Integrating Adolescent Mental Health into HIV Prevention and Treatment Programs: Can Implementation Science Pave the Path Forward?

Autor: Boshe J; Department of Mental Health, Kilimanjaro Christian Medical Centre, KCMC Box 3010, Moshi, Tanzania. jboshe@live.com.; Kilimanjaro Christian Medical College University, Moshi, Tanzania. jboshe@live.com., Brtek V; Duke Global Health Institute, 27701, Durham, NC, USA., Beima-Sofie K; Department of Global Health, University of Washington, Seattle, WA, USA., Braitstein P; University of Toronto, Dalla Lana School of Public Health, Toronto, Canada.; College of Health Sciences, School of Public Health, Moi University, Eldoret, Kenya., Brooks M; Department of Pediatrics, Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, 19104, Philadelphia, PA, USA., Denison J; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Donenberg G; Center for Dissemination and Implementation Science, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA., Kemigisha E; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, Mbarara, Uganda., Memiah P; Division of Epidemiology and Prevention, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA., Njuguna I; Department of Global Health, University of Washington, Seattle, WA, USA.; Research and Programs, Kenyatta National Hospital, Nairobi, Kenya., Poku O; New York State Psychiatric Institute, HIV Center for Clinical and Behavioral Studies, Columbia University, 10032, New York, NY, USA., Roberts ST; Women's Global Health Imperative, RTI International, Berkeley, CA, USA., Shayo AM; Department of Mental Health, Kilimanjaro Christian Medical Centre, KCMC Box 3010, Moshi, Tanzania.; Kilimanjaro Christian Medical College University, Moshi, Tanzania., Dow DE; Duke Global Health Institute, 27701, Durham, NC, USA.; Department of Pediatrics, Infectious Diseases division, Duke University Medical Center, KCMC Box 3010, Box 102346, 27701, Durham, NC, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2023 May; Vol. 27 (Suppl 1), pp. 145-161. Date of Electronic Publication: 2022 Nov 02.
DOI: 10.1007/s10461-022-03876-2
Abstrakt: Adolescent mental health (AMH) is a critical driver of HIV outcomes, but is often overlooked in HIV research and programming. The implementation science Exploration, Preparation, Implementation, Sustainment (EPIS) framework informed development of a questionnaire that was sent to a global alliance of adolescent HIV researchers, providers, and implementors working in sub-Saharan Africa with the aim to (1) describe current AMH outcomes incorporated into HIV research within the alliance; (2) identify determinants (barriers/gaps) of integrating AMH into HIV research and care; and (3) describe current AMH screening and referral systems in adolescent HIV programs in sub-Saharan Africa. Respondents reported on fourteen named studies that included AMH outcomes in HIV research. Barriers to AMH integration in HIV research and care programs were explored with suggested implementation science strategies to achieve the goal of integrated and sustained mental health services within adolescent HIV programs.
(© 2022. The Author(s).)
Databáze: MEDLINE
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