Utilization of Psychiatric Services Integrated with Primary Care by Persons of Color with HIV in the Inner City

Budin, John; Boslaugh, Sarah; Beckett, Emily; Winiarski, Mark G.
August 2004
Community Mental Health Journal;Aug2004, Vol. 40 Issue 4, p365
Academic Journal
We identify the psychiatric diagnoses and utilization patterns of HIV-positive persons of color who received culturally responsive mental health services integrated into a community medical clinic. Ninety-three patients were referred and 86% (n = 80) appeared for at least one encounter. Hispanics, compared with African- Americans, and HIV patients, compared with AIDS patients, were more likely to receive psychotropic prescriptions. Patients with six or more visits were defined as high utilizers: they comprised 27.5% of the patients but used 67.3% of the services. Development of a broader range of psychiatric interventions that address diagnoses, utilization, and psychotropics will better meet these patients' needs.


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