Abstract

How to Integrate Mental Health and HIV Services: A Social-Ecological Approach

Highlights

  • Calls by the global health community to pay closer attention to the mental health needs of people living with HIV (PLHIV) have grown considerably

  • In one systematic review that looked at predictors of loss to follow-up (LTFU) from antiretroviral therapy (ART) among adults in sub-Saharan Africa, patients who had mental illness had higher odds of LTFU from the ART program compared to their counterparts.[2]

  • PLHIV often suffer from common mental disorders as they adjust to the impact of an HIV infection diagnosis; the difficulties of living life with a chronic illness; a shortened life expectancy; and the need to take medications every day, stigmatization, and loss of social support. [7]PLHIV often experience mental health issues that lead them to stop seeking or continuing health care and to be less adherent to treatment

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Summary

Introduction

Calls by the global health community to pay closer attention to the mental health needs of people living with HIV (PLHIV) have grown considerably. There is substantial evidence that impairment in mental health leads to negative health outcomes for PLHIV at each step in the care continuum, starting with diagnosis and extending to achieving viral suppression.[1] In one systematic review that looked at predictors of loss to follow-up (LTFU) from antiretroviral therapy (ART) among adults in sub-Saharan Africa, patients who had mental illness had higher odds of LTFU from the ART program compared to their counterparts.[2] Currently, there are very few health services in low-to-middle income countries (LMICs) that address the needs of people managing the co-occurrence of HIV and mental health.

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