caa a22 4500 445320915 CHVBK 20180317142703.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10488-010-0320-1 doi (NATIONALLICENCE)springer-10.1007/s10488-010-0320-1 Use of HIV and Psychotropic Medications among Persons with Serious Mental Illness and HIV/AIDS [Elektronische Daten] [Sungeun Lee, Aileen Rothbard, Elizabeth Noll, Michael Blank] Persons with serious mental illness (SMI) have higher rates of co-morbid HIV disorders compared to the general population. There are concerns that the SMI/HIV population may be receiving fewer HIV and psychotropic medications due to problems of access and concerns by providers associated with following complex medication regimes. The purpose of this study was to examine any disparity in medication treatment of the SMI/HIV population by comparing medication use and continuity of prescription fills to groups that had HIV or SMI only versus those with SMI/HIV. Study participants were adult Medicaid recipients aged 19-64 with serious mental illness and HIV receiving services in Philadelphia from 2002 through 2003. Differences between the groups in case mix characteristics, medication use rates, and continuity of psychotropic and antiretroviral medication use were compared using Chi-square, t-tests of significance, and logistic regression. Co-morbid individuals were as likely to have filled prescriptions for psychotropic and antiretroviral medications as those with a single disorder and equally persistent in their continuity of antiretroviral medication refills as those with HIV only. However, persons with co-morbid condition had lower continuity of psychotropic medication use compared to those with SMI only. Our findings suggest the need to develop an integrated medical and behavioral healthcare model to improving coordination and treatment for patients with co-occurring disorders. Future research is warranted to investigate the reasons for the discrepancy in continuity of psychotropic adherence for the SMI/HIV population. Springer Science+Business Media, LLC, 2010 HIV/AIDS nationallicence Co-morbid nationallicence Seriously mentally ill nationallicence Pharmacological utilization nationallicence Treatment disparity nationallicence Lee Sungeun Department of Social Welfare, Pusan National University, 30 Jangjeon-dong, Geumjung-gu, 609-735, Busan, South Korea aut Rothbard Aileen Department of Psychiatry, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., 19104, Philadelphia, PA, USA aut Noll Elizabeth Department of Psychiatry, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., 19104, Philadelphia, PA, USA aut Blank Michael Department of Psychiatry, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., 19104, Philadelphia, PA, USA aut Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/5(2011-09-01), 335-344 0894-587X 38:5<335 2011 38 10488 https://doi.org/10.1007/s10488-010-0320-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10488-010-0320-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee Sungeun Department of Social Welfare, Pusan National University, 30 Jangjeon-dong, Geumjung-gu, 609-735, Busan, South Korea aut NATIONALLICENCE 700 1- Rothbard Aileen Department of Psychiatry, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Noll Elizabeth Department of Psychiatry, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Blank Michael Department of Psychiatry, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., 19104, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/5(2011-09-01), 335-344 0894-587X 38:5<335 2011 38 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer