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Collaborative HIV/AIDS Mental Health Project (CHAMP)

Collaborative HIV/AIDS Mental Health Project (CHAMP). Susan Reif, PhD, LCSW Center for Health Policy and Inequalities Research The project described was supported by Award Number R21MH082686 from the National Institute Of Mental Health. Background and Objectives.

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Collaborative HIV/AIDS Mental Health Project (CHAMP)

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  1. Collaborative HIV/AIDS Mental Health Project (CHAMP) Susan Reif, PhD, LCSW Center for Health Policy and Inequalities Research The project described was supported by Award Number R21MH082686 from the National Institute Of Mental Health

  2. Background and Objectives • Mental Illness among individuals with HIV is: • Highly prevalent (Galvan et al, 2003; Pence et al 2007) • Associated with negative health outcomes (Uldall et al 2004; Walkup et al 2008) • Frequently untreated (Bottonari et al 2009; Sayles et al 2009) • To address treatment barriers, CHAMP pilot study examined feasibility and outcomes associated with in-home/community mental health (MH) counseling.

  3. METHODS • Community based participatory research approach used to create the intervention • Eligibility Criteria: HIV-positive, major Axis I mental disorder, live in Mecklenburg Cty NC (n=40) • Surveys at baseline, 5 and 9 months (end of treatment) to assess for psychiatric symptoms, coping, social support, and medication adherence

  4. CHAMP Participant Baseline Characteristics

  5. Results • Mixed model regression analysis (85% of sample) identified statistically significant improvement in: • Global Brief Symptom Inventory (BSI) score • BSI dimensions of anxiety, depression, phobic, obsessive compulsive, and hostility (p<.001 for all scales) • SF-12 mental health scale (p<.001) • Adaptive coping (p<.001), • Social support – overall and emotional (p<.001) • No differences in results by race/ethnicity or gender.

  6. Conclusions and Future Directions • CHAMP study findings suggest that the use of an in-home mental health counseling may be beneficial for HIV-positive individuals with mental disorders. • More rigorous study is needed using a randomized controlled design to compare the effectiveness of in-home counseling to outpatient counseling for individuals with HIV.

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