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" ... They cannot help you because you're at McDonald's and you're asking for pizza". A qualitative exploration of the acceptability and appropriateness of integrating of pharmacotherapy for mental health treatment in HIV care among patients living with HIV and co-morbid mental health and substance use disorders

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Title: " ... They cannot help you because you're at McDonald's and you're asking for pizza". A qualitative exploration of the acceptability and appropriateness of integrating of pharmacotherapy for mental health treatment in HIV care among patients living with HIV and co-morbid mental health and substance use disorders
Authors: Bonner, Courtney Peasant, Wechsberg, Wendee M., Cox, Erin, Browne, Felicia A., Smith, Ayanna, Howard, Brittni N., Mancuso, Noah, Singer, Suzzanne, Davies, Gwen, Hairston, Indya, Ukaegbu, Precious K., Diallo, Dazon Dixon
Source: AIDS Care. Jun2025, Vol. 37 Issue 6, p1026-1034. 9p.
Subjects: Mental illness drug therapy, Substance abuse, Patient compliance, Health services accessibility, Mental health, Qualitative research, Interprofessional relations, Research funding, HIV-positive persons, Interviewing, Patient care, Help-seeking behavior, HIV infections, Patient satisfaction, Drugs, Comorbidity, Integrated health care delivery, Patients' attitudes
Abstract: Mental health disorders contribute to a lack of HIV care retention and adherence. Pharmacotherapy for mental health treatment may increase retention and adherence. However, there is often a lack of pharmacotherapy services for mental health treatment available in HIV care. The current study explores the extent to which people living with HIV find the integration of pharmacotherapy for mental health treatment into HIV care acceptable and appropriate. We conducted in-depth interviews with ten patients living with HIV and comorbid mental health or substance use challenges. We used rapid qualitative analysis to analyze the transcript data. Patients cited several barriers to mental health treatment, including having to coordinate and establish rapport with other providers. Participants' perspectives about whether HIV care providers should provide pharmacotherapy for mental health treatment varied. However, most respondents agreed that it would be beneficial for HIV care providers to maintain existing regimens or address lapses in mental health care. Patients also cited benefits to integration, including the ability to receive care from a trusted provider and increased access. These findings add to previous literature and demonstrate the nuanced nature of the acceptability of receiving pharmacotherapy for mental health treatment from an HIV care provider. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: " ... They cannot help you because you're at McDonald's and you're asking for pizza". A qualitative exploration of the acceptability and appropriateness of integrating of pharmacotherapy for mental health treatment in HIV care among patients living with HIV and co-morbid mental health and substance use disorders
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  Data: <searchLink fieldCode="AR" term="%22Bonner%2C+Courtney+Peasant%22">Bonner, Courtney Peasant</searchLink><br /><searchLink fieldCode="AR" term="%22Wechsberg%2C+Wendee+M%2E%22">Wechsberg, Wendee M.</searchLink><br /><searchLink fieldCode="AR" term="%22Cox%2C+Erin%22">Cox, Erin</searchLink><br /><searchLink fieldCode="AR" term="%22Browne%2C+Felicia+A%2E%22">Browne, Felicia A.</searchLink><br /><searchLink fieldCode="AR" term="%22Smith%2C+Ayanna%22">Smith, Ayanna</searchLink><br /><searchLink fieldCode="AR" term="%22Howard%2C+Brittni+N%2E%22">Howard, Brittni N.</searchLink><br /><searchLink fieldCode="AR" term="%22Mancuso%2C+Noah%22">Mancuso, Noah</searchLink><br /><searchLink fieldCode="AR" term="%22Singer%2C+Suzzanne%22">Singer, Suzzanne</searchLink><br /><searchLink fieldCode="AR" term="%22Davies%2C+Gwen%22">Davies, Gwen</searchLink><br /><searchLink fieldCode="AR" term="%22Hairston%2C+Indya%22">Hairston, Indya</searchLink><br /><searchLink fieldCode="AR" term="%22Ukaegbu%2C+Precious+K%2E%22">Ukaegbu, Precious K.</searchLink><br /><searchLink fieldCode="AR" term="%22Diallo%2C+Dazon+Dixon%22">Diallo, Dazon Dixon</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2025, Vol. 37 Issue 6, p1026-1034. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Mental+illness+drug+therapy%22">Mental illness drug therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+care%22">Patient care</searchLink><br /><searchLink fieldCode="DE" term="%22Help-seeking+behavior%22">Help-seeking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
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  Data: Mental health disorders contribute to a lack of HIV care retention and adherence. Pharmacotherapy for mental health treatment may increase retention and adherence. However, there is often a lack of pharmacotherapy services for mental health treatment available in HIV care. The current study explores the extent to which people living with HIV find the integration of pharmacotherapy for mental health treatment into HIV care acceptable and appropriate. We conducted in-depth interviews with ten patients living with HIV and comorbid mental health or substance use challenges. We used rapid qualitative analysis to analyze the transcript data. Patients cited several barriers to mental health treatment, including having to coordinate and establish rapport with other providers. Participants' perspectives about whether HIV care providers should provide pharmacotherapy for mental health treatment varied. However, most respondents agreed that it would be beneficial for HIV care providers to maintain existing regimens or address lapses in mental health care. Patients also cited benefits to integration, including the ability to receive care from a trusted provider and increased access. These findings add to previous literature and demonstrate the nuanced nature of the acceptability of receiving pharmacotherapy for mental health treatment from an HIV care provider. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2025.2474670
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1026
    Subjects:
      – SubjectFull: Mental illness drug therapy
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Mental health
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      – SubjectFull: Qualitative research
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      – SubjectFull: Interprofessional relations
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      – SubjectFull: Research funding
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      – SubjectFull: HIV-positive persons
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      – SubjectFull: Interviewing
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      – SubjectFull: Patient care
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      – SubjectFull: Help-seeking behavior
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      – SubjectFull: HIV infections
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      – SubjectFull: Patient satisfaction
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      – SubjectFull: Drugs
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      – SubjectFull: Comorbidity
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      – SubjectFull: Integrated health care delivery
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      – SubjectFull: Patients' attitudes
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    Titles:
      – TitleFull: " ... They cannot help you because you're at McDonald's and you're asking for pizza". A qualitative exploration of the acceptability and appropriateness of integrating of pharmacotherapy for mental health treatment in HIV care among patients living with HIV and co-morbid mental health and substance use disorders
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