Unmet Needs for Ancillary Services Among Men Who Have Sex with Men and Who Are Receiving HIV Medical Care — United States, 2013–2014

DeGroote, Nicholas P.; Korhonen, Lauren; Shouse, R. Luke; Valleroy, Linda A.; Bradley, Heather

doi:10.15585/mmwr.mm6537a4

Cited by 18 publications

(7 citation statements)

References 5 publications

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“…Previous studies have demonstrated that the benefits of MHSU in PLWH include improvements in CD4 + count and mortality outcomes (Blashill, Perry, & Safren, 2011). Recent evidence indicates the need for MH services continues to be unmet (DeGroote, Korhonen, Shouse, Valleroy, & Bradley, 2016; Korhonen et al, 2016), and in the case of HIV care, this can affect retention. Thus, more methods are needed for improving retention in HIV care among these populations, including provision of access to and support for MH services.…”

Section: Methodsmentioning

confidence: 99%

Mental health and retention in HIV care: A systematic review and meta-analysis.

Rooks-Peck¹,

Adegbite

Wichser

et al. 2018

Health Psychology

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Section: Methodsmentioning

confidence: 99%

Mental health and retention in HIV care: A systematic review and meta-analysis.

Rooks-Peck¹,

Adegbite

Wichser

et al. 2018

Health Psychology

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“…26 Increasing awareness of the availability of ancillary services might reduce the number of unmet needs burdening patients and could help them to be more adherent to their clinic visits and their medication regimens. 24,27 Broader access to programs that can assist in meeting subsistence needs could have significant individual and public health benefits.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies have established significant unmet dental care needs, especially among low-income PLWH. 27,36 Despite initiatives to provide dental services to PLWH, service utilization remains low and unmet needs remain high. 37 PLWH are more likely to receive dental care if they are in stable housing, have higher education, or have had help to get dental care 37 and less likely to get dental care if they are African-American and have more urgent physical and mental health needs.…”

Section: Discussionmentioning

confidence: 99%

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The Association of Unmet Needs With Subsequent Retention in Care and HIV Suppression Among Hospitalized Patients With HIV Who Are Out of Care

Dandachi

May

Davila

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: Unmet needs among hospitalized patients with HIV may prevent engagement in HIV care leading to worse clinical outcomes. Our aim was to examine the role of unmet subsistence needs (e.g. housing, transportation, food) and medical needs (e.g. mental health, substance abuse treatment) as barriers for retention in HIV care and viral load suppression. Methods: We utilized data from the Mentor Approach for Promoting Patients’ Self-Care intervention study, the enrolled hospitalized HIV-patients at a large publicly funded hospital between 2010 and 2013, who were out-of-care. We examined the effect of unmet needs on retention in HIV care (attended HIV appointments within 0–30 days and 30–180 days) and viral load suppression, six months after discharge. Results: 417 participants were enrolled, 78% reported having ≥1 unmet need at baseline, most commonly dental care (55%), financial (43%), or housing needs (34%). Participants with unmet needs at baseline, compared to those with no needs, were more likely to be African American, have an existing HIV diagnosis and insured. An unmet need for transportation was associated with lower odds of retention in care (OR: 0.5; 95% CI:0.34–0.94, p=0.03), even after adjusting for other factors. Compared to participants with no need, those who reported ≥3 unmet subsistence needs were less likely to demonstrate viral load improvement (OR: 0.51; 95% CI:0.28–0.92; p=0.03) and to be retained in care (OR: 0.52; 95% CI:0.28–0.95; p=0.03). Conclusion: Broader access to programs that can assist in meeting subsistence needs among hospitalized patients could have significant individual and public health benefits.

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“…Untreated behavioral health needs may also make it less likely a person is retained in HIV clinical care [8]. Further, compared to other MSM receiving outpatient HIV medical care, Black MSM face shortages of stable housing, nutritional support, substance use treatment, and mental health services [9]. Given these substantial inequities, the US Department of Health and Human Services Health Resources & Services Administration (HRSA) HIV/AIDS Bureau (HAB) RWHAP Part F Special Projects of National Significance (SPNS) funded an initiative to address the unique clinical, behavioral health, and social support needs of Black MSM with HIV.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex With Men (Black MSM Initiative): Protocol for Program Evaluation

Hodge¹,

Johnson-Turbes²,

Flemming³

et al. 2022

JMIR Res Protoc

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Background The HIV epidemic in the United States disproportionately affects Black communities. Nearly half of Black men who have sex with men (MSM) will be diagnosed with HIV in their lifetime. There is a significant unmet need for behavioral health care services among Black MSM, and untreated behavioral health needs make it less likely the person is retained in HIV care. Objective This paper offers a description of the Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men who have Sex with Men (Black MSM) Initiative, a program to integrate clinical care and behavioral health/supportive services for Black MSM with HIV. The Black MSM Initiative is funded through the Health Resources & Services Administration HIV/AIDS Bureau Ryan White HIV/AIDS Program (RWHAP) Part F Special Projects of National Significance. Methods The components of the Black MSM Initiative include providing technical assistance to 8 Initiative demonstration sites; conducting a comprehensive and culturally responsive, mixed method, multisite evaluation; and disseminating evaluation findings and lessons learned to the RWHAP community. Results As of December 31, 2020, demonstration sites enrolled 809 clients in the multisite evaluation. The research team will continue evaluation data collection through December 2021 for analysis and dissemination starting in 2022. The Black MSM Initiative fully supports the US Department of Health and Human Services’ Ending the HIV Epidemic in the United States Initiative. Conclusions In order to succeed, providers and programs will need to engage populations traditionally considered “hard to reach,” like many people receiving RWHAP services. Findings and lessons learned from the Black MSM Initiative will expand the tool kit of solutions to support and retain Black MSM in HIV care, furthering the goals of the Ending the HIV Epidemic Initiative and the RWHAP. International Registered Report Identifier (IRRID) DERR1-10.2196/36025

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Unmet Needs for Ancillary Services Among Men Who Have Sex with Men and Who Are Receiving HIV Medical Care — United States, 2013–2014

Cited by 18 publications

References 5 publications

Mental health and retention in HIV care: A systematic review and meta-analysis.

Mental health and retention in HIV care: A systematic review and meta-analysis.

The Association of Unmet Needs With Subsequent Retention in Care and HIV Suppression Among Hospitalized Patients With HIV Who Are Out of Care

Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex With Men (Black MSM Initiative): Protocol for Program Evaluation

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