efff9620_cent_ARV_Guidelines___AIDSinfo__Therapy_and_Retention_in_Care_Examples
[Strategies] Identify facilitators, potential barriers to adherence, and necessary medication management skills before starting ART medication. [Examples] 
Assess patient’s cognitive competence and impairment. Assess behavioral and psychosocial challenges including depression, mental illnesses, levels of social support, high levels of alcohol consumption and active substance use, non-disclosure of HIV serostatus and stigma. Identify and address language and literacy barriers. Assess beliefs, perceptions, and expectations about taking ART (e.g., impact on health, side effects, disclosure issues, consequences of non-adherence). Ask about medication taking skills and foreseeable challenges with adherence (e.g., past difficulty keeping appointments, adverse effects from previous medications, issues managing other chronic medications, need for medication reminders and organizers). Assess structural issues including unstable housing, lack of income, unpredictable daily schedule, lack of prescription drug coverage, lack of continuous access to medications.
Adherence to Antiretroviral Therapy | Adult and Adolescent ARV Guidelines | AIDSinfo
Examples