Coordinating Systems of Care for HIV and Opioid Use Disorder: A Systematic Review of Enablers and Barriers to Integrated Service Access, and Systems and Tools Required for Implementation

Individuals who have HIV who also use drugs experience increased age-matched morbidity and mortality in comparison with those with HIV who do not use drugs. A systematic review was conducted to describe models of integrated HIV and opioid use disorder (OUD) services, enablers of and barriers to inte...

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Bibliographic Details
Published in:Medical Care Research and Review 2022-10, Vol.79 (5), p.618-639
Main Authors: Duffy, Malia, Ghosh, Anna, Geltman, Ana, Mahaniah, Gabriel Kieto, Higgins-Biddle, Molly, Clark, Michele
Format: Article
Language:English
Subjects:
Access
Candidates
Case management
Drug abuse
Drugs
HIV
Human immunodeficiency virus
Implementation
Integration
Management tools
Morbidity
Narcotics
Opioids
Reviews
Risk assessment
Risk management
Social services delivery
Substance use disorder
Systematic review
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Summary:Individuals who have HIV who also use drugs experience increased age-matched morbidity and mortality in comparison with those with HIV who do not use drugs. A systematic review was conducted to describe models of integrated HIV and opioid use disorder (OUD) services, enablers of and barriers to integrated service access, and the coordinated systems and tools at the state and service delivery levels required for implementation. Database searches yielded 235 candidate articles, of which 22 studies met the inclusion criteria. Analysis found that integrated programs operated with minimal coordinated policy and systems guidance at the state level. Service delivery systems and tools used for integration, including use of integrated protocols, risk assessment tools, case management tools, and referral systems, were similar across integration models. Concerted efforts to coordinate state-level systems and develop supportive policies, guidelines, and standardized tools may facilitate integration at the service delivery level.
ISSN:1077-5587
1552-6801
DOI:10.1177/10775587211051182