Clinical Practice

Comorbid TB and HIV in a Chronically Homeless Male: Social Isolation Compounds Stress of Medical Confinement

Homelessness, long recognized as a risk factor for tuberculosis, can also complicate treatment, as this case report demonstrates. HIV coinfection increases the risk of progression from latent TB infection to active tuberculosis. Clinicians experienced in the care of homeless persons stress the importance of maintaining communication with these patients, even during medical confinement, and recommend

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Healing Hands: The Challenges of Supervision in HCH: Helping Staff Succeed

Supervising staff in today’s health care settings is difficult at best. Patients present with complex needs, time and resources are scarce, and managed care requirements exert pressure to do more with less. But supervision in Health Care for the Homeless programs is fraught with a special set of challenges, including the need to oversee staff

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Comparison of ACT and standard case management for delivering integrated treatment for co-occurring disorders

Authors: Essock SM, Mueser KT, Drake RE, et al. OBJECTIVE: Clients with co-occurring severe mental and substance use disorders are at high risk of institutionalization and other adverse outcomes. Although integrated mental health and substance abuse treatment is becoming a standard clinical approach for such clients, the optimal method for delivering integrated treatment remains unclear.

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Healing Hands: The Challenges of Supervision in HCH: Helping Staff Succeed

Supervising staff in today’s health care settings is difficult at best. Patients present with complex needs, time and resources are scarce, and managed care requirements exert pressure to do more with less. But supervision in Health Care for the Homeless programs is fraught with a special set of challenges, including the need to oversee staff

Healing Hands: The Challenges of Supervision in HCH: Helping Staff Succeed Read More >>

Your Mouth on Meth

Meth user’s teeth become blackened, stained, rotted and crumble or fall apart at the gum line. That’s why meth damaged teeth often cannot be saved and must be extracted or removed, even among young or short-term users. The large amount of tooth decay is due to meth’s acid nature and the fact that it causes

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