of inner-city HIV primary care shifting from hospitals to neighborhood
       health centers, this hospital-based program has been extended into the
       community to support the early integration of mental health and primary
       care services at the community level.
 DE    Adaptation, Psychological  Adolescence  Adult  Caregivers/PSYCHOLOGY
       Case Report  Child  Combined Modality Therapy  *Family Therapy  Female
       Homosexuality/PSYCHOLOGY  Human  HIV Infections/*PSYCHOLOGY/THERAPY
       Male  Managed Care Programs  Patient Admission  *Patient Care Team
       Physician-Patient Relations  *Primary Health Care  Sexual
       Partners/PSYCHOLOGY  Sick Role  Social Work, Psychiatric  Support,
       Non-U.S. Gov't  Support, U.S. Gov't, Non-P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).