Contents

• What Is a TIP?
• Editorial Advisory Board
• Consensus Panel
• Foreword
• Executive Summary and Recommendations
• 1 Introduction to HIV/AIDS
  • Overview of HIV/AIDS
  • Changes in the Epidemiology of HIV/AIDS Since 1995
• 2 Medical Assessment and Treatment
  • Adherence to Medical Care
  • Barriers to Care for HIV-Infected Substance Abuse Disorder Clients
  • Models of Integrated Care
  • Medical Standards Of Care
  • Pharmacologic Aspects
  • Prophylaxis Against Opportunistic Infections
• 3 Mental Health Treatment
  • Linkages With Mental Health Services
  • Common Mental Disorders in HIV-Infected Clients
  • Assessment and Diagnosis
  • Pharmacologic Treatment For Psychiatric Disorders
  • Mental Health and Substance Abuse Disorder Counseling
• 4 Primary and Secondary HIV Prevention
  • HIV/AIDS Risk Assessment
  • Risk-Reduction Counseling
  • Infection Control Issues For Substance Abuse Treatment Programs
• 5 Integrating Treatment Services
  • HIV/AIDS Services in Substance Abuse Treatment
  • Issues of Integrated Care
  • Examples of Integrated Treatment
• 6 Accessing and Obtaining Needed Services
  • The Use of Case Management To Coordinate Care
  • Resources for HIV-Infected Substance Abusers
  • Finding and Funding Services
  • Income and Other Financial Concerns
  • Hospice Programs
  • Suggestions on Finding Resources
• 7 Counseling Clients With HIV And Substance Abuse Disorders
  • Staff Training, Attitudes, And Issues
  • Screening
  • HIV/AIDS-Specific Substance Abuse Counseling Issues
  • Case Studies
• 8 Ethical Issues
  • Ethical Issues for Treatment Providers
  • Basic Ethical Principles
  • Ethical Issues in Working With HIV-Infected Substance Abusers
  • A Step-by-Step Model for Making Ethical Decisions
  • Additional Resources for Ethical Problemsolving
• 9 Legal Issues
  • Access to Treatment—Issues of Discrimination
  • Confidentiality of Information About Clients
  • Conclusion
  • End Notes
• 10 Funding and Policy Considerations
  • Keys to Successful Grantseeking
  • How To Identify Potential Funding Sources
  • State and Federal Policy Shifts
  • Federal Initiatives
  • State and Local Initiatives
  • Special Populations
  • Grantwriting Information
  • Strategies To Ensure Ongoing Funding
• Appendix A Bibliography
• Appendix B Glossary
• Appendix C 1993 Revised Classification System For HIV Infection and Expanded AIDS Surveillance Case Definition For Adolescents and Adults
• Appendix D Screening Instruments
• Appendix E Sample Codes of Ethics
• Appendix F State and Territorial Health Agencies/Offices of AIDS
• Appendix G Mini Mental State Examination (MMSE)
• Appendix H Standards of Care: Client Assessment/Treatment Protocol
• Appendix I Resource Panel
• Appendix J Field Reviewers

This publication was prepared under contract number 270-95-0013 for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Sandra Clunies, M.S., ICADC, served as the Contracting Officer's Representative.

Suggested citation:

Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons With HIV/AIDS. Treatment Improvement Protocol (TIP) Series, No. 37. HHS Publication No. (SMA) 12-4137. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2000.

The opinions expressed herein are the views of the consensus panel members and do not necessarily reflect the official position of SAMHSA or HHS. No official support of or endorsement by SAMHSA or HHS for these opinions or for the instruments or resources described are intended or should be inferred. The guidelines presented should not be considered substitutes for individualized client care and treatment decisions.