Interventions for Integrating Behavioral Health into HIV Settings for US Adults: A Narrative Review of Systematic Reviews and Meta-analyses, 2010–2020

McKinnon, Karen; Lentz, Cody; Boccher-Lattimore, Daria; Cournos, Francine; Pather, Ariana; Sukumaran, Stephen; Remien, Robert H.; Mellins, Claude A.

doi:10.1007/s10461-024-04324-z

Cited by 4 publications

(3 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Introductionmentioning

confidence: 99%

“…For many people with HIV and mental illness, the impacts of structural discrimination make receiving care in hospitals a challenge (McKinnon et al, 2024). In the HIV sector, community health workers (CHWs) are essential for improving access to services and care, traversing stigma and bridging gaps in healthcare and beyond (McKinnon et al, 2024). CHWs improve access to care through trust and longitudinal relationships with their clients; they also have an important case management role in supporting clients to attend medical appointments (coordination, accompaniment and serving as an advocate) (Campagna et al, 2022;McKinnon et al, 2024).…”

Section: Introductionmentioning

confidence: 99%

“…In the HIV sector, community health workers (CHWs) are essential for improving access to services and care, traversing stigma and bridging gaps in healthcare and beyond (McKinnon et al, 2024). CHWs improve access to care through trust and longitudinal relationships with their clients; they also have an important case management role in supporting clients to attend medical appointments (coordination, accompaniment and serving as an advocate) (Campagna et al, 2022;McKinnon et al, 2024). However, CHWs often lack mental health training, though there is a high prevalence of mental illness and substance use disorders amongst people living with HIV (Rosenberg et al, 2001;Durvasula and Miller, 2014;Chaukos et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Integration through education: utilizing project ECHO to mitigate fragmentation and support adaptive expert care in HIV Psychiatry

Chaukos,

Genus,

Guimond

et al. 2024

JICA

View full text Add to dashboard Cite

PurposeCare of complex patients requires collaboration across hospital and community settings. Yet there is little recognition of the capabilities that healthcare workers need to effectively implement integrated care. An adaptive expertise theoretical framework can inform educational efforts that aim to give providers the abilities to navigate complexity and ambiguity in the healthcare system, including across hospital and community settings. Prior education research in the HIV sector has demonstrated that adaptive expert skills can be cultivated through education that emphasizes perspective exchange, inviting uncertainty in practice and integration of diverse perspectives on care.Design/methodology/approachThese principles informed the creation of an Extension for Community Healthcare Outcomes (ECHO) in HIV Psychiatry – the first ECHO directed at a non-clinical, community health worker (CHW) audience. The goal was to improve informal collaborations across hospitals and communities.FindingsParticipation in the ECHO was robust, with significant on-camera engagement. Participants attributed success of the ECHO to key themes: explicit value placed on all kinds of knowledge (not simply clinical knowledge), emphasis on approaches for navigating ambiguity and complexity and engagement in perspective exchange for provision of integrated, team-based care. Future cycles of ECHO HIV Psychiatry are being pursued, with a focus on the development of adaptive expert capabilities and the impact on integration of care between community and hospital services.Originality/valueTo our knowledge, this is the only ECHO that is specifically aimed at frontline CHWs.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Integration through education: utilizing project ECHO to mitigate fragmentation and support adaptive expert care in HIV Psychiatry

Chaukos,

Genus,

Guimond

et al. 2024

JICA

View full text Add to dashboard Cite

show abstract

Barriers and facilitators to implementing evidence-based integrated HIV and behavioral health care: perspectives from seven federal ending the HIV epidemic jurisdictions

McKinnon,

Lentz,

Boccher-Lattimore

et al. 2024

AIDS Care

View full text Add to dashboard Cite

Pre-implementation planning to enhance integration of HIV and behavioral health care services at two Ryan White-funded HIV care centers

Hussen,

Byrd,

Doraivelu

et al. 2024

Translational Behavioral Medicine

View full text Add to dashboard Cite

Behavioral health conditions are disproportionately experienced by people living with Human immunodeficiency virus (HIV), including young Black gay, bisexual, and other men who have sex with men (GBMSM). Left unaddressed, these symptoms can adversely impact HIV care outcomes. Improving the integration of behavioral health and HIV care services has been proposed as a strategy to address this challenge. To conduct a pre-implementation study exploring barriers and facilitators to improving HIV and behavioral health care integration at two HIV clinics in Atlanta, Georgia. We conducted a mixed-methods study guided by the Consolidated Framework for Implementation Research (CFIR). Sixty (60) HIV care providers, behavioral health care providers, and social service providers participated in cross-sectional surveys, and a subset of survey participants (15) also participated in a qualitative in-depth interview to explore CFIR constructs in greater depth. We focused on Intervention Characteristics, Outer Setting, and Inner Setting as the most relevant CFIR domains. Within each of these domains, we identified both facilitators and barriers to improving HIV and behavioral care integration in the two clinics. Participants agreed that enhancing integration would provide a relative advantage over current practice, would address young Black GBMSM and other patient needs, and would be compatible with the organizational mission. However, they also expressed concerns about complexity, resource availability, and priority relative to other clinic initiatives. Participants were enthusiastic about improving care integration but also invoked practical challenges to translating this idea into practice. Future research should test specific implementation strategies and their potential effectiveness for improving the integration of behavioral health and HIV care, as a strategy for improving well-being among young Black GBMSM and other people living with HIV.

show abstract

Interventions for Integrating Behavioral Health into HIV Settings for US Adults: A Narrative Review of Systematic Reviews and Meta-analyses, 2010–2020

Cited by 4 publications

References 41 publications

Integration through education: utilizing project ECHO to mitigate fragmentation and support adaptive expert care in HIV Psychiatry

Integration through education: utilizing project ECHO to mitigate fragmentation and support adaptive expert care in HIV Psychiatry

Barriers and facilitators to implementing evidence-based integrated HIV and behavioral health care: perspectives from seven federal ending the HIV epidemic jurisdictions

Pre-implementation planning to enhance integration of HIV and behavioral health care services at two Ryan White-funded HIV care centers

Contact Info

Product

Resources

About