Evidence map›Paper›PMID 37351687›Full record

ArticleAIDS and behavior2023

Substance Use and Mental Health Comorbidities and Receipt of Specialty Care Among Patients Enrolled in a Low-Barrier HIV Clinic.

Eden E Altwies, Kaitlin A Zinsli, Lydia Chwastiak, Judith I Tsui, Elenore P Bhatraju, Meena S Ramchandani, Matthew R Golden, Julia C Dombrowski

Abstract read
In one paragraph

Article in AIDS and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

8 authors.

Eden E AltwiesSchool of Medicine, University of Washington, Seattle, WA, USA. eden.e.altwies@gmail.com.
Kaitlin A ZinsliDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Lydia ChwastiakDepartment of Psychiatry, University of Washington, Seattle, WA, USA.
Judith I TsuiDepartment of Medicine, University of Washington, Seattle, WA, USA.
Elenore P BhatrajuDepartment of Medicine, University of Washington, Seattle, WA, USA.
Meena S RamchandaniDepartment of Medicine, University of Washington, Seattle, WA, USA.
Matthew R GoldenDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Julia C DombrowskiDepartment of Epidemiology, University of Washington, Seattle, WA, USA.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI CHWASTIAK, LYDIA ANN · 2021 to 2024
$5.8M
Development and Evaluation of Video-Based Directly Observed Therapy for Office-Based Treatment of Opioid Use Disorders with BuprenorphineR44DA044053 · NIDA · EMOCHA MOBILE HEALTH, INC. · PI SEIGUER, SEBASTIAN, TSUI, JUDITH · 2017 to 2019
$2.8M
The UW Medical Student Addiction Research (MedStAR) Program to Address Substance Use and Disorders in Urban and Rural Communities in Five Western StatesR25DA050985 · NIDA · UNIVERSITY OF WASHINGTON · PI Judith Tsui · 2020 to 2026
$2.6M
Building and Implementing Best Practices for Buprenorphine Initiation in the Setting of Fentanyl UseK23DA058751 · NIDA · UNIVERSITY OF WASHINGTON · PI Elenore Bhatraju · 2023 to 2026
$737k
Collaborative Care Management for Integrated Mental Health and Substance Use Treatment in Low-Barrier HIV CareR34MH124625 · NIMH · UNIVERSITY OF WASHINGTON · PI DOMBROWSKI, JULIA COOK · 2020 to 2021
$678k
NIAID NIH HHS P30 AI027757NIDA NIH HHS 1R25DA050985NIDA NIH HHS K23 DA058751NIDA NIH HHS R25 DA050985NIDA NIH HHS R44 DA044053NIMH NIH HHS P30 MH123248NIMH NIH HHS R34 MH124625
6 · The paper itself

Abstract

Low-barrier care is one model of a differentiated service delivery approach for people with HIV (PWH) who are not engaged in conventionally-organized HIV care. Although psychiatric and substance use disorders are common among patients in low-barrier clinics, approaches to behavioral health service delivery within this context have not been well-described. We conducted a descriptive analysis using retrospective review of medical records to evaluate substance use and psychiatric comorbidities and receipt of behavioral health services among patients in the Max Clinic in Seattle, Washington. Among 227 patients enrolled from 2015 to mid-2020, most had a history of hazardous substance use (85%), a psychiatric diagnosis (69%) or unstable housing (69%) documented in the medical record. Less than half of patients referred for depression treatment (33%) or for opioid use disorder treatment (40%) completed even one specialty care visit. More effective approaches are needed to engage patients in behavioral health services within the context of low-barrier HIV care.

Indexed as

HIV InfectionsSubstance-Related DisordersComorbidityHealth ServicesHumansMental HealthHIVHousing InstabilityMental DisordersPopulation CharacteristicsSubstance-Related Disorders

Identifiers

PMID37351687
PMCPMC11022825

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.