Examination of Fiscal Management and the Allocation of Care Act Resources US Department of Health and Human Services: Health REsources and Services Administration
INTRODUCTION
HIV/HCV Coinfection
HCV Treatment
Expanding Access to Treatment
Barriers and Key Issues
HCV Treatment: Estimating the Cost
Working With Patients Who Have Multiple Needs
Concerns About Relapse to Active Drug Use and Reinfection
Depression and HCV Treatment
Treatment Eligibility and Uptake
Treating Anemia and Neutropenia With Growth Factors
Access to HCV Treatment and ADAPs
Conclusion
Resources
References

Working With Patients Who Have Multiple Needs

Underserved coinfected patients may face many barriers to care, but many of those barriers can be successfully addressed. For example, case management can link coinfected patients with services that help mitigate the effects of poverty and lack of health insurance. Users of illicit substances can be offered buprenorphine, methadone, or referral to other drug treatment services. Patients with uncontrolled psychiatric disorders can be offered the opportunity to work with a psychiatrist or a psychologist as part of preparing for HCV treatment.