Screening for Substance Use, Sexual Practices, Mental Illness, and Domestic Violence in HIV Primary Care

Wolfe, Rachel; Lobozzo, Joanna; Frye, Victoria; Sharp, Victoria

doi:10.1097/00126334-200308010-00020

Cited by 4 publications

(12 citation statements)

References 10 publications

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“…Of the 45 papers, only two studies described integrating HIV services within existing mental health services (Rosenberg et al 2010, Lemmon andShuff 2001) while in the remaining papers, mental health and/or substance abuse services were integrated within existing HIV services. In 10 of these papers, these services were integrated in primary care settings (Farber et Williams 1995, Winiarski et al 2005, Feingold and Slammon 1993, Wolfe et al 2003, Zaller et al 2007, Wright and Shuff 1995, Esposito-Smythers et al 2014, Nebelkopf and Penagos 2005, Dodds et al 2004). …”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…In 12 of the studies, integration of services involved the use of a non-physician, such as a nurse or a social worker, acting as a case manager responsible for developing an integrated treatment care plan and facilitating referrals. Nine of the studies were conducted in a high-income country, of which eight were in the US (Andersen et al 2003, Sullivan et al 2015, Adams et al 2011, Wolfe et al 2003, Zaller et al 2007, Adams et al 2012b, Sacks et al 2011, Bouis et al 2007) and one in Canada (Husbands et al 2007); one was conducted in a middle-income country, South Africa (Andersen 2012); and two were conducted in low-income countries, in Uganda (Odokonyero et al 2015) and in Tanzania (Adams et al 2012a). Eleven studies were reported in full papers and one was a conference abstract (Andersen 2012).…”

Section: Meso-levelmentioning

confidence: 99%

“…Eleven studies were reported in full papers and one was a conference abstract (Andersen 2012). Of these, there were two descriptive studies (Andersen et al 2003, Zaller et al 2007, three RCTs (Adams et al 2012b, Husbands et al 2007, Sacks et al 2011, two nonrandomized intervention studies (Bouis et al 2007, Adams et al 2011, one cohort study (Adams et al 2012a), one case-series (Odokonyero et al 2015), one cross-sectional study (Wolfe et al 2003), one mixed-methods study (Andersen 2012) and one qualitative study (Sullivan et al 2015).…”

Section: Meso-levelmentioning

confidence: 99%

“…In terms of treatment modalities, eight out of the 12 studies involved interventions that integrated HIV and mental health services (Andersen et al 2003, Sullivan et al 2015, Odokonyero et al 2015, Adams et al 2012a, Andersen 2012, Husbands et al 2007, Adams et al 2011, Adams et al 2012b) while four studies involved interventions that integrated HIV, mental health and substance abuse services (Wolfe et al 2003, Zaller et al 2007, Sacks et al 2011, Bouis et al 2007. Table 4 lists the papers that described interventions which had case managers who integrated services for patients through a care plan.…”

Section: Meso-levelmentioning

confidence: 99%

“…Out of the 12 studies, four described integrated care led by a nurse (Andersen et al 2003, Sullivan et al 2015, Odokonyero et al 2015, Adams et al 2012a, three described integrated care led by primary care staff (Andersen 2012, Wolfe et al 2003, Zaller et al 2007, three led by a social worker (Husbands et al 2007, Adams et al 2011, Bouis et al 2007, one led by a depression-care manager (Adams et al 2012b) and one that was integrated by the patient (Sacks et al 2011). In most of the studies, the case manager was responsible for providing or facilitating integrated care by linking patients and assisting them to access necessary services as part of an integrated treatment plan (Sullivan et al 2015, Andersen et al 2003, Husbands et al 2007, Zaller et al 2007, Bouis et al 2007.…”

Section: Meso-levelmentioning

confidence: 99%

See 4 more Smart Citations

Interventions and approaches to integrating HIV and mental health services: a systematic review

Haldane

Cervero-Liceras

Ong

et al. 2017

European Journal of Public Health

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Background: The frequency in which HIV and AIDS and mental health problems co-exist, and the complex bi-directional relationship between them, highlights the need for effective care models combining services for HIV and mental health. Here, we present a systematic review that synthesizes the literature on interventions and approaches integrating these services. Methods: This review was part of a larger systematic review on integration of services for HIV and non-communicable diseases. Eligible studies included those that described or evaluated an intervention or approach aimed at integrating HIV and mental health care. We searched multiple databases from inception until October 2015, independently screened articles identified for inclusion, conducted data extraction, and assessed evaluative papers for risk of bias. Results: Forty-five articles were eligible for this review. We identified three models of integration at the meso and micro levels: single-facility integration, multi-facility integration, and integrated care coordinated by a non-physician case manager. Single-site integration enhances multidisciplinary coordination and reduces access barriers for patients. However, the practicality and costeffectiveness of providing a full continuum of specialized care on-site for patients with complex needs is arguable. Integration based on a collaborative network of specialized agencies may serve those with multiple co-morbidities but fragmented and poorly coordinated care can pose barriers. Integrated care coordinated by a single case manager can enable continuity of care for patients but requires appropriate training and support for case managers. Involving patients as key actors in facilitating integration within their own treatment plan is a promising approach. Conclusion: This review identified much diversity in integration models combining HIV and mental health services, which are shown to have potential in yielding positive patient and service delivery outcomes when implemented within appropriate contexts. Our review revealed a lack of research in lowand middle-income countries, and was limited to most studies being descriptive. Overall, studies that seek to evaluate and compare integration models in terms of long-term outcomes and cost-effectiveness are needed, particularly at the health system level and in regions with high HIV and AIDS burden.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Meso-levelmentioning

confidence: 99%

Section: Meso-levelmentioning

confidence: 99%

Section: Meso-levelmentioning

confidence: 99%

Section: Meso-levelmentioning

confidence: 99%

See 3 more Smart Citations

Interventions and approaches to integrating HIV and mental health services: a systematic review

Haldane

Cervero-Liceras

Ong

et al. 2017

European Journal of Public Health

View full text Add to dashboard Cite

show abstract

Interventions and approaches to integrating HIV and mental health services: a systematic review

Chuah

Haldane

Cervero-Liceras

et al. 2017

Health Policy and Planning

119

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BackgroundThe frequency in which HIV and AIDS and mental health problems co-exist, and the complex bi-directional relationship between them, highlights the need for effective care models combining services for HIV and mental health. Here, we present a systematic review that synthesizes the literature on interventions and approaches integrating these services.MethodsThis review was part of a larger systematic review on integration of services for HIV and non-communicable diseases. Eligible studies included those that described or evaluated an intervention or approach aimed at integrating HIV and mental health care. We searched multiple databases from inception until October 2015, independently screened articles identified for inclusion, conducted data extraction, and assessed evaluative papers for risk of bias.ResultsForty-five articles were eligible for this review. We identified three models of integration at the meso and micro levels: single-facility integration, multi-facility integration, and integrated care coordinated by a non-physician case manager. Single-site integration enhances multidisciplinary coordination and reduces access barriers for patients. However, the practicality and cost-effectiveness of providing a full continuum of specialized care on-site for patients with complex needs is arguable. Integration based on a collaborative network of specialized agencies may serve those with multiple co-morbidities but fragmented and poorly coordinated care can pose barriers. Integrated care coordinated by a single case manager can enable continuity of care for patients but requires appropriate training and support for case managers. Involving patients as key actors in facilitating integration within their own treatment plan is a promising approach.ConclusionThis review identified much diversity in integration models combining HIV and mental health services, which are shown to have potential in yielding positive patient and service delivery outcomes when implemented within appropriate contexts. Our review revealed a lack of research in low- and middle- income countries, and was limited to most studies being descriptive. Overall, studies that seek to evaluate and compare integration models in terms of long-term outcomes and cost-effectiveness are needed, particularly at the health system level and in regions with high HIV and AIDS burden.

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Intimate Partner Violence Perpetration Against Main Female Partners Among HIV-Positive Male Injection Drug Users

Frye¹,

Latka²,

Wu³

et al. 2007

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Intimate partner violence (IPV) against women is a serious public health and social problem and is associated with a host of adverse health outcomes and behaviors, HIV risk behaviors included, among women who are victimized. Historically, research has focused on correlates of IPV victimization among women; thus, there is less information on the role of men in perpetrating IPV, particularly among men at risk for transmitting HIV to their female partners. We assessed the self-reported prevalence and correlates of perpetration and threat of perpetration of physical and/or sexual IPV against a main female partner among 317 HIV-positive men who were current injection drug users (IDUs). More than 40% of men reported perpetrating physical (39%) and/or sexual (4%) violence against their main female partners in the past year. Multivariate analyses revealed that low education, homelessness, psychologic distress, and unprotected sex with main and nonmain HIV-negative female partners were positively associated with IPV perpetration against main female partners. These findings reveal that IPV perpetration is prevalent among HIV-positive male IDUs and associated with sexual HIV transmission risk behaviors. IPV assessment and treatment among HIV-positive men in HIV care is recommended as a way to prevent IPV perpetration and victimization and to reduce potential HIV transmission.

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Screening for Substance Use, Sexual Practices, Mental Illness, and Domestic Violence in HIV Primary Care

Cited by 4 publications

References 10 publications

Interventions and approaches to integrating HIV and mental health services: a systematic review

Interventions and approaches to integrating HIV and mental health services: a systematic review

Interventions and approaches to integrating HIV and mental health services: a systematic review

Intimate Partner Violence Perpetration Against Main Female Partners Among HIV-Positive Male Injection Drug Users

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