Integrating Status-Neutral Linkage to Services in Behavioral Health Organizations

将状态中立的联系整合到行为健康组织的服务中

• 批准号: 10599470
• 负责人: Jane M. Simoni
• 金额: $ 29.95万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10599470
• 关键词: AIDS prevention; Accident and Emergency department; Acute; Administrator; Area; Back; Bipolar Disorder; Caring; Client; Clinic; Code; Communities; Community Mental Health Centers; Complex; Congresses; Consolidated Framework for Implementation Research; County; Data; Data Reporting; Development; Disease; Effectiveness; Elements; Epidemic; Equipment and supply inventories; Foundations; Frontline worker; General Population; Goals; Group Meetings; HIV; HIV Infections; Health Personnel; Healthcare; Healthcare Systems; Homelessness; Human immunodeficiency virus test; Incidence; Individual; Institutes; Interview; Knowledge; Leadership; Learning; Link; Medical; Mental Health; Mental Health Services; Mental disorders; Methods; Modeling; Needle-Exchange Programs; New York; Outpatients; Persons; Population; Preparation; Prevalence; Primary Health Care; Provider; Recovery; Reporting; Research; Research Personnel; Resources; Risk; Sampling; Schizoaffective Disorders; Schizophrenia; Services; Specific qualifier value; Structure; Substance Use Disorder; Surveys; System; Testing; Time; Work; World Health Organization; base; behavioral health; case finding; data sharing; design; evidence base; experience; health care availability; health organization; high risk behavior; implementation barriers; implementation science; implementation strategy; implementation trial; improved; member; peer; peer learning; person centered; pre-exposure prophylaxis; prevent; prevention service; programs; screening; screening services; severe mental illness; social; surveillance data; testing services

PROJECT SUMMARY/ABSTRACT To reach the Ending the HIV Epidemic (EHE) targets for reducing new HIV infections by 2030, King County WA must improve its plan to reach individuals with behavioral health disorders. County surveillance data reveal very high rates of mental disorders and substance use disorder among new HIV infections since 2018. Research has demonstrated that the HIV prevalence among people with serious mental illnesses (such as schizophrenia and bipolar disorder) is at least four times that of the general population, but that these individuals are inconsistently tested and often missed through HIV screening efforts. Most people with the US who have serious mental illness access the healthcare system through their mental health provider, but rates of screening and prevention services are low in community mental health settings. The goal of this research is to increase the capacity of King County behavioral health organizations to provide rapid HIV testing and linkage to proven prevention services (pre-exposure prophylaxis and syringe services programs that are the focus of the Prevent Pillar of the King County EHE plan) to reduce HIV incidence in King County. Current EHE efforts include Learning Collaboratives--a widely-used implementation strategy to support implementation of new services or improve care—to increase HIV testing and linkage to services in emergency departments and primary care clinics. The current one-year proposal aims to develop an EHE Collaborative to support behavioral health organizations to increase access to HIV testing and linkage to services among a critical population that is not being reached by current EHE efforts. We propose to identify best practices for HIV prevention services and barriers and facilitators to implementing a status neutral approach to HIV services. We will utilize a mixed methods approach, collecting both quantitative data from an inventory of services and resources completed by directors of the 25 member organizations of the King County Behavioral Health Provider Association and qualitative data through in-depth interviews of 45 individuals who represent key stakeholder groups in efforts to improve HIV prevention services in behavioral health organizations. This proposal leverages a unique opportunity to layer rigorous implementation science research on existing EHE activities, to generate knowledge both about how to build HIV prevention capacity in behavioral health organizations and how to evaluate EHE Learning Collaboratives. At the end of the proposal, we will have a tailored EHE Collaborative for Behavioral Health organizations which we will test in a subsequent implementation trial.

项目总结/文摘