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Does HIV serostatus affect outcomes of dually diagnosed opiate dependents in residential treatment?

Published online by Cambridge University Press:  18 May 2011

Giuseppe Carrà ,
Cristina Montomoli ,
Maria Cristina Monti  and
Massimo Clerici
Giuseppe Carrà
Affiliation:
Department of Mental Health Sciences, Royal Free and University College Medical School, London (UK)
Cristina Montomoli
Affiliation:
Department of Health Sciences, Section of Medical Statistics and Epidemiology, University of Pavia (Italy)
Maria Cristina Monti
Affiliation:
Department of Health Sciences, Section of Medical Statistics and Epidemiology, University of Pavia (Italy)
Massimo Clerici*
Affiliation:
Department of Neuro sciences and Biomedical Technologies, University of Milano, Bicocca Medical School
*
Address for correspondence: Prof. M. Clerici, Department of Neurosciences and Biomedical Technologies, University of Milano Bicocca Medical School, Via Pergolesi 33, 20052 Monza (Italy). Fax: +39(0)2 4547 1850 E-mail: massimo.clerici@unimib.it
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Summary

Backgroung – Little is known about specific treatment needs of mentally ill clients abusing substances and infected by HIV. The major gap concerns residential programmes. Aims – To explore differences in outcomes between seropositive and seronegative dually diagnosed opiate dependent clients who participated in a residential therapy programme. Methods – Data were gathered on 154 clients treated in a therapeutic community in Milan between October 1999 and September 2004. Odds ratios with 95% confidence intervals were used to study the association between HIV serostatus and outcome. Results – At 12-month follow-up, seropositive clients were more likely to relapse. Conclusions – The impact of HIV seropositivity on behavioural outcomes should be taken into consideration when planning residential programmes for the HIV (+) dually diagnosed population. Further research could test the need of incorporating dedicated treatments into existing programmes.

Declaration of interest: None.

Keywords

Seropositivityopiate dependencemental disorderstherapeutic community
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 17 , Issue 1 , March 2008 , pp. 77 - 81
Copyright
Copyright © Cambridge University Press 2008

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