Abstract
Little diagnostic information is available for those who represent a significant part of the HIV epidemic: substance-using members of racial and ethnic minority communities. Our paper describes the rates of psychiatric diagnoses in a convenience sample of HIV-positive, African American and Hispanic clients in methadone treatment in the Bronx, NY. Out of 139 HIV-positive volunteers, 99 subjects had diagnoses in addition to opioid dependence on agonist therapy. The mean number of diagnoses was 3.84 (SD = 1.41). These findings confirm the need to target mental health as part of the national response to the HIV/AIDS epidemic in inner cities.
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InstitutionalAuthorNameAmerican Psychiatric Association (2000) DSM-IV-TR: Diagnostic and statistical manual of mental disorders EditionNumberFourth ed. American Psychiatric Association Washington, DC
S Belenko (1979) ArticleTitleAlcohol abuse by heroin addicts: Review of research findings and issues International Journal on Addictions 14 965–975
E. G. Bing M. A. Burnam D. Longshore J. A. Fleishman C. D. Sherbourne A. S. London B. J. Turner F. Eggan R. Beckman B. Vitiello S. C. Morton M. Orlando S. A. Bozzette L. Ortiz-Barron M Shapiro (2001) ArticleTitlePsychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States Archives of General Psychiatry 58 721–728
C. Brems M. E. Johnson L. L Namyniuk (2002) ArticleTitleClients with substance abuse and menal health concerns: A guide for conducting intake interviews Journal of Behavioral Health Services Research 29 IssueID3 327–334
R. K. Brooner L. Greenfield C. W. Schmidt G. E Bigelow (1993) ArticleTitleAntisocial personality disorder and HIV infection among intravenous drug abusers American Journal of Psychiatry 150 53–58
R. K. Brooner V. L. King M. Kidorf C. W. Schmidt SuffixJr. G. E Bigelow (1997) ArticleTitlePsychiatric and substance use comorbidity among treatment-seeking opioid abusers Archives of General Psychiatry 54 71–80
J. L. Croughan J. P. Miller J. Koepke B. Y Whitman (1981) ArticleTitleDepression in narcotic addicts—a prospective study with a five-year follow-up Comprehensive Psychiatry 22 428–433
J. L. Croughan J. P. Miller B. Y. Whitman J. G Schober (1981) ArticleTitleAlcoholism and alcohol dependence in narcotic addicts: A prospective study with a five-year follow-up American Journal of Drug and Alcohol Abuse 8 85–94
S. H. Dinwiddie L. Cottler W. Compton A. B Abdallah (1996) ArticleTitlePsychopathology and HIV risk behaviors among injection drug users in and out of treatment Drug and Alcohol Dependence 43 1–11
S. H. Dinwiddie T. Reich C. R Cloninger (1992) ArticleTitlePsychiatric comorbidity and suicidality among intravenous drug users Journal of Clinical Psychiatry 53 364–369
M. B. First M. Gibbon R. L. Spitzer J. B. W Williams (1996) User’s guide for the structured clinical interview for DSM-IV disorders, research version (SCID-I, Version 2.0) Biometrics Research New York
M. B. First M. Gibbon R. L. Spitzer J. B. W. Williams L. S Benjamin (1997) User’s guide for the structured clinical interview for DSM-IV axis II personality disorders (SCID-II) American Psychiatric Press Washington, DC
R. C. Kessler A. Sonnega E. Bromet M. Hughes C. B Nelson (1995) ArticleTitlePosttraumatic stress disorder in the National Comorbidity Survey Archives of General Psychiatry 52 1048–1060
M. T Lambert (2002) ArticleTitleLinking mental health and addiction services: A continuity-of-care team model Journal of Behavioral Health Services Research 29 IssueID4 433–444
C. E. Lewis J. L. Croughan B. Y. Whitman J. P Miller (1983) ArticleTitleAssociation of alcoholism and antisocial personality in a narcotic-dependent population: The Lexington addicts Psychiatry Resource 10 31–46
C. E. Lewis J. A. Halikas C. Morse J. D Rimmer (1987) ArticleTitleAlcoholism in narcotic addicts with antisocial personality British Journal of Addictions 82 305–311
M. M Linehan (1993) Cognitive behavioral treatment of borderline personality disorder Guilford Press New York
J. D. Lipsitz J. B. Williams J. G. Rabkin R. H. Remien M. Bradbury W. el Sadr R. Goetz S. Sorrell J. M. Gorman (1994) ArticleTitlePsychopathology in male and female intravenous drug users with and without HIV infection American Journal of Psychiatry 151 1662–1668
D. Lukoff K. Nuechterlien J. Ventura (1986) ArticleTitleManual for the expanded brief psychiatric rating scale Schizophrenia Bulletin 13 216–276
J. D. Maser G. B. Cassandro S. Michelini (1997) Treatment implications of comorbid mental disorders W. Wetzler W. Sanderson (Eds) Treatment strategies for patients with psychiatric comorbidity Wiley New York
A. T. McLellan H. Kushner D. Metzger R. Peters I. Smith G. Grissom H. Pettinati M. Argeriou (1992) ArticleTitleThe fifth edition of the addiction severity index Journal of Substance Abuse Treatment 9 199–213
D. O. Perkins E. J. Davidson J. Leserman D. Liao D. L Evans (1993) ArticleTitlePersonality disorder in patients infected with HIV: A controlled study with implications for clinical care American Journal of Psychiatry 150 309–315
J. G. Rabkin S. J. Ferrando L. B. Jacobsberg B. Fishman (1997) ArticleTitlePrevalence of axis I disorders in an AIDS cohort: A cross-sectional, controlled study Comprehensive Psychiatry 38 146–154
C. Rollet M. G Winiarski (2000) ArticleTitleResponding to distrust of the medical system FOCUS 15 5–6
B. J. Rounsaville M. M. Weissman K. Crits-Christoph C. Wilber H. Kleber (1982) ArticleTitleDiagnosis and symptoms of depression in opiate addicts. Course and relationship to treatment outcome Archives of General Psychiatry 39 151–156
B. J. Rounsaville M. M. Weissman H. Kleber C. Wilber (1982) ArticleTitleHeterogeneity of psychiatric diagnosis in treated opiate addicts Archives of General Psychiatry 39 161–168
E. Susser E. Valencia A. Berkman N. Sohler J. Conover P. Torres A. Betne S. Miller (1998) ArticleTitleHuman immunodeficiency virus sexual risk reduction in homeless men with mental illness Archives of General Psychiatry 55 266–272
J. B. Williams J. G. Rabkin R. H. Remien J. M. Gorman A. A. Ehrhardt (1991) ArticleTitleMultidisciplinary baseline assessment of homosexual men with and without human immunodeficiency virus infection. II. Standardized clinical assessment of current and lifetime psychopathology Archives of General Psychiatry 48 124–130
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This study was funded by grant 6 UDI SM52393. This single site study of triply diagnosed methadone patients is currently being employed in a multi-site research study, HIV/AIDS Treatment Adherence Health Outcomes and Cost Study (HIV/AIDS Cost Study) to investigate integrated interventions for HIV primary care, mental health and substance abuse. The HIV/AIDS Cost Study is a collaboration of six federal entities: The Center for Mental Health Services (CMHS), which has lead administrative responsibility and the Center for Substance Abuse Treatment (CSAT), both of which are components of the Substance Abuse and Mental Health Services Administration (SAMHSA); the HIV/AIDS Bureau within the Health Resources and Services Administration (HRSA); the National Institute of Mental Health (NIMH), the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the National Institute on Drug Abuse (NIDA), all of which are part of the National Institutes of Health (NIH).
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Winiarski, M.G., Greene, L.I., Miller, A.L. et al. Psychiatric Diagnoses in a Sample of HIV-infected People of Color in Methadone Treatment. Community Ment Health J 41, 379–391 (2005). https://doi.org/10.1007/s10597-005-5076-9
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DOI: https://doi.org/10.1007/s10597-005-5076-9