TY - JOUR
AU - L. L. Brown
AU - A. W. Batchelder
AU - M. C. Gondré-Lewis
AU - T. C. Willie
AU - L. A. Chwastiak
A1 - 
AB - People who have behavioral health disorders are disproportionately represented among people with HIV and those likely to be diagnosed with HIV. Despite repeated calls for the past decade for the integration of behavioral health into the HIV Care Continuum, findings from priority jurisdictions show these efforts lag. We present 5 examples of efforts to integrate behavioral health services into the HIV Care Continuum, across regions and populations in Ending the HIV Epidemic priority regions. Across diverse settings, care provision-screening, assessment, referrals, and treatments-remains insufficient. Consistent, ongoing actions are needed to address the compounded consequences of the HIV and behavioral health synergistic epidemics, or syndemic. The studies in this article involved local communities, provider groups, and people with lived experience of trauma, serious mental illness, neuropsychological disorder, substance use disorder, and HIV. These example studies reveal significant unmet needs for behavioral health care and/or HIV prevention and treatment in these priority communities. A common finding among these examples was that the success of interventions hinges on the extent to which interventions are tailored to local contexts and the specific needs of historically underserved populations, including Black women, the socioeconomically disadvantaged, LGBTQIA+ individuals, and people with serious mental illness and/or substance use disorders. We suggest recommendations for how Ending the HIV Epidemic efforts can be optimized to adapt and implement integrated HIV and behavioral health care to advance national goals.
AD - Family and Community Medicine, Psychiatry & Behavioral Sciences, Meharry Medical College, Nashville, TN.; School of Medicine, Infectious Disease Division, Vanderbilt University Medical Center, Nashville, TN.; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA.; Department of Psychiatry, Massachusetts General Hospital/ Harvard Medical School, Boston, MA.; Laboratory for Developmental NeuroPsychopharmacology, Department of Anatomy, Howard University College of Medicine, Washington, DC.; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; and.; Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA.
AN - 40163067
BT - J Acquir Immune Defic Syndr
C5 - Healthcare Disparities; Opioids & Substance Use; Medically Unexplained Symptoms
CP - 5s
DA - Apr 15
DO - 10.1097/qai.0000000000003615
DP - NLM
IS - 5s
JF - J Acquir Immune Defic Syndr
LA - eng
N2 - People who have behavioral health disorders are disproportionately represented among people with HIV and those likely to be diagnosed with HIV. Despite repeated calls for the past decade for the integration of behavioral health into the HIV Care Continuum, findings from priority jurisdictions show these efforts lag. We present 5 examples of efforts to integrate behavioral health services into the HIV Care Continuum, across regions and populations in Ending the HIV Epidemic priority regions. Across diverse settings, care provision-screening, assessment, referrals, and treatments-remains insufficient. Consistent, ongoing actions are needed to address the compounded consequences of the HIV and behavioral health synergistic epidemics, or syndemic. The studies in this article involved local communities, provider groups, and people with lived experience of trauma, serious mental illness, neuropsychological disorder, substance use disorder, and HIV. These example studies reveal significant unmet needs for behavioral health care and/or HIV prevention and treatment in these priority communities. A common finding among these examples was that the success of interventions hinges on the extent to which interventions are tailored to local contexts and the specific needs of historically underserved populations, including Black women, the socioeconomically disadvantaged, LGBTQIA+ individuals, and people with serious mental illness and/or substance use disorders. We suggest recommendations for how Ending the HIV Epidemic efforts can be optimized to adapt and implement integrated HIV and behavioral health care to advance national goals.
PY - 2025
SN - 1525-4135
SP - e146
EP - e155+
ST - Innovations to Address Unmet Behavioral Health Needs in National Ending the HIV Epidemic Priority Jurisdictions
T1 - Innovations to Address Unmet Behavioral Health Needs in National Ending the HIV Epidemic Priority Jurisdictions
T2 - J Acquir Immune Defic Syndr
TI - Innovations to Address Unmet Behavioral Health Needs in National Ending the HIV Epidemic Priority Jurisdictions
U1 - Healthcare Disparities; Opioids & Substance Use; Medically Unexplained Symptoms
U3 - 10.1097/qai.0000000000003615
VL - 98
VO - 1525-4135
Y1 - 2025
ER -