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The role of the satellite clinic in reaching intravenous drug users at risk from HIV

Published online by Cambridge University Press:  02 January 2018

Rosie M. Coleman ,
David Curtis  and
Margaret Sharpe
Rosie M. Coleman
Affiliation:
Department of Psychiatry, University College and Middlesex School of Medicine, London
David Curtis
Affiliation:
Department of Psychiatry, University College and Middlesex School of Medicine, London
Margaret Sharpe
Affiliation:
Department of Psychiatry, University College and Middlesex School of Medicine, London
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The arrival of HIV has challenged the traditional services for intravenous drug users providing the impetus to re-examine working practices. Only 10% of intravenous drug users attend hospital based treatment centres offering out-patient programmes based on reducing doses of oral methadone with an ultimate goal of abstinence (Hartnoll et al, 1985), yet for public health programmes designed to limit the spread of HIV it is important to increase the contact between high-risk groups and health professionals. Satellite clinics originally introduced to provide low cost help for drug users at a more local level may also be effective as a means of reaching intravenous drug users at high risk of HIV who would otherwise not be exposed to treatment and health education. Strang has described how a satellite clinic may be established with few resources, with staff who can be supervised by more senior workers at a central site (Strang & Creed, 1985). In this study the client groups of a satellite clinic and a conventional drug dependency unit were compared in order to characterise the clientele of the satellite clinic and to discover whether it was indeed fulfilling a useful role in terms of attracting such high-risk individuals for treatment.

Type
Articles
Information
Psychiatric Bulletin , Volume 13 , Issue 4 , April 1989 , pp. 165 - 168
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1989

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