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How to Establish An Integrated Ambulatory Care Program Co-Located in An HIV Clinic 

How to Establish An Integrated Ambulatory Care Program Co-Located in An HIV Clinic
Chapter:
How to Establish An Integrated Ambulatory Care Program Co-Located in An HIV Clinic
Author(s):

Mary Ann Cohen

, James Bourgeois

, Weston Fisher

, and David Tran

DOI:
10.1093/med/9780199392742.003.0008
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date: 23 October 2019

The pragmatic aspects of all steps involved in establishing an integrated psychiatry (and other mental health) care model in a HIV outpatient clinic are discussed in detail in this chapter. These include initial outreach inquiry, interdepartmental discussion, business case analysis, logistics in establishing clinical routines and operating relationships, utilization management, information technology, and research and educational opportunities specific to this model of collaborative care. The beneficial aspects of integrated care include increased engagement and retention in HIV care and decreased HIV morbidity and mortality. A biopsychosocial approach provides a model for compassionate and multidimensional care. Readers are encouraged to apply this framework within the parameters of their local institutions when establishing integrated psychiatric care models in HIV clinics.

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