Serving the Co-Morbid Mental Health and Substance Use Needs of People with HIV

Overview

Journal Community Ment Health J

Specialty Health Services

Date 2021 Jan 2

PMID 33387180

Citations 6

Authors

Fiona N Conway

Michele A Rountree

Kristian V Jones

Affiliations

Soon will be listed here.

Abstract

People with HIV (PWH) who have mental health disorders (MHD) and substance use disorders (SUD) have lower HIV medication adherence, higher unsuppressed viral loads, and higher mortality rates than those who do not. Individuals who have triple diagnoses (HIV, MHD and SUD) are at an exponential risk for these adverse outcomes. This study explored the barriers and facilitators to accessing and linking PWH with MHD and SUD services. Qualitative interviews with 90 participants were conducted to explore their experiences seeking treatment for MHD and SUD. Results of a thematic analysis found two important barriers to treatment access and utilization: unstable motivation to change and negative experiences with providers. Conversely, an internal drive to heal and rapport with providers facilitated positive treatment experiences. Findings of the study also indicate a need for an integrated treatment model where MHD, SUD, and HIV treatment are available at the same location.

Citing Articles

Testing the incremental effectiveness of pay-for-performance to improve implementation of a motivational interviewing brief intervention for substance use disorders in HIV settings: Results of a parallel cluster-randomized type 3 hybrid trial.

Garner B, Tueller S, Bradshaw M, Speck K, Satre D, Rash C Res Sq. 2024; .

PMID: 39149465 PMC: 11326404. DOI: 10.21203/rs.3.rs-4614222/v1.

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PMID: 38196639 PMC: 10775385. DOI: 10.21203/rs.3.rs-3685134/v1.

Cross-training needs among community-based clinicians in HIV and substance use.

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HIV Treatment Outcomes in POP-UP: Drop-in HIV Primary Care Model for People Experiencing Homelessness.

Hickey M, Imbert E, Appa A, Del Rosario J, Lynch E, Friend J J Infect Dis. 2022; 226(Suppl 3):S353-S362.

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Patient and provider perspectives on self-administered electronic substance use and mental health screening in HIV primary care.

Lea A, Altschuler A, Leibowitz A, Levine-Hall T, McNeely J, Silverberg M Addict Sci Clin Pract. 2022; 17(1):10.

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