Public Health Department, NORC at the University of Chicago, Bethesda, Maryland, USA.
AIDS Patient Care STDS. 2022 Oct;36(S1):S21-S27. doi: 10.1089/apc.2022.0094.
Previous research has identified significant unmet need for behavioral health care services for Black men who have sex with men (Black MSM); this challenge has been linked to poorer overall health and well-being. Health Resources and Services Administration (HRSA) funded a Special Projects of National Significance (SPNS) Initiative, , with a goal to integrate behavioral health and clinical care services using four different evidence-informed models of care, ultimately improving HIV health outcomes. NORC at the University of Chicago conducted a multisite evaluation to assess the success of this Initiative, including a qualitative process evaluation that examined adaptations, services, integration activities, recruitment methods, and fidelity. The process evaluation described methods and processes used by demonstration sites to achieve their goals. This included challenges or barriers to implementation and the associated adaptations, notably due to the COVID-19 Public Health Emergency. Our study found key themes that indicated successful implementation were flexible service delivery, human connection, and client representation. We recommend future replicators apply these lessons learned in diverse health care and community settings that serve Black MSM. Additional information about the interventions can be found on TargetHIV.
先前的研究表明，与男男性行为者（MSM）中的黑人相比，他们对行为健康护理服务的需求存在显著未满足的情况；这一挑战与整体健康和幸福感较差有关。美国卫生资源和服务管理局（HRSA）资助了一项具有国家重要意义的特殊项目（SPNS）倡议，旨在使用四种不同的循证护理模式整合行为健康和临床护理服务，最终改善艾滋病毒健康结果。芝加哥大学 NORC 进行了一项多地点评估，以评估该倡议的成功，包括一项定性的过程评估，该评估检查了适应性、服务、整合活动、招聘方法和保真度。该过程评估描述了示范站点为实现其目标而使用的方法和流程。这包括由于 COVID-19 公共卫生紧急情况而导致实施面临的挑战或障碍，以及相关的适应性调整。我们的研究发现了一些关键主题，表明成功实施的关键因素包括灵活的服务交付、人际联系和客户代表。我们建议未来的复制者将这些经验教训应用于为黑人 MSM 服务的不同医疗保健和社区环境中。关于干预措施的更多信息可以在 TargetHIV 上找到。
