Background Globally, mental health problems are more common among people living with human immunodeficiency virus (PLHIV) than among the general population. Mental health problems affect human immunodeficiency virus (HIV) treatment adherence and retention. To address this challenge, partners used a task-sharing approach among lay healthcare works and clinicians to integrate mental health services into HIV services at pilot hospitals in the Amhara and Tigray regions of Ethiopia. In this model, trained lay healthcare workers proactively screened patients using a mental health screening tool and subsequently linked potential clients with trained clinicians working at HIV clinics for further diagnosis and treatment. Methods We retrospectively gathered secondary data, including demographic characteristics and diagnosis information, from mental health clinicians' and case managers' quarterly reports from HIV clinics during the implementation period (January 1, 2013 to March 31, 2014). Results During the initial three-month implementation period of the project (January to March 2013), case managers screened 5,862 PLHIV for mental health disorders. Case managers referred 687 (11.7%) patients with suspected mental health disorders to clinicians for further evaluation and management. Of the total patients screened by case managers in this period, clinicians confirmed that 454 (7.7%) had a mental health disorder. Overall, the concordance between the case managers' screening results and the clinicians' diagnoses was 67.8% over the 15-month pilot implementation period. Conclusions Routine screening of PLHIV for mental health disorders helps to proactively identify and manage patients with co-morbidities. The integration of mental health services into HIV care through a task-sharing approach is a feasible strategy that could increase access to mental health services among PLHIV.

中文翻译：

---

将心理健康服务整合到人类免疫缺陷病毒诊所：埃塞俄比亚临床和非专业医疗保健提供者之间任务分担的经验教训。

背景 在全球范围内，精神健康问题在人类免疫缺陷病毒 (PLHIV) 感染者中比在普通人群中更常见。心理健康问题会影响人类免疫缺陷病毒 (HIV) 治疗的依从性和保留率。为应对这一挑战，合作伙伴在埃塞俄比亚阿姆哈拉和提格雷地区的试点医院采用了非专业医疗保健工作和临床医生之间的任务分担方法，将心理健康服务整合到艾滋病毒服务中。在这个模型中，训练有素的非专业医护人员使用心理健康筛查工具主动筛查患者，随后将潜在客户与在 HIV 诊所工作的训练有素的临床医生联系起来，以进行进一步的诊断和治疗。方法 我们回顾性收集了二手数据，包括人口学特征和诊断信息，来自执行期间（2013 年 1 月 1 日至 2014 年 3 月 31 日）来自 HIV 诊所的心理健康临床医生和个案管理员的季度报告。结果 在项目最初三个月的实施期间（2013 年 1 月至 3 月），个案管理员对 5,862 名 PLHIV 进行了心理健康障碍筛查。个案管理员将 687 名 (11.7%) 疑似精神疾病患者转介给临床医生，以进行进一步评估和管理。在此期间，病例管理员筛选的所有患者中，临床医生确认 454 名 (7.7%) 患有精神疾病。总体而言，在 15 个月的试点实施期间，病例管理员的筛查结果与临床医生的诊断之间的一致性为 67.8%。结论 对 PLHIV 进行精神健康障碍常规筛查有助于主动识别和管理合并症患者。通过任务分担的方法将精神卫生服务纳入 HIV 护理是一项可行的策略，可以增加 PLHIV 获得精神卫生服务的机会。