Needs and is not currently enrolled in directly-observed therapy Needs and is enrolled in DOT or (DOT) or other intensive other intensive adherence support adherence support Experiences adverse side effects Experiences adverse side effects Experiences side effects, but that consistently impact that occasionally impact manages them with no impact on No side effect concerns reported adherence to HIV medication adherence to HIV medication adherence to HIV medication Demonstrates minimal Demonstrates some Demonstrates no understanding Demonstrates full understanding understanding of correlation understanding of correlation of correlation between of correlation between HIV between HIV medication between HIV medication medication adherence and medication adherence and HIV Medication Adherence adherence and adherence and achieving/sustaining viral load achieving/sustaining viral load achieving/sustaining viral load achieving/sustaining load suppression suppression suppression suppression Demonstrates no understanding of basic health or prescription Needs assistance to understand some assistance to information (e.g. drug resistance, health and prescription Manages health and prescription understand health and drug interactions, etc.) due information due to language information with no assistance prescription information language barriers or cognitive barrier or cognitive function function Not on ARVs in Not on ARVS against medical Is starting new ARV treatment On ARVs and does not need consultation/support from providers advice regimen additional assistance medical provider Cultural beliefs around medication prevent client from Acuity Score: taking medication as prescribed by medical provider Comments (include referrals needed): Intensive Need Moderate Need Need Self Management Area of Functioning (3) (2) (1) (0) Insurance
HIV Medication Adherence Needs and is not currently enrolled in directly-observed therapy (DOT) or other intensive adherence support Needs and is enrolled in DOT or other intensive adherence support Experiences adverse side effects that consistently impact adherence to HIV medication Experiences adverse side effects that occasionally impact adherence to HIV medication Experiences side effects, but manages them with no impact on adherence to HIV medication No side effect concerns reported Demonstrates no understanding of correlation between medication adherence and achieving/sustaining viral load suppression Demonstrates minimal understanding of correlation between HIV medication adherence and achieving/sustaining viral load suppression Demonstrates some understanding of correlation between HIV medication adherence and achieving/sustaining load suppression Demonstrates full understanding of correlation between HIV medication adherence and achieving/sustaining viral load suppression Demonstrates no understanding of basic health or prescription information (e.g. drug resistance, drug interactions, etc.) due language barriers or cognitive function Needs assistance to understand health and prescription information due to language barrier or cognitive function some assistance to understand health and prescription information Manages health and prescription information with no assistance Not on ARVS against medical providers advice Is starting new ARV treatment regimen Not on ARVs in consultation/support from medical provider On ARVs and does not need additional assistance Acuity Score: Cultural beliefs around medication prevent client from taking medication as prescribed by medical provider Comments (include referrals needed): Area of Functioning Intensive Need (3) Moderate Need (2) Need (1) Self Management (0) Insurance
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