caa a22 4500 445848677 CHVBK 20180317145406.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10597-011-9399-4 doi (NATIONALLICENCE)springer-10.1007/s10597-011-9399-4 Treatment of HIV in Outpatients with Schizophrenia, Schizoaffective Disorder and Bipolar Disease at Two County Clinics [Elektronische Daten] [Kaitlyn Murphy, Howard Edelstein, Lance Smith, Kathleen Clanon, Beth Schweitzer, Leslie Reynolds, Precilla Wheeler] Despite a high prevalence of HIV in patients with serious mental health disorders, there is little information in the literature regarding details of their HIV treatment. The objective of this paper is to assess factors associated with the success of HIV therapy in people with schizophrenia, schizoaffective, and bipolar disease. The methods used are retrospective, post-study chart review, and clinician questionnaire at two HIV county clinics. Forty-nine (4.8%) study patients were identified, 51% of whom achieved an undetectable HIV viral load. These patients tended to have less drug use (42% vs. 68%), more ongoing psychiatric visits (70% vs. 58%) and were more apt to take psychiatric medicines (70% vs. 40%) than patients with detectable HIV viral loads. Both groups had many missed appointments. We were surprised to find that many patients were successful with HIV treatment despite substance abuse, uncontrolled psychiatric symptoms, and lack of psychiatric care. Missing clinic appointments had little influence on treatment outcome. Springer Science+Business Media, LLC, 2011 HIV treatment nationallicence Schizophrenia nationallicence Schizoaffective nationallicence Bipolar nationallicence Murphy Kaitlyn Saint Louis University School of Medicine, 1402 South Grand Blvd, 63104, St Louis, MO, USA aut Edelstein Howard Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut Smith Lance Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut Clanon Kathleen Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut Schweitzer Beth Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut Reynolds Leslie Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut Wheeler Precilla Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut Community Mental Health Journal Springer US; http://www.springer-ny.com 47/6(2011-12-01), 668-671 0010-3853 47:6<668 2011 47 10597 https://doi.org/10.1007/s10597-011-9399-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10597-011-9399-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Murphy Kaitlyn Saint Louis University School of Medicine, 1402 South Grand Blvd, 63104, St Louis, MO, USA aut NATIONALLICENCE 700 1- Edelstein Howard Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut NATIONALLICENCE 700 1- Smith Lance Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut NATIONALLICENCE 700 1- Clanon Kathleen Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut NATIONALLICENCE 700 1- Schweitzer Beth Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut NATIONALLICENCE 700 1- Reynolds Leslie Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut NATIONALLICENCE 700 1- Wheeler Precilla Alameda County Medical Center, 1411 E 31st St, 94602, Oakland, CA, USA aut NATIONALLICENCE 773 0- Community Mental Health Journal Springer US; http://www.springer-ny.com 47/6(2011-12-01), 668-671 0010-3853 47:6<668 2011 47 10597 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer