Evidence map›Paper›PMID 26688187›Full record

ArticlePsychosomatics

Factors Influencing the Delivery of HIV-Related Services to Severely Mentally Ill Individuals: The Provider's Perspective.

Monica Biradavolu, Yujiang Jia, Keenan Withers, Suad Kapetanovic

Abstract read
In one paragraph

Article in Psychosomatics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Monica BiradavoluDepartment of Sociology, American University, Washington, DC.
Yujiang JiaWashington DC HIV/AIDS, Hepatitis, STD and TB Administration, Washington, DC.
Keenan WithersNational Institutes of Health, National Institute of Mental Health, Bethesda, MD.
Suad KapetanovicNational Institutes of Health, National Institute of Mental Health, Bethesda, MD; Department of Psychiatry and The Behavioral Sciences, University of Southern California Keck School of Medicine, Los Angeles, CA. Electronic address: kapetano@usc.edu.
American University · USGovernment of the District of Columbia · USNational Institutes of Health · USUniversity of Southern California · US

Funding

Psychiatry Consultation Liaison Service ResearchZIAMH002922 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PAO, MARYLAND · 2009 to 2025
$11.5M
Intramural NIH HHS Z99 MH999999
6 · The paper itself

Abstract

backgroundIndividuals with severe mental illnesses (SMI) are disproportionately vulnerable to HIV infection but are not consistently engaged in HIV-related services.

objectiveTo understand factors influencing implementation of HIV-related services to individuals with SMI, we conducted a series of focus groups with multidisciplinary clinicians and staff serving individuals with SMI in outpatient, emergency, acute inpatient, and chronic inpatient levels of care.

methodSix focus groups with 30 participants were conducted, audiotaped, and transcribed. Our qualitative analysis drew on Grounded Theory. Using NVivo Version 9, coding was conducted by the first and senior authors; interrater reliability was verified by running Coding Comparison queries.

resultsThe providers' narratives highlighted (1) patient-related factors, (2) stigma, and (3) administrative factors as themes particularly relevant to the delivery of HIV-related services to individuals with SMI. The reported relevance of these factors ranged across levels of care, from creating multiple barriers in the outpatient care to relatively seamless and effective delivery of full continuum of HIV-related services in the chronic inpatient environment, where adequate structural support is provided.

conclusionProviders' narratives suggest that effective delivery of HIV-related services for individuals with SMI requires sustained structural support that is coordinated across levels of psychiatric care and tailored to individual patient's needs. The narratives also suggest that such support is currently not available.

Indexed as

Attitude of Health PersonnelCommunity Mental Health ServicesDelivery of Health CareAmbulatory CareCase ManagersCommunity Health ServicesComorbidityEmergency Services, PsychiatricFocus GroupsGrounded TheoryHIV InfectionsHospitals, PsychiatricHumansInfectious Disease MedicineMass ScreeningMental Disorders

Identifiers

PMID26688187
PMCPMC4724240
OpenAlexW1026324584

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.