AIDS Psychiatry Service
The Johns Hopkins Hospital
600 North Wolfe St.
Baltimore, MD 21287-5371
Phone 410-955-6328 / Fax 410-614-5913
The Johns Hopkins AIDS Psychiatry Service (APS) is a multidisciplinary team formed in 1989 to provide clinical care to HIV-infected patients, as well as to develop and implement education and research programs on the psychiatric aspects of HIV infections. The APS is directed at the treatment of psychiatric conditions that drive the HIV epidemic, interfere with the treatment of HIV, or diminish the quality of life of patients infected with HIV.
FACULTY AND STAFF
In addition to the director, the APS is staffed by three psychiatrists, one psychiatric resident, two psychologists, a substance abuse counselor, and two psychiatric nurses.
Substance Abuse Counselor
- Nicholas Schweizer, M.A.
- Jack Bonner, R. N.
- Oliver Radcliffe R.N., M.S.N.
Since its inception, the APS has evaluated and treated many hundreds of patients with HIV disease and psychiatric disorders. Services include outpatient evaluation and treatment, coupled with continuous care through inpatient consultation on medical, chronic care, and psychiatric wards. The complexity of treating HIV-infected patients with multiple medical problems who are also taking psychotropic medications requires close consultation between medical and psychiatric teams. This integration results in better outcomes, improved compliance, and decreased frequency of undesirable drug interactions. Surveillance continues to show high rates of improvement in our patients with psychiatric disorders as well as improvements in substance use outcomes.
Services are provided at the adult HIV outpatient clinic known as the Moore Clinic and in the inpatient medical and psychiatric wards at The Johns Hopkins Hospital. APS also has arrangements with the Eastern Baltimore City STD Clinic, the Druid Hill STD Clinic, the Park West Medical Center, and Baltimore City Mental Health Centers to provide specialty consultation and to accept treatment referrals. There are also outreach clinics in Baltimore, Harford, Ann Arundel, Howard, and Carroll counties.
Services are based on the following principles:
Comprehensive diagnosis and treatment for patients seen in consultation and follow-up.
Improved access to services for psychiatric patients seen in the Moore Clinic as well as outside consultations with Baltimore City and County agencies.
Integrated and continuous care, enhanced by operating in a primary care clinic, and by providing services to the same patients in both inpatient and outpatient settings.
APS also provides lectures, seminars, and other educational programs to physicians, primary care providers, psychiatrists, medical students, residents, mental health caregivers, and others.
Patients are referred to the AIDS psychiatry service by their primary provider in the Moore Clinic in The Johns Hopkins Hospital. Patients from outside the Clinic who wish to be seen should have their primary medical provider contact Dr. Treisman at 410-955-6328.
Medical students, residents, and fellows rotate on the various services associated with the APS (Medicine and Psychiatry).
Read an excerpt from
THE PSYCHIATRY OF AIDS: A Guide to Diagnosis and Treatment
by Glenn J. Treisman, M.D., Ph.D. and Andrew F. Angelino, M.D.
Thompson A, Silverman B, Dzeng L, Treisman G. Psychotropic medications and HIV. Clin Infect Dis. 2006 May 1;42(9):1305-10. Epub 2006 Mar 27. Review. PMID: 16586391
Raines C, Radcliffe O, Treisman GJ. Neurologic and psychiatric complications of antiretroviral agents.J Assoc Nurses AIDS Care. 2005 Sep-Oct;16(5):35-48. Review. PMID: 16433108
Himelhoch S, Moore RD, Treisman G, Gebo KA. Does the presence of a current psychiatric disorder in AIDS patients affect the initiation of antiretroviral treatment and duration of therapy? J Acquir Immune Defic Syndr. 2004 Dec 1;37(4):1457-63. PMID: 15602123
Treisman GJ, Kaplin AI. Neurologic and psychiatric complications of antiretroviral agents. AIDS. 2002 Jun 14;16(9):1201-15. Review. No abstract available. PMID: 12045485
Angelino AF, Treisman GJ. Management of psychiatric disorders in patients infected with humanimmunodeficiency virus. Clin Infect Dis. 2001 Sep 15;33(6):847-56. Review. PMID: 11512090
Treisman GJ, Angelino AF, Hutton HE. Psychiatric issues in the management of patients with HIV infection. JAMA. 2001 Dec 12;286(22):2857-64. PMID: 11735762
RELATED LINKS AT JOHNS HOPKINS
Johns Hopkins AIDS Service