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Guiding Principles for Programs Serving HIV Positive Substance Users

Guiding Principles for Programs Serving HIV Positive Substance Users

June 1, 2003
Boston University School of Public Health, Health and Disability Working Group

Principles for delivering care to substance users living with HIV/AIDS. Principles cover integrated services, care coordination, assessment, referral, staff education/support, consumer education/ involvement, quality improvement, confidentiality, and cultural competence. 


General Principles

  • Integrated Services 
  • Care Coordination 
  • Cultural Sensitivity and Competence 
  • Assessment 
  • Referrals 
  • Staff Education and Support 
  • Consumer Education 
  • Quality Improvement 
  • Confidentiality Principles 

Specific to HIV Primary Care

  • Multi-Disciplinary Team Approach 
  • Provider Knowledge of HIV 
  • Assessment 
  • Access to Treatment 
  • Medication Adherence 
  • Consumer Education 

Principles Specific to Substance Abuse Treatment

  • Admission and Discharge 
  • Treatment Program Environment 
  • On-Call and Back-Up Systems 
  • Staff Education

Principles Specific to Outreach Programs

  • Staff Education 
  • Staff Supervision and Support 
  • Advocacy 
  • Consumer Education 
  • Follow-Up 
  • Staff Recruitment

Principles Specific to Care Coordination

  • Consumer Involvement 
  • Medications 
  • Aftercare Planning 
  • Follow-Up 
  • Referral Networks

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