TargetHIV
- Depression is the most common mental health challenge for people with HIV.
- People who are depressed are less likely to follow health care advice and take their medications as directed.
- Ryan White HIV/AIDS Program grant recipients must report on depression screening and is included in one of the HAB Performance Measures.
- Educate your staff to develop support and buy-in. Address the impact of HIV and behavioral health problems in creating stigma challenges for your clients. Discuss how your staff and agency can confront these barriers.
Resources:- HIV and Mood Disorders, AETC Program. (Infographic).
- Perplexed by Your Patients? Mental Health Screening May Have the Answer, Ryan White Clinical Conference Presentation (45 minute Webcast).
- See the National HIV Curriculum.
Decide how depression screening will fit within your current scope of services. For example:
- Where does it fit within your client flow?
- How will you respond to a positive depression screening result?
Resources:
- Mental Health/Substance Use Care: Clinic/Health Center Readiness Assessment, AETC Program. (Tool)
- Playbook: Establish Operational Systems to Support Integration, AHRQ, The Academy: Integrating Behavioral Health and Primary Care. (Online Manual)
- See the National HIV Curriculum.
- Identify what new depression services and resources are needed and how to put them in place.
Resources:- Playbook: Obtain Behavioral Health Expertise and Build a Culture of Integration, AHRQ, The Academy: Integrating Behavioral Health and Primary Care. (Online Manual)
- Add depression screening to your routine client flow.
Resources:- Depression Screening Tools. In: Integrating Mental Health and Substance Use Care into HIV Primary Care Toolkit. AETC Program. (Tools)
- Train staff in the use of screening tools and where they fit within your clinic flow.
Resources:- Playbook: Establish Operational Systems to Support Integration, AHRQ, The Academy: Integrating Behavioral Health and Primary Care (Online Manual).
- Building Your Clinical Skills, AIMS Center (Advancing Integrated Mental Health Solutions), University of Washington. (Online Training)
- Consider creating a quality improvement project to guide you through the process.
Resources:- NQC Quality Academy: Using the HAB Measures, National Quality Center. (Online Training)
- Identify internal depression services and/or external referral relationships.
Resources:- Collaborative Care Team Structure, AIMS Center (Advancing Integrated Mental Health Solutions), University of Washington. (Online Training)
- Evaluate treatment options and decide whether to incorporate them within your agency or to develop external partnerships.
Resources:- See the National HIV Curriculum.
- Building Your Clinical Skills, AIMS Center (Advancing Integrated Mental Health Solutions), University of Washington. (Online Training)
- HIV Testing Sites and Care Services Locator, HIV.gov. (Online database)
- Monitor the new steps and services and adjust anything that isn't working.
- Continue to provide staff training related to depression, stigma, and your new processes.
- Make adjustments to other services to fit with new depression screening and treatment programs.
Resources:- Grantee Voices RSR Data: It's Not Just for Meeting Reporting Requirements, Ryan White Data and Reporting Technical Assistance Team. (Online Training)
- See the National HIV Curriculum.
- The Academy for Integrating Behavioral Health and Primary Care
This U.S. Agency for Healthcare Research and Quality (AHRQ)-sponsored project serves as a national resource and a coordinating center for people committed to delivering comprehensive, whole-person health care. The "Playbook" includes detailed step-by-step advice for behavioral health integration. - Integrating Mental Health and Substance Use Care into HIV Primary Care Toolkit
From the AIDS Education and Training Centers Program. Selected tools for HIV clinics wishing to provide integrated care. Includes links to local and regional AETC technical assistance providers. - SAMHSA-HRSA Center for Integrated Health Solutions (CIHS)
CIHS promotes the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in behavioral health or primary care provider settings. Services include an online resource library and free expert consultation.
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