• Promote enrollment of patients into adherence programs; use internal resources or work with community resources to make comprehensive treatment adherence services available.
• Increase referrals by providers to adherence counselors.
• Arrange for cross-functional staff meetings to discuss patients with particular adherence issues.
• Set up a peer group with routine meetings to discuss adherence barriers.
• Set up a meeting between patients who miss their appointments and the member of the health care team who has the most influence with the patient to discuss the patients’ situation.
• Hire adherence counselors and provide training to the entire staff.
• Train staff and/or peer educators to take over the role of adherence counselors.
• Arrange special medication appointments for clinically unstable patients.
• Access community resources to provide additional patient support, such as home meals, outreach, or COBRA case management programs.
• Document referrals to community-based organizations.
• Conduct home visits for clinically unstable patients on ARV therapy.
• Establish a Directly Observed Therapy (DOT) adherence program.

Promoting Adherence to HIV Antiretroviral Therapy