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Addressing Common Mental Health Disorders Among Incarcerated People Living with HIV: Insights from Implementation Science for Service Integration and Delivery

  • Implementation Science (E Geng, Section Editor)
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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.

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Authors and Affiliations

  1. Implementation Science Unit, Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia

    Helene J. Smith, Izukanji Sikazwe, Monde Muyoyeta & Michael E. Herce

  2. James Cook University, Townsville, Australia

    Stephanie M. Topp

  3. The Aurum Institute, Johannesburg, South Africa

    Christopher J. Hoffmann, Thulani Ndlovu & Salome Charalambous

  4. Johns Hopkins University, Baltimore, MD, USA

    Christopher J. Hoffmann & Laura Murray

  5. University of the Witwatersrand Johannesburg, Johannesburg, South Africa

    Salome Charalambous

  6. Columbia University, New York, NY, USA

    Jeremy Kane

  7. Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Michael E. Herce

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  1. Helene J. Smith
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Smith, H.J., Topp, S.M., Hoffmann, C.J. et al. Addressing Common Mental Health Disorders Among Incarcerated People Living with HIV: Insights from Implementation Science for Service Integration and Delivery. Curr HIV/AIDS Rep 17, 438–449 (2020). https://doi.org/10.1007/s11904-020-00518-x

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