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https://www.arca.fiocruz.br/handle/icict/589
CASE MANAGEMENT OF HUMAN IMMUNODEFICIENCY VIRUS–INFECTED INJECTION DRUG USERS: A CASE STUDY IN RIO DE JANEIRO, BRAZIL
Author
Affilliation
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento Ciência Social. Rio de Janeiro, RJ, Brasil / Centre for Addiction and Mental Health, Toronto, Ontario, Canada
Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil.
Johns Hopkins School of Public Health. Baltimore, Maryland, USA.
Johns Hopkins School of Public Health. Baltimore, Maryland, USA.
World Health Organization. Management of Substance Dependence. Geneva, Switzerland.
Fundação Oswaldo Cruz. Centro Informação Científica e Tecnológica. Departamento de Informações para a Saúde. Rio de Janeiro, RJ, Brasil
Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil.
Johns Hopkins School of Public Health. Baltimore, Maryland, USA.
Johns Hopkins School of Public Health. Baltimore, Maryland, USA.
World Health Organization. Management of Substance Dependence. Geneva, Switzerland.
Fundação Oswaldo Cruz. Centro Informação Científica e Tecnológica. Departamento de Informações para a Saúde. Rio de Janeiro, RJ, Brasil
Abstract
The provision of care and support to persons living with human immunodeficiency virus (HIV) in Brazil who also use drugs and/or alcohol represents special challenges because of the combined effects of addiction,
poverty, stigma, and discrimination. This paper presents details on a program providing both clinic- and fieldbased care to HIV-infected injection drug users, highlighting the use of a specialized case management approach to address the clinical and psychosocial needs of this population. This program includes both a mobile case
management team that fosters group discussions and provides individual counseling, and provision of medical
consultations at 2 major drug treatment centers in Rio de Janeiro. The article also describes the experience of working with injection drug users who regularly attend an outpatient clinic serving marginalized communities through the use of mutual self-help groups and specialized support groups to address to issue of adherence to antiretroviral therapies for the treatment of HIV/acquired immunodeficiency syndrome.
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