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Tangible Resources for Preparing Patients for Antiviral Therapy for Chronic Hepatitis C
- Source :
- Digestive Diseases and Sciences. 57:1439-1444
- Publication Year :
- 2012
- Publisher :
- Springer Science and Business Media LLC, 2012.
-
Abstract
- Chronic hepatitis C (HCV) infected patients with coexisting mental health and/or substance abuse issues face significant barriers to treatment and are often deferred. This paper sought to highlight critical pre-treatment strategies and provide tangible resources for HCV clinicians to facilitate preparation and successful treatment of these patients.Guided by the clinical experience of our liver center, a large, tertiary academic medical center, and informed by the extant literature, we summarize pre-treatment strategies and specific resources and recommendations for HCV providers.Four key pre-treatment strategies include: 1) screening for mental health/substance abuse issues using brief, reliable and validated instruments; 2) locating and establishing collaborative care with mental health and substance abuse specialists; 3) using a motivational interviewing communication style; and 4) addressing adherence-related issues.HCV clinicians are in a unique position to prepare patients with coexisting mental health and/or substance abuse issues for antiviral therapy.
- Subjects :
- Male
medicine.medical_specialty
Substance-Related Disorders
Physiology
Comorbidity
Antiviral Agents
Risk Assessment
Article
Patient Education as Topic
Internal medicine
medicine
Humans
Mass Screening
Mental Competency
Community Health Services
Intensive care medicine
Psychiatry
Mass screening
Depression (differential diagnoses)
Academic Medical Centers
business.industry
Mental Disorders
Gastroenterology
Hepatitis C, Chronic
Hepatology
Prognosis
medicine.disease
Mental health
United States
Substance abuse
Treatment Outcome
Needs assessment
Patient Compliance
Female
Risk assessment
business
Needs Assessment
Subjects
Details
- ISSN :
- 15732568 and 01632116
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- Digestive Diseases and Sciences
- Accession number :
- edsair.doi.dedup.....d83f4077e691f713fed13883bac3bbad