@article{fb31da0aeab74ba4b434c7a7e1878a82,
title = "Mental health and HIV: Research priorities related to the implementation and scale up of 'treat all' in sub-Saharan Africa",
abstract = "World Health Organization (WHO) guidelines call for antiretroviral therapy (ART) for all people living with HIV (PLWH) regardless of CD4 cell count, a policy often referred to as 'treat all'. This article seeks to: (1) provide an overview of mental health research among PLWH in sub-Saharan Africa (SSA) and interventions or strategies to address comorbid mental illness among those living with HIV; and (2) describe key mental health-related recommendations to inform the successful implementation and scale up of 'treat all' policies in SSA. An initial set of mental health-related research recommendations was developed by a working group comprising investigators affiliated with the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium. Recommendations were shared with those who attended the All-Africa IeDEA Meeting in Kigali, Rwanda in November 2017 and refined following the meeting. Recommendations reflect a need for epidemiological research to examine the prevalence, incidence, and impact of mental health multimorbidities on HIV treatment outcomes, intervention research to examine the extent to which improving the mental health of people living with HIV enhances HIV treatment outcomes, and implementation science research to evaluate promising models of integrated mental health and HIV care. Key research recommendations can advance understanding and treatment of mental illness among those living with HIV in sub-Saharan Africa and beyond.",
keywords = "Africa, HIV, Mental health, Treat all",
author = "Parcesepe, {Angela M.} and Charlotte Bernard and Robert Agler and Jeremy Ross and Marcel Yotebieng and Judith Bass and Edith Kwobah and Adebola Adedimeji and Joseph Goulet and Althoff, {Keri N.}",
note = "Funding Information: This work was supported by the NiH-funded Caribbean, Central and South America network for Hiv epidemiology (CCASAnet), a member cohort of the international epidemiology Databases to evaluate AiDS (leDeA) (U01Ai069923). This award is funded by the following institutes: eunice Kennedy Shriver National institute of Child Health and Human Development (NiCHD), National Cancer institute (NCi), National institute of Allergy And infectious Diseases (NiAiD), National institute of Mental Health (NiMH), and the Office of the Director, National institutes of Health (OD). Funding Information: The content is solely the responsibility of the authors and does not necessarily represent the official views of the National institutes of Health. This work was supported by National institutes of Health grants U01Ai069918, F31DA037788, G12MD007583, K01Ai093197, K23eY013707, K24Ai065298, K24Ai118591, K24DA000432, KL2TR000421, M01RR000052, N01CP01004, N02CP055504, N02CP91027, P30Ai027757, P30Ai027763, P30Ai027767, P30Ai036219, P30Ai050410, P30Ai094189, P30Ai110527, P30MH62246, R01AA016893, R01CA165937, R01DA011602, R01DA012568, R01 AG053100, R24Ai067039, U01AA013566, U01AA020790, U01Ai031834, U01Ai034989, U01Ai034993, U01Ai034994, U01Ai035004, U01Ai035039, U01Ai035040, U01Ai035041, U01Ai035042, U01Ai037613, U01Ai037984, U01Ai038855, U01Ai038858, U01Ai042590, U01Ai068634, U01Ai068636, U01Ai069432, U01Ai069434, U01Ai103390, U01Ai103397, U01Ai103401, U01Ai103408, U01DA03629, U01DA036935, U01HD032632, U10eY008057, U10eY008052, U10eY008067, U24AA020794,U54MD007587, UL1RR024131, UL1TR000004, UL1TR000083, UL1TR000454, UM1Ai035043, Z01CP010214 and Z01CP010176; contracts CDC-200-2006-18797 and CDC-200-2015-63931 from the Centers for Disease Control and Prevention, USA; contract 90047713 from the Agency for Healthcare Research and Quality, USA; contract 90051652 from the Health Resources and Services Administration, USA; grants CBR-86906, CBR-94036, HCP-97105 and TGF-96118 from the Canadian institutes of Health Research, Canada; Ontario Ministry of Health and Long Term Care; and the Government of Alberta, Canada. Additional support was provided by the National Cancer institute, National institute for Mental Health and National institute on Drug Abuse. Funding Information: Research reported in this publication was supported by the National institute of Allergy and infectious Diseases of the National institutes of Health under Award Number U01Ai096299 (Pi: Anastos and Nash). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National institutes of Health. Funding Information: The TReAT Asia Hiv Observational Database and pediatric Observational Database are initiatives of TReAT Asia, a programme of amfAR, The Foundation for AiDS Research, with support from the US National institutes of Health{\textquoteright}s National institute of Allergy and infectious Diseases, the eunice Kennedy Shriver National institute of Child Health and Human Development, the National Cancer institute, the National institute of Mental Health, and the National institute on Drug Abuse, as part of the international epidemiology Databases to evaluate AiDS (ieDeA; U01Ai069907). The Kirby institute is funded by the Australian Government Department of Health and Ageing, and is affiliated with the Faculty of Medicine, UNSw Sydney. The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of any of the governments or institutions mentioned above. Funding Information: Research reported in this publication was supported by the National institute Of Allergy And infectious Diseases of the National institutes of Health under Award Number U01Ai069924. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National institutes of Health. Funding Information: Research reported in this publication was supported by the US National institutes of Health (NiAiD, NiCHD, NCi and NiMH) under Award Number U01Ai069919 (Pi: Dabis). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National institutes of Health. Funding Information: Research reported in this publication was supported by the National institute Of Allergy And infectious Diseases (NiAiD), eunice Kennedy Shriver National institute Of Child Health & Human Development (NiCHD), National institute On Drug Abuse (NiDA), National Cancer institute (NCi), and the National institute of Mental Health (NiMH), in accordance with the regulatory requirements of the National institutes of Health under Award Number U01Ai069911east Africa ieDeA Consortium. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National institutes of Health. Publisher Copyright: {\textcopyright} 2018 The Authors.",
year = "2018",
doi = "10.1016/S2055-6640(20)30341-1",
language = "English (US)",
volume = "4",
pages = "16--25",
journal = "Journal of Virus Eradication",
issn = "2055-6640",
publisher = "Mediscript Ltd",
}
