“…More than 50% of PLWH in the U.S. are ≥ 50 years, (Sangarlangkarn & Appelabaum, 2016). Furthermore, older PWLH have high rates of multimorbidity (Sangarlangkarn & Appelabaum, 2016;Kim & Ritchie, 2016). Chronic pain and substance use occur commonly in this population and are associated with poor health outcomes (Jiao et al, 2016;Parsons, Starks, Millar, Boonrai, & Marcotte, 2014;Edelman, Tetrault, & Fiellin, 2014) and increased use of healthcare services (Jiao et al, 2016;DeLorenze, Tsai, Horberg, & Quesenberry, 2014).…”