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Publication Profiles

Pre-implementation planning to enhance integration of HIV and behavioral health care services at two Ryan White-funded HIV care centers

Citation

Hussen SA, Byrd RN, Doraivelu K, et al. Pre-implementation planning to enhance integration of HIV and behavioral health care services at two Ryan White-funded HIV care centers. Transl Behav Med. 2024;14(10):598-610. doi:10.1093/tbm/ibae046

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

Engagement in treatment (including retention and re-engagement)

Geography:

Fulton County-GA

Study Participant Classification:

Providers

Plain Language Objectives

The researchers asked clinical, behavioral health, and social service providers at two Atlanta HIV clinics about combining mental health and HIV services. They wanted to understand whether integration fit patient needs and clinic missions and what practical challenges could impede it.

Plain Language Abstract

Mental health and other behavioral conditions can interfere with HIV care, particularly for young Black gay, bisexual, and other men who have sex with men. Researchers conducted preimplementation work at two Ryan White-funded Atlanta clinics. Sixty HIV, behavioral health, and social service providers completed surveys, and 15 also participated in in-depth interviews. Using an implementation framework, the team examined the proposed integration, patient needs, and clinic settings. Participants believed closer integration offered an advantage over current practice, matched organizational missions, and could address important patient needs. At the same time, they raised concerns about complexity, limited resources, and competition with other clinic priorities. Providers were enthusiastic about the concept but emphasized that practical constraints could hinder implementation. This mixed-methods study identifies local determinants rather than testing an integrated-care model. It cannot show that integration would improve mental health, engagement, or HIV outcomes. Findings from two clinics and provider reports may not represent patients’ experiences or other service settings.

Key Takeaways

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