Improvements in retention in care and HIV viral suppression among persons with HIV and comorbid mental health conditions–Patient-centered HIV Care Model

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Byrd, Kathy K. ; Hardnett, Felicia ; Hou, John G. ; Clay, Patrick G. ; Suzuki, Sumihiro ; Camp, Nasima M. ; Shankle, Michael D. ; Weidle, Paul J. ; Taitel, Michael S.
• Corporate Authors:
  for the Patient-centered HIV Care Model Team
• Description:
  The Patient-centered HIV Care Model (PCHCM) integrated community-based pharmacists with medical providers and required sharing of patient clinical information and collaborative therapy-related action planning. We determined the proportions of participants with HIV and mental health conditions who were retained in care and the proportion virally suppressed, pre- and post-implementation. Overall, we found a relative 13% improvement in both retention [60% to 68% (p = 0.009)] and viral suppression [79% to 90% (p < 0.001)]. Notable improvements were seen among persons triply diagnosed with HIV, mental illness and substance use [+ 36% (50% to 68%, p = 0.036) and + 32% (66% to 86%, p = 0.001) in retention and viral suppression, respectively]. There were no differences in the proportions of persons adherent to psychiatric medications, pre- to post-implementation, nor were there differences in the proportions of persons retained in care or virally suppressed by psychiatric medication adherence, post-implementation. PCHCM demonstrated that collaborations between community-based pharmacists and medical providers can improve HIV care continuum outcomes among persons with mental health conditions.
• Subjects:
  Adolescent Adult Continuity Of Patient Care Female HIV Infections Humans Male Medicare Mental Health Middle Aged Patient-Centered Care Retention In Care Viral Load Young Adult

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• Source:
  AIDS Behav. 24(12):3522-3532
• Pubmed ID:
  32415615
• Pubmed Central ID:
  PMC7666642
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U65 PS004275/PS/NCHHSTP CDC HHSUnited States/ ; NU65PS004275/U.S. Department of Health and Human Services/
• Place as Subject:
  United States
• Volume:
  24
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e5c7d96c0b4d6b6f8e2d573a77f47af48717f9f0db50068692bd64692ab8730b
• Download URL:
  https://stacks.cdc.gov/view/cdc/97299/cdc_97299_DS1.pdf
• File Type:
  [PDF - 325.19 KB ]