TY - JOUR
AU - C. M. Ferraris
AU - C. Magana
AU - J. Knox
A1 - 
AB - PURPOSE OF REVIEW: Substance use disorders (SUDs) are common among people with HIV (PWH) and have been linked to sub-optimal HIV care outcomes. Integration of substance use services into HIV care is an implementation strategy with potential to increase uptake of substance use services and improve HIV care outcomes. This review synthesizes recent U.S.-based studies on the epidemiology of substance use and HIV and integrated care models. RECENT FINDINGS: We identified 18 studies published between January 2023 and June 2025. These studies reported high prevalence of substance use among PWH, with disparities by race/ethnicity and sexual orientation. Examples of integrated care models ranged from co-located low-barrier clinics to brief behavioral interventions. Overall, integration strategies were feasible and acceptable but demonstrated variable levels of reach and impact on HIV care outcomes. Few studies explicitly used implementation science frameworks. SUMMARY: Effective integration of SUD and HIV care has the potential to improve uptake of substance use services, address disparities, and aligns with federal initiatives to achieve HIV and substance use public health goals, such as Ending the HIV Epidemic and HEAL. Increased application of implementation science could guide the evaluation of these programs and hopefully enhance their reach and impact.
AD - New York State Psychiatric Institute, New York, New York.; School of Social Policy & Practice, University of Pennsylvania, Philadelphia, Pennsylvania.; Department of Psychiatry.; Department of Sociomedical Sciences, Columbia University, New York, New York, USA.
AN - 40928060
BT - Curr Opin HIV AIDS
C5 - Opioids & Substance Use
CP - 6
DA - Nov 1
DO - 10.1097/coh.0000000000000980
DP - NLM
ET - 20250905
IS - 6
JF - Curr Opin HIV AIDS
LA - eng
N2 - PURPOSE OF REVIEW: Substance use disorders (SUDs) are common among people with HIV (PWH) and have been linked to sub-optimal HIV care outcomes. Integration of substance use services into HIV care is an implementation strategy with potential to increase uptake of substance use services and improve HIV care outcomes. This review synthesizes recent U.S.-based studies on the epidemiology of substance use and HIV and integrated care models. RECENT FINDINGS: We identified 18 studies published between January 2023 and June 2025. These studies reported high prevalence of substance use among PWH, with disparities by race/ethnicity and sexual orientation. Examples of integrated care models ranged from co-located low-barrier clinics to brief behavioral interventions. Overall, integration strategies were feasible and acceptable but demonstrated variable levels of reach and impact on HIV care outcomes. Few studies explicitly used implementation science frameworks. SUMMARY: Effective integration of SUD and HIV care has the potential to improve uptake of substance use services, address disparities, and aligns with federal initiatives to achieve HIV and substance use public health goals, such as Ending the HIV Epidemic and HEAL. Increased application of implementation science could guide the evaluation of these programs and hopefully enhance their reach and impact.
PY - 2025
SN - 1746-630x
SP - 612
EP - 620+
ST - Integrating substance use services into HIV care: an underused implementation science opportunity
T1 - Integrating substance use services into HIV care: an underused implementation science opportunity
T2 - Curr Opin HIV AIDS
TI - Integrating substance use services into HIV care: an underused implementation science opportunity
U1 - Opioids & Substance Use
U3 - 10.1097/coh.0000000000000980
VL - 20
VO - 1746-630x
Y1 - 2025
ER -