Addressing common mental health disorders among incarcerated people living with HIV: insights from implementation science for service integration and delivery

Smith, Helene J, Topp, Stephanie M., Hoffmann, Christopher J., Ndlovu, Thulani, Charalambous, Salome, Murray, Laura, Kane, Jeremy, Sikazwe, Izukanje, Muyoyeta, Monde, and Herce, Michael E. (2020) Addressing common mental health disorders among incarcerated people living with HIV: insights from implementation science for service integration and delivery. Current HIV/AIDS Reports. (In Press)

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Abstract

Purpose: Despite evidence of disproportionate burden of HIV and mental health disorders among incarcerated people, scarce services exist to address common mental health disorders, including major depressive and anxiety disorders, post-traumatic stress disorder, and substance use disorders, among incarcerated people living with HIV (PLHIV) in sub-Saharan Africa (SSA). This paper aims to summarize current knowledge on mental health interventions of relevance to incarcerated PLHIV and apply implementation science theory to highlight strategies and approaches to deliver mental health services for PLHIV in correctional settings in SSA.

Recent Findings: Scarce evidence-based mental health interventions have been rigorously evaluated among incarcerated PLHIV in SSA. Emerging evidence from low- and middle-income countries and correctional settings outside SSA point to a role for cognitive behavioral therapy-based talking and group interventions implemented using task-shifting strategies involving lay health workers and peer educators.

Summary: Several mental health interventions and implementation strategies hold promise for addressing common mental health disorders among incarcerated PLHIV in SSA. However, to deliver these approaches, there must first be pragmatic efforts to build corrections health system capacity, address human rights abuses that exacerbate HIV and mental health, and re-conceptualize mental health services as integral to quality HIV service delivery and universal access to primary healthcare for all incarcerated people.

Item ID: 64109
Item Type: Article (Research - C1)
ISSN: 1548-3576
Keywords: mental health, depression, prisons, sub-Saharan Africa, HIV, peer, implementation science
Copyright Information: © Springer Science+Business Media, LLC, part of Springer Nature 2020.
Date Deposited: 31 Aug 2020 21:51
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111714 Mental Health @ 40%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 20%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 40%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920209 Mental Health Services @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920599 Specific Population Health (excl. Indigenous Health) not elsewhere classified @ 50%
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