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01-06-2017 | Brief Report

Come as You Are: Improving Care Engagement and Viral Load Suppression Among HIV Care Coordination Clients with Lower Mental Health Functioning, Unstable Housing, and Hard Drug Use

Authors: Mary K. Irvine, Stephanie A. Chamberlin, Rebekkah S. Robbins, Sarah G. Kulkarni, McKaylee M. Robertson, Denis Nash

Published in: AIDS and Behavior | Issue 6/2017

Abstract

Lower mental health functioning, unstable housing, and drug use can complicate HIV clinical management. Merging programmatic and surveillance data, we examined characteristics and outcomes for HIV Care Coordination clients enrolled between December 2009 and March 2013. For clients diagnosed over 12 months before enrollment, we calculated post- versus pre-enrollment relative risks for short-term (12-month) care engagement and viral suppression. Both outcomes significantly improved in all subgroups, including those with lower mental health functioning, unstable housing, or hard drug use. Analyses further stratified within barrier-affected groups showed a tendency toward greater improvement when that barrier was reduced during the follow-up year.

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Title: Come as You Are: Improving Care Engagement and Viral Load Suppression Among HIV Care Coordination Clients with Lower Mental Health Functioning, Unstable Housing, and Hard Drug Use
Authors: Mary K. Irvine
Stephanie A. Chamberlin
Rebekkah S. Robbins
Sarah G. Kulkarni
McKaylee M. Robertson
Denis Nash
Publication date: 01-06-2017
Publisher: Springer US
Published in: AIDS and Behavior / Issue 6/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-016-1460-4

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Come as You Are: Improving Care Engagement and Viral Load Suppression Among HIV Care Coordination Clients with Lower Mental Health Functioning, Unstable Housing, and Hard Drug Use

Abstract

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Abstract

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