@article{39f771d64b3145e18eb4908bacb9143d,
title = "Improvements in Retention in Care and HIV Viral Suppression Among Persons with HIV and Comorbid Mental Health Conditions: Patient-Centered HIV Care Model",
abstract = "The Patient-centered HIV Care Model (PCHCM) integrated community-based pharmacists with medical providers and required sharing of patient clinical information and collaborative therapy-related action planning. We determined the proportions of participants with HIV and mental health conditions who were retained in care and the proportion virally suppressed, pre- and post-implementation. Overall, we found a relative 13% improvement in both retention [60% to 68% (p = 0.009)] and viral suppression [79% to 90% (p < 0.001)]. Notable improvements were seen among persons triply diagnosed with HIV, mental illness and substance use [+ 36% (50% to 68%, p = 0.036) and + 32% (66% to 86%, p = 0.001) in retention and viral suppression, respectively]. There were no differences in the proportions of persons adherent to psychiatric medications, pre- to post-implementation, nor were there differences in the proportions of persons retained in care or virally suppressed by psychiatric medication adherence, post-implementation. PCHCM demonstrated that collaborations between community-based pharmacists and medical providers can improve HIV care continuum outcomes among persons with mental health conditions.",
keywords = "HIV, Mental disorders, Patient-centered HIV care model, Retention in care, Sustained virologic response",
author = "{the Patient-centered HIV Care Model Team} and Byrd, {Kathy K.} and Felicia Hardnett and Hou, {John G.} and Clay, {Patrick G.} and Sumihiro Suzuki and Camp, {Nasima M.} and Shankle, {Michael D.} and Weidle, {Paul J.} and Taitel, {Michael S.} and Byrd, {Kathy K.}",
note = "Funding Information: This work was supported by the Secretary?s Minority AIDS Initiative Fund and the Centers for Disease Control and Prevention through a Co-operative Agreement (Grant Number NU65PS004275) with the University of North Texas Health Science Center System College of Pharmacy. Walgreens Co. provided all pharmacist services in-kind. Patient-centered HIV Care Model Team Michael Aguirre, Osayi Akinbosoye, David M. Bamberger, Ben Bluml, Katura Bullock, Diane C. Burrell, Tim Bush, Clifton Bush, Kathy K. Byrd (Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS US8-4, Atlanta, GA, 30329, USA), Chad Cadwell, Nasima M. Camp (Department of Health, Research, Informatics, and Technology, ICF, Atlanta, GA, USA), Roberto Cardarelli, Terri Clark, Patrick G. Clay (Department of Pharmacotherapy, University of North Texas Health Science Center System College of Pharmacy, Fort Worth, TX, USA), Andrew Crim, Angela Cure, Kristin Darin, Traci Dean, Ambrose Delpino, Michael DeMayo, Shara Elrod, Ashley L. Eschmann, David Farmer, Rose Farnan, Heather Free, Andrew Gudzelak Jr., Andrew Halbur, Felicia Hardnett (Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS US8-4, Atlanta, GA, 30329, USA), Ronald Hazen, Heidi Hilker, John Hou (Health Analytics, Research, and Reporting Department, Walgreen Co., Deerfield, IL, USA), Brian Hujdich, Lisa Johnson, Heather Kirkham, James Lecounte, Sayuri Lio, Guanzhong Lo, Mazzoni Center HIV Care Team of Clinicians, Sondra Middleton, Brittany Mills, Stacy Muckelroy, Christopher M. Nguyen, Linda Ortiz, Glen Pietrandoni, Kimberly K. Scarsi, Jon Schommer, Michael D. Shankle (HealthHIV, Washington, DC, USA), Ram Shrestha, Daron Smith, Sumihiro Suzuki (Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, USA), Michael S. Taitel (Health Analytics, Research, and Reporting Department, Walgreen Co., Deerfield, IL, USA), Gebeyehu N. Teferi, Vikas Tomer, Louis Torres, Paul J. Weidle (Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS US8-4, Atlanta, GA, 30329, USA), Carmelita Whitfield, and Jason E. Willman. Funding Information: This work was supported by the Secretary{\textquoteright}s Minority AIDS Initiative Fund and the Centers for Disease Control and Prevention through a Co-operative Agreement (Grant Number NU65PS004275) with the University of North Texas Health Science Center System College of Pharmacy. Walgreens Co. provided all pharmacist services in-kind. Patient-centered HIV Care Model Team Michael Aguirre, Osayi Akinbosoye, David M. Bamberger, Ben Bluml, Katura Bullock, Diane C. Burrell, Tim Bush, Clifton Bush, Kathy K. Byrd (Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS US8-4, Atlanta, GA, 30329, USA), Chad Cadwell, Nasima M. Camp (Department of Health, Research, Informatics, and Technology, ICF, Atlanta, GA, USA), Roberto Cardarelli, Terri Clark, Patrick G. Clay (Department of Pharmacotherapy, University of North Texas Health Science Center System College of Pharmacy, Fort Worth, TX, USA), Andrew Crim, Angela Cure, Kristin Darin, Traci Dean, Ambrose Delpino, Michael DeMayo, Shara Elrod, Ashley L. Eschmann, David Farmer, Rose Farnan, Heather Free, Andrew Gudzelak Jr., Andrew Halbur, Felicia Hardnett (Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS US8-4, Atlanta, GA, 30329, USA), Ronald Hazen, Heidi Hilker, John Hou (Health Analytics, Research, and Reporting Department, Walgreen Co., Deerfield, IL, USA), Brian Hujdich, Lisa Johnson, Heather Kirkham, James Lecounte, Sayuri Lio, Guanzhong Lo, Mazzoni Center HIV Care Team of Clinicians, Sondra Middleton, Brittany Mills, Stacy Muckelroy, Christopher M. Nguyen, Linda Ortiz, Glen Pietrandoni, Kimberly K. Scarsi, Jon Schommer, Michael D. Shankle (HealthHIV, Washington, DC, USA), Ram Shrestha, Daron Smith, Sumihiro Suzuki (Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, USA), Michael S. Taitel (Health Analytics, Research, and Reporting Department, Walgreen Co., Deerfield, IL, USA), Gebeyehu N. Teferi, Vikas Tomer, Louis Torres, Paul J. Weidle (Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS US8-4, Atlanta, GA, 30329, USA), Carmelita Whitfield, and Jason E. Willman. Publisher Copyright: {\textcopyright} 2020, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.",
year = "2020",
month = dec,
doi = "10.1007/s10461-020-02913-2",
language = "English",
volume = "24",
pages = "3522--3532",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "12",
}