TY - JOUR
AU - S. Halliday
AU - J. C. Dombrowski
AU - R. Emerson
AU - K. Beima-Sofie
AU - L. A. Chwastiak
AU - K. Sherr
AU - J. I. Tsui
AU - B. H. Wagenaar
AU - D. Rao
A1 - 
AB - Integrated behavioral healthcare interventions have increased access to care for people with behavioral health conditions in primary care settings. However, they have not been widely implemented in low-barrier HIV care settings where undertreated behavioral health needs remain high. We conducted a formative qualitative evaluation, using in-depth interviews with purposively selected stakeholders (n = 13) and patients (n = 16), to identify anticipated barriers and facilitators to integrating care for depression and opioid use disorder for people with HIV via the Collaborative Care Model at a low-barrier HIV clinic. Patients and stakeholders expressed their enthusiasm for the Collaborative Care Model based on its perceived relative advantage over the standard of care referral system. Availability of resources, practical concerns about perceived fit with low-barrier HIV care, and anticipated suitability given other behavioral health comorbidities and patients' complex socioeconomic needs partially tempered stakeholder perceptions of appropriateness for the Collaborative Care Model. Patients and service delivery stakeholders were receptive to the Collaborative Care Model, but felt it was moderately appropriate in the context of low-barrier HIV care, which necessitated key adaptations to core model components to improve its contextual fit.
AD - University of Washington, Department of Global Health, Seattle, WA, USA.; University of Washington, Department of Medicine, Seattle, WA, USA.; University of Washington, Department of Epidemiology, Seattle, WA, USA.; Public Health - Seattle & King County HIV/STI/HCV Program, Seattle, WA, USA.; University of Washington, Department of Psychiatry and Behavioral Sciences, Seattle, WA, USA.; University of Washington, Department of Industrial & Systems Engineering, Seattle, WA, USA.
AN - 39531512
BT - AIDS Care
C5 - Education & Workforce; Healthcare Disparities
CP - 1
DA - Jan
DO - 10.1080/09540121.2024.2411296
DP - NLM
ET - 20241112
IS - 1
JF - AIDS Care
LA - eng
N2 - Integrated behavioral healthcare interventions have increased access to care for people with behavioral health conditions in primary care settings. However, they have not been widely implemented in low-barrier HIV care settings where undertreated behavioral health needs remain high. We conducted a formative qualitative evaluation, using in-depth interviews with purposively selected stakeholders (n = 13) and patients (n = 16), to identify anticipated barriers and facilitators to integrating care for depression and opioid use disorder for people with HIV via the Collaborative Care Model at a low-barrier HIV clinic. Patients and stakeholders expressed their enthusiasm for the Collaborative Care Model based on its perceived relative advantage over the standard of care referral system. Availability of resources, practical concerns about perceived fit with low-barrier HIV care, and anticipated suitability given other behavioral health comorbidities and patients' complex socioeconomic needs partially tempered stakeholder perceptions of appropriateness for the Collaborative Care Model. Patients and service delivery stakeholders were receptive to the Collaborative Care Model, but felt it was moderately appropriate in the context of low-barrier HIV care, which necessitated key adaptations to core model components to improve its contextual fit.
PY - 2025
SN - 0954-0121 (Print); 0954-0121
SP - 74
EP - 87+
ST - Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic
T1 - Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic
T2 - AIDS Care
TI - Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic
U1 - Education & Workforce; Healthcare Disparities
U3 - 10.1080/09540121.2024.2411296
VL - 37
VO - 0954-0121 (Print); 0954-0121
Y1 - 2025
ER -