Interventions and approaches to integrating HIV and mental health services: a systematic review
This systematic review draws upon the frequency in which HIV and AIDS and mental health problems co-occur and highlights the need for effective care models combining services for HIV and mental health. This review synthesizes the literature on interventions and approaches integrating these services.
Available literature on interventions integrating HIV and mental health services reveal that there is much diversity in the approaches adopted in combining treatment modalities; ranging from integration within a single facility, to multi-facility integration, and integrated care coordinated by non-physician case managers.
Existing evidence, although limited, suggest that integrating HIV and mental health services may be linked to improved patient and service delivery outcomes in diverse settings.
There is a need for higher quality and robustly designed studies to evaluate and compare integration models at different levels of service delivery in terms of long-term impact on patient outcomes and cost-effectiveness, particularly in low- and middle-income countries with high HIV and AIDS burden.