XIX International AIDS Conference


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THPE635 - Poster Exhibition

Effect of HIV training on HIV service integration in agencies providing mental health services: evidence for the information, motivation, behaviour skills (IMB) model in practice

V. Pinho1,2, S. Kim1,3, K. McKinnon1,2

1Columbia University, College of Physicians and Surgeons, New York, United States, 2New York State Psychiatric Institute, Washington Heights Community Service, New York, United States, 3Teachers College, Columbia University, New York, United States

Background: The need for HIV/AIDS services in mental health settings has been documented in many countries, but coordinated delivery of these services is rare. This study examined the effect of HIV training on HIV service integration in agencies providing mental health services. We expected that if workers in these settings were given training that provided information, enhanced their motivation, and improved their skills (the Information, Motivation, Behavior Skills--IMB--Model), HIV/AIDS and mental health service integration would increase.
Methods: Of 176 agencies seeking HIV training throughout NYS between August 2007 and October 2011, 98 agencies providing mental health services (55.7%) completed a needs assessment survey. Path models are fitted to illustrate the effect of HIV training (shown in Figure 1) on HIV service integration (e.g. HIV- risk assessment, -test counseling, -risk reduction intervention) in mental health settings. The direct effect and the indirect effect via staff´s HIV expertise (shown in Figure 2) as a moderator are specified. Since the outcomes are not normally distributed, models for categorical responses are fitted with the log odds ratios to examine the relationships among variables.
Results: We found significant effects of HIV training on HIV service integration moderated by staff's HIV expertise. The direct effects of HIV training on HIV service integration are not significant after controlling for staff's HIV expertise, while indirect and total effects of HIV training on HIV service integration were significant. Moreover, agencies with more frequent trainings showed stronger effects of training on HIV service integration (see Figure 3).
Conclusions: Providers in mental health care treatment settings receiving more HIV mental health training have a higher HIV expertise level and are more likely to integrate HIV services into their practice than others. These results support the IMB model and demonstrate the importance of HIV mental health training in enhancing comprehensive care among mental health providers.

Figure 1. HIV Mental Health Trainings
[Figure 1. HIV Mental Health Trainings]

Figure 2. HIV Expertise
[Figure 2. HIV Expertise]

Figure 3. HIV Service Integration
[Figure 3. HIV Service Integration]

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