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

Authors :
McKinnon, Karen
Lentz, Cody
Boccher-Lattimore, Daria
Cournos, Francine
Pather, Ariana
Sukumaran, Stephen
Thompson, Adam
DeLorenzo, Lori
Hager, Michael
Remien, Robert H.
Mellins, Claude A.
Source :
AIDS Care. Nov2024, Vol. 36 Issue 11, p1555-1562. 8p.
Publication Year :
2024

Abstract

The federal Ending the HIV Epidemic (EHE) initiative was created to reduce new US HIV infections, largely through pre-exposure prophylaxis and HIV treatments that reduce HIV transmissibility to zero. Behavioral health disorders (mental health and substance use) remain significant barriers to achieving EHE goals. Addressing behavioral health (BH) disorders within HIV primary care settings has been promoted as a critical EHE strategy. Implementation of efficacious HIV-BH care integration and its impact on HIV-related health outcomes is not well documented. In a federally-funded, exploratory phase implementation science study, we used the Collective Impact Framework to engage partners in seven EHE jurisdictions about the feasibility, acceptability, and sustainability of implementing HIV-BH integration interventions within local HIV settings. Partners concluded that full integration will remain the exception unless health systems invest in collaborative practice, professional training, appropriate health technology, and inter-system communication. Partners supported smaller incremental improvements including transdiagnostic approaches to reinforce each team member's sense of value in the shared endeavor. This early phase implementation science study identified research and implementation gaps that are critical to fill to end the HIV epidemic. Both the Collective Impact Framework and implementation science show promise for guiding future implementation of evidence-based HIV-BH intervention integration. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09540121
Volume :
36
Issue :
11
Database :
Academic Search Index
Journal :
AIDS Care
Publication Type :
Academic Journal
Accession number :
180490250
Full Text :
https://doi.org/10.1080/09540121.2024.2354897