Barriers and Facilitators to Retaining and Reengaging HIV Clients in Care

Berger, Miriam B.; Sullivan, Kristen; Parnell, Heather; Keller, Jennifer; Pollard, Alice Kelton; Cox, Mary E.; Clymore, Jacquelyn M.; Quinlivan, E. Byrd

doi:10.1177/2325957415616491

Cited by 18 publications

(13 citation statements)

References 44 publications

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“…Interviews were recorded and transcribed verbatim. The content analyzed here focuses on testing for HIV and linkage to care in NC, see Berger et al 21 for findings related to retention and reengagement in HIV care.…”

Section: Methodsmentioning

confidence: 99%

Perspectives from the Field

Sullivan

Berger

Quinlivan

et al. 2016

J Int Assoc Provid AIDS Care

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Section: Methodsmentioning

confidence: 99%

Perspectives from the Field

Sullivan

Berger

Quinlivan

et al. 2016

J Int Assoc Provid AIDS Care

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“…Social and environmental factors such as stigma, poverty, and limited health literacy impact linkage and retention, particularly in the South [4,5,[7][8][9][12][13][14][15]. As of 2015, North Carolina had an estimated 29,935 PLWH, the majority of whom are African-American males [16].…”

Section: Original Articlementioning

confidence: 99%

Implementation of the North Carolina HIV Bridge Counseling Program to Facilitate Linkage and Reengagement in Care for Individuals Infected with HIV/AIDS

Swygard

Seña

Mobley

et al. 2018

North Carolina Medical Journal

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background Statewide interventions are critical to meeting the goals of the National HIV/AIDS Strategy in this country. In 2012, the North Carolina Division of Public Health developed the North Carolina State Bridge Counselor program to improve linkage to and reengagement in care for newly diagnosed persons and persons living with HIV who were out-of-care. methods We reviewed the planning process for the North Carolina State Bridge Counselor program, which involved a review of existing strengths-based counseling models for persons living with HIV, implementation of these models, and communication strategies with other providers. State bridge counselor responsibilities were delineated from the role of disease intervention specialists while retaining the fieldwork capability of disease intervention specialists to conduct outreach and provide services for persons living with HIV throughout the state. results Program implementation required extensive planning with stakeholders, incorporation of strengths-based counseling models, development of performance standards, and utilization of CAREWare, an HIV care software program to document referrals and data-sharing between state bridge counselors and clinics. By the end of 2014, state bridge counselor services were provided to approximately 60 of the 400 persons living with HIV (15%) who are diagnosed each quarter in North Carolina, with increasing utilization of the program. limitations We assessed the development of this intervention specific to the North Carolina Division of Public Health, which may limit its generalizability. However, the State Bridge Counselor program was implemented in both urban and rural areas throughout the state, which increases its applicability to different public health programs throughout the country. conclusion We demonstrated that a statewide State Bridge Counselor program for linkage and reengagement activities can be implemented by leveraging existing infrastructures, electronic medical records, HIV care networks, and fieldwork activities.

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“…As a result, many studies examining barriers to care have not recruited LTC participants but those who are retained in care (RIC) 7–14 or HIV care providers. 15,16 Only a handful of studies in the United States have successfully recruited LTC PLWH, 3 of which included LTC participants only, using focus groups (n = 29) 17 or survey methods (n = 179 and n = 247), 18,19 and 2 of which were interview studies that included both LTC and RIC participants (n = 334 and n = 51). 20,21 …”

Section: Introductionmentioning

confidence: 99%

Psychiatric Symptoms and Barriers to Care in HIV-Infected Individuals Who Are Lost to Care

McLean

Metzger

Foa

2017

J Int Assoc Provid AIDS Care

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Past studies of barriers to HIV care have not comprehensively assessed psychiatric symptoms, and few have assessed barriers to care among people living with HIV (PLWH) who are lost to care (LTC). We examined psychiatric symptoms, barriers to HIV care, and immune functioning in PLWH who were retained in care (RIC; n = 21) or LTC (n = 21). Participants completed diagnostic interviews for posttraumatic stress disorder (PTSD) and other psychiatric disorders, self-report measures of HIV risk behaviors and psychiatric symptoms, and a blood draw to assess viral load. Compared to RIC participants, LTC participants met criteria for a greater number of psychiatric disorders and reported greater depressive symptoms and more barriers to HIV care. There were no group differences in PTSD severity, risk behaviors, or viral load, suggesting that LTC individuals experience greater psychiatric problems and perceive more barriers to care than RIC participants, but are not less likely to have achieved viral suppression.

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Barriers and Facilitators to Retaining and Reengaging HIV Clients in Care

Cited by 18 publications

References 44 publications

Perspectives from the Field

Perspectives from the Field

Implementation of the North Carolina HIV Bridge Counseling Program to Facilitate Linkage and Reengagement in Care for Individuals Infected with HIV/AIDS

Psychiatric Symptoms and Barriers to Care in HIV-Infected Individuals Who Are Lost to Care

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