Integrating mental health care into HIV care

The integration of mental health interventions into HIV prevention and treatment platforms can reduce the opportunity costs of care and improve treatment outcomes, argues a new Policy Forum article published in this week's PLOS Medicine. Syvia Kaaya from the School of Medicine at the Muhimbili University of Health and Allied Sciences in Dar es Salaam, Tanzania and her international colleagues say that effective interventions exist for recognition and treatment of co-morbid mental disorders and can be implemented successfully by trained non- specialized providers in HIV care.

The authors say that interventions delivered by "task-sharing" would require "supportive supervision, monitoring, and feedback to inform quality improvement in comprehensive HIV/AIDS services providing mental health care" and that "multidisciplinary collaboration, coordination, and communication on common concerns are imperative for HIV services that integrate ."

"Clinical depression, alcohol abuse, and HIV-associated neurocognitive disorders (HAND) are prevalent in people living with HIV and have negative consequences for HIV treatment outcomes," say the authors.

The five articles providing a global perspective on integrating mental health will be published weekly in PLOS Medicine beginning 30 April 2013.

More information: Kaaya S, Eustache E, Lapidos-Salaiz I, Musisi S, Psaros C, et al. (2013) Grand Challenges: Improving HIV Treatment Outcomes by Integrating Interventions for Co-Morbid Mental Illness. PLoS Med 10(5): e1001447.doi:10.1371/journal.pmed.1001447

Related Stories

Integrating mental health care: New series

date Apr 30, 2013

The first article in a landmark series to help health care workers and providers, donors, and decision makers understand the importance of including mental health care in global health programs is being published in this ...

Mental health and NCDs

date May 14, 2013

Non-communicable diseases (NCD) and mental disorders each constitute a huge portion of the worldwide health care burden, and often occur together, so they should be addressed together. These are the conclusions of the third ...

Recommended for you

Indiana HIV outbreak, hepatitis C epidemic sparks US alert

date Apr 24, 2015

Federal health officials helping to contain an HIV outbreak in Indiana state issued an alert to health departments across the U.S. on Friday, urging them to take steps to identify and track HIV and hepatitis C cases in an ...

Why are HIV survival rates lower in the Deep South than the rest of the US?

date Apr 22, 2015

The Deep South region has become the epicenter of the US HIV epidemic. Despite having only 28% of the total US population, nine states in the Deep South account for nearly 40% of national HIV diagnoses. This region has the highest HIV diagnosis rates and the highest number of people living with HIV of any ...

A bad buzz: Men with HIV need fewer drinks to feel effects

date Apr 20, 2015

Researchers at Yale and the VA Pittsburgh Healthcare System compared the number of drinks that men with HIV infection, versus those without it, needed to get a buzz. They found that HIV-infected men were more sensitive to ...

Research informs HIV treatment policy for inmates

date Apr 16, 2015

A national, five-year study of care for inmates with HIV brought strangers together, produced policy change in the Delaware Department of Corrections and documented the importance of good communication and ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.