Evaluation of a system designed to link people living with HIV/AIDS with mental health services at an AIDS-service organization

Feldman, Matthew B.; Weinberg, Gregg; Wu, Elwin

doi:10.1016/j.evalprogplan.2011.08.005

Cited by 5 publications

(14 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is especially critical, however, to consider the impact of the range of service utilization in the context of depression, and vice-versa, given that the salience and perceived stigma of depression are often shown to be barriers to accessing service (e.g., Conner et al, 2010; Nadeem et al, 2007). Overall, the impact of service utilization, including those addressing substance abuse (e.g., Brown et al, 2006; Selwyn, 1996), mental health problems (e.g., Feldman, Weinberg, & Wu, 2012; Small, 2010), or affordable housing (e.g., Dasinger & Speiglman, 2007; Egan & Hoagland, 2006), can be quite profound for HIV+ MSM. Utilizing support services such as psychotherapy, for example, has been shown to reduce psychological distress and increase active problem-solving and illness-coping behaviors (Levine, Bystritsky, Baron, & Jones, 1991).…”

mentioning

confidence: 99%

Distinct coping combinations are associated with depression and support service utilization in men who have sex with men living with HIV.

Rood¹,

McConnell²,

Pantalone³

2015

Psychology of Sexual Orientation and Gender Diversity

View full text Add to dashboard Cite

Stigma and stress may place HIV-positive men who have sex with men (HIV+ MSM) at risk for depression. Additionally, HIV+ MSM might utilize multiple HIV-related services as a way to gain support for, and more effectively manage, HIV-related stressors. Although prior research has demonstrated that depression severity and utilizing support services are associated with functional or dysfunctional coping strategies, researchers have not investigated the impact of different coping combinations—specifically, the concurrent use of functional and dysfunctional strategies—in this population. Thus, we explored (1) how items on one measure of coping, the Brief COPE, capture HIV-related coping of HIV+ MSM using Principal Components Analysis, (2) how HIV+ MSM’s coping groups into unique combinations, and (3) how these coping combinations relate to depression and the scope of HIV-related support service utilization. Our sample consisted of 170 HIV+ MSM engaged with medical care. Results indicated the use of both functional and dysfunctional coping strategies. Unique combinations of functional and dysfunctional strategies showed differential associations with depression and the extent of HIV-related support service utilization. Specifically, individuals who engaged in low levels of both functional and dysfunctional coping, compared to individuals who more frequently engaged in functional coping strategies, were significantly less likely to utilize a range of critical HIV-related services. Individuals who reported frequent use of dysfunctional coping strategies, regardless of functional coping strategy use, reported higher levels of depression. Therefore, providers should continue to focus more closely on identifying functional coping strategies and reducing dysfunctional coping when working with HIV+ MSM.

show abstract

mentioning

confidence: 99%

Distinct coping combinations are associated with depression and support service utilization in men who have sex with men living with HIV.

Rood¹,

McConnell²,

Pantalone³

2015

Psychology of Sexual Orientation and Gender Diversity

View full text Add to dashboard Cite

show abstract

“…2012 , Cohen et al . 2011 , Feldman et al . 2012 ), two non-randomized intervention studies ( Winiarski et al .…”

Section: Resultsmentioning

confidence: 99%

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

Chuah

Haldane

Cervero-Liceras

et al. 2017

Health Policy and Planning

124

View full text Add to dashboard Cite

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.

show abstract

“…Four studies described that care coordination was implemented through regular case conferences bringing together members of the multidisciplinary team (Nebelkopf and Penagos 2005, Winiarski et al 2005, Wood 2008, Kobayashi and Standridge 2000, while in one case, individual discussions, voicemails and shared medical notes were used as additional means to coordinate care (Winiarski et al 2005). One study described an internal referral system to facilitate interdepartmental care coordination (Feldman et al 2012). In another study conducted in the USA, there were also joint consultations involving HIV primary care, and mental health providers, in addition to case discussions and referrals.…”

Section: Levels Of Integrationmentioning

confidence: 99%

“…Of these, there were eight descriptive studies (Feingold and Slammon 1993, Dillard et al 2010, Dodds et al 2004, Harris and Williams 1995, Kobayashi and Standridge 2000, Namata Mbogga Mukasa et al 2014, Wood 2008, Jonsson et al 2011, four cohort studies (Farber et al 2014, Nebelkopf and Penagos 2005, Vergara-Rodriguez et al 2012, Esposito-Smythers et al 2014, three retrospective record reviews (Coleman et al 2012, Cohen et al 2011, Feldman et al 2012, two non-randomized intervention studies (Winiarski et al 2005, Surah 2013), one RCT (Tetrault et al 2012), one mixed-methods study (Hyam et al 2012), and one qualitative study (Nakimuli-Mpungu et al 2014). In terms of treatment modalities, 6 out of the 20 studies involved interventions that integrated HIV and mental health services (Farber et al 2014, Feldman et al 2012, Harris and Williams 1995, Hyam et al 2012, Feingold and Slammon 1993, Nakimuli-Mpungu et al 2014. In five other studies, the process was part of a larger package of integration with other services, including general primary health care (PHC) (Coleman et al 2012, Winiarski et al 2005 obstetrics and gynaecology (O&G) services (Dodds et al 2004), risk reduction interventions (Namata Mbogga Mukasa et al 2014), TB services (Jonsson et al 2011) and non-communicable disease screening and treatment services (Namata Mbogga Mukasa et al 2014).…”

Section: Levels Of Integrationmentioning

confidence: 99%

“…Among the seven studies, some assessed specific approaches like the measurement-based approach to depression care (Coleman et al 2012) while others evaluated operating systems to facilitate inter-organizational referrals (Feldman et al 2012). Four studies compared outcomes before and after intervention (Coleman et al 2012, Cohen et al 2011, Farber et al 2014, VergaraRodriguez et al 2012 and one retrospectively reviewed clinic data of a patient cohort on completion of referrals (Feldman et al 2012). Collectively, these studies reported improvements in clinical outcomes of HIV and mental health disorders, reduction in substance use behaviours and stigma, improvements in social functioning, and higher patient engagement in care, although the overall risks of bias of the studies were high or unclear.…”

Section: Meso-and Micro-level Integrationmentioning

confidence: 99%

See 1 more Smart Citation

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

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.

show abstract

Evaluation of a system designed to link people living with HIV/AIDS with mental health services at an AIDS-service organization

Cited by 5 publications

References 38 publications

Distinct coping combinations are associated with depression and support service utilization in men who have sex with men living with HIV.

Distinct coping combinations are associated with depression and support service utilization in men who have sex with men living with HIV.

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

Contact Info

Product

Resources

About