Utilization of Psychiatric Services Integrated with Primary Care by Persons of Color with HIV in the Inner City
- Cite this article as:
- Budin, J., Boslaugh, S., Beckett, E. et al. Community Ment Health J (2004) 40: 365. doi:10.1023/B:COMH.0000035230.20900.59
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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.