TY - JOUR
KW - Depression
KW - HIV
KW - implementation science
KW - Mental Health
KW - Peer
KW - prisons
KW - sub-Saharan Africa
AU - H. J. Smith
AU - S. M. Topp
AU - C. J. Hoffmann
AU - T. Ndlovu
AU - S. Charalambous
AU - L. Murray
AU - J. Kane
AU - I. Sikazwe
AU - M. Muyoyeta
AU - M. E. Herce
A1 - 
AB - PURPOSE: Despite evidence of disproportionate burden of HIV and mental health disorders among incarcerated people, scarce services exist to address common mental health disorders, including major depressive and anxiety disorders, post-traumatic stress disorder, and substance use disorders, among incarcerated people living with HIV (PLHIV) in sub-Saharan Africa (SSA). This paper aims to summarize current knowledge on mental health interventions of relevance to incarcerated PLHIV and apply implementation science theory to highlight strategies and approaches to deliver mental health services for PLHIV in correctional settings in SSA. RECENT FINDINGS: Scarce evidence-based mental health interventions have been rigorously evaluated among incarcerated PLHIV in SSA. Emerging evidence from low- and middle-income countries and correctional settings outside SSA point to a role for cognitive behavioral therapy-based talking and group interventions implemented using task-shifting strategies involving lay health workers and peer educators. Several mental health interventions and implementation strategies hold promise for addressing common mental health disorders among incarcerated PLHIV in SSA. However, to deliver these approaches, there must first be pragmatic efforts to build corrections health system capacity, address human rights abuses that exacerbate HIV and mental health, and re-conceptualize mental health services as integral to quality HIV service delivery and universal access to primary healthcare for all incarcerated people.
AD - Implementation Science Unit, Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.; James Cook University, Townsville, Australia.; The Aurum Institute, Johannesburg, South Africa.; Johns Hopkins University, Baltimore, MD, USA.; The Aurum Institute, Johannesburg, South Africa.; The Aurum Institute, Johannesburg, South Africa.; University of the Witwatersrand Johannesburg, Johannesburg, South Africa.; Johns Hopkins University, Baltimore, MD, USA.; Columbia University, New York, NY, USA.; Implementation Science Unit, Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.; Implementation Science Unit, Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.; Implementation Science Unit, Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia. michael.herce@cidrz.org.; Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. michael.herce@cidrz.org.
BT - Current HIV/AIDS reports
C5 - Healthcare Disparities
CP - 5
DO - 10.1007/s11904-020-00518-x
IS - 5
JF - Current HIV/AIDS reports
LA - eng
M1 - Journal Article
N2 - PURPOSE: Despite evidence of disproportionate burden of HIV and mental health disorders among incarcerated people, scarce services exist to address common mental health disorders, including major depressive and anxiety disorders, post-traumatic stress disorder, and substance use disorders, among incarcerated people living with HIV (PLHIV) in sub-Saharan Africa (SSA). This paper aims to summarize current knowledge on mental health interventions of relevance to incarcerated PLHIV and apply implementation science theory to highlight strategies and approaches to deliver mental health services for PLHIV in correctional settings in SSA. RECENT FINDINGS: Scarce evidence-based mental health interventions have been rigorously evaluated among incarcerated PLHIV in SSA. Emerging evidence from low- and middle-income countries and correctional settings outside SSA point to a role for cognitive behavioral therapy-based talking and group interventions implemented using task-shifting strategies involving lay health workers and peer educators. Several mental health interventions and implementation strategies hold promise for addressing common mental health disorders among incarcerated PLHIV in SSA. However, to deliver these approaches, there must first be pragmatic efforts to build corrections health system capacity, address human rights abuses that exacerbate HIV and mental health, and re-conceptualize mental health services as integral to quality HIV service delivery and universal access to primary healthcare for all incarcerated people.
PY - 2020
SN - 1548-3576; 1548-3568; 1548-3568
SP - 438
EP - 449
EP - 
T1 - Addressing Common Mental Health Disorders Among Incarcerated People Living with HIV: Insights from Implementation Science for Service Integration and Delivery
T2 - Current HIV/AIDS reports
TI - Addressing Common Mental Health Disorders Among Incarcerated People Living with HIV: Insights from Implementation Science for Service Integration and Delivery
U1 - Healthcare Disparities
U2 - 32779099
U3 - 10.1007/s11904-020-00518-x
VL - 17
VO - 1548-3576; 1548-3568; 1548-3568
Y1 - 2020
Y2 - Oct
ER -