HIV/AIDS, Mental Health Issue, Substance Use Disorders
Conditions
Keywords
Telemedicine, Patient reported outcomes, Focused training
Brief summary
This study will examine the impact of using a multicomponent intervention (patient reported outcomes, training, and telemedicine) to assist with the management of Mental Health (MH) and Substance Use Disorders (SUD) among people living with HIV (PLWH) engaged in care at UAB HIV Clinic, University of Alabama Family Clinic (Birmingham, AL), Thrive Federally Qualified Health Services Center (Huntsville), Health Services Center (Anniston), and Medical Advocacy and Outreach (Montgomery). The study will employ a hybrid type 2 implementation design. Because this intervention will be employed as the new standard of care at participating sites, all PLWH receiving care at the sites will receive this intervention. Patient-reported outcomes (PROs) will be integrated into routine care to screen PLWH for substance use and mental health disorders during routine clinical encounters. Training will be delivered to frontline clinicians so that they receive targeted knowledge on best practices for treatment of MH and SUD along with clinic-specific protocols for response to PROs on MH and SUD including treatment and referrals. Telemedicine services for MH and SUD will be offered to patients in need of expanded access to services due to a lack of clinic-level resources or additional barriers to traditional clinic visits such transportation, stigma, or substance using behaviors.
Interventions
OTHER+STEP Implementation
All patients receiving care at five RWHAP-funded clinics will receive the intervention (+STEP), in which patient-reported outcomes (PROs) on mental health and substance use disorder (SUD) will be integrated into routine care, targeted training will be provided for frontline clinicians on best practices for mental health and SUD treatment, and telemedicine for mental health and SUD will be offered to patients in need of expanded access to services.
Sponsors
University of Alabama at Birmingham
National Institute of Mental Health (NIMH)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years or older and receiving HIV care at one of the five participating sites
Exclusion criteria
* Below 18 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients completing PROs | Baseline through Year 1 | We will quantify the percentage of patients completing a PRO related to mental health or substance use |
| Percentage of staff participating in training | Baseline through Year 1 | We will use attendance logs to determine how many staff at each site complete training |
| Percentage of patients receiving a referral to a mental health or substance use service | Baseline through Year 1 | We will use EMR and scheduling data to determine the number of referrals generated |
| Percentage of patients receiving mental health or substance use service based on attendance | Baseline through Year 1 | We will use EMR and scheduling data to determine the number of visits attended |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage engaged in HIV care | Baseline through Year 1 | We will determine the number of participants engage in HIV care |
| Percentage receiving antiretroviral therapy for HIV | Baseline through Year 1 | We will determine the number of participants receiving HIV treatment |
| Number of Patients Achieving a Viral Load Suppression | Baseline through Year 1 | We will determine the number of participants who have achieved Viral Load suppression, s defined by a Viral load of \<20 copies per milliliter |
Contacts
PRINCIPAL_INVESTIGATOREllen Eaton, MD, MSPH
University of Alabama at Birmingham (UAB)
Outcome results
None listed