Exploring Models of Care Integration to Address the Needs of Persons Aging With HIV

Chair(s)

• 

  Abigail Baim-Lance, PhD (she/her/hers)

  Health Services Research Specialist
  Geriatric Research Education and Clinical Center
  Veterans Health Administration
  Bronx, New York, United States

Co-Chair(s)

• 

  Gemmae Fix, PhD

  Research Health Scientist
  Center for Healthcare Organization & Implementation Research
  US Department of Veteran Affairs
  Bedford, Massachusetts, United States

  Slides

Discussant(s)

• 

  Thomas Laskow, MD (he/him/his)

  Assistant Professor
  Division of Geriatric Medicine and Gerontology
  Johns Hopkins University School of Medicine
  Baltimore, Maryland, United States

Individual Symposium Abstract First Author(s)

• 

  Gemmae Fix, PhD

  Research Health Scientist
  Center for Healthcare Organization & Implementation Research
  US Department of Veteran Affairs
  Bedford, Massachusetts, United States

  Slides
• AB

  Alexis Bender, PhD (she/her/hers)

  Associate Professor of Medicine
  Medicine
  Emory University
  Atlanta, Georgia, United States

  Slides
• 

  Jamie Smith, PhD, RN (she/her/hers)

  Postdoctoral research fellow
  School of Nursing
  Johns Hopkins University
  Baltimore, Maryland, United States

  Slides
• 

  Angela Condo, MD (she/her/hers)

  Assistant Professor
  Geriatric and Palliative Medicine
  Icahn School of Medicine at Mount Sinai
  New York City, New York, United States

  Slides

By 2035, the majority of persons living with HIV will be 50 and older. The clinical and social needs of this population have been well documented, including the negative impacts of persistent stigma on quality of life and health outcomes. Responding to such needs requires integrated, patient-centered approaches to care and supportive services. Care integration is defined as the bringing together of two or more previously unlinked services. Care integration is used within and outside of the HIV care settings, but how such models should be designed or adapted for older persons with HIV (OPWH) is less certain given their unique needs. This symposium will explore case studies representing different models of care integration developed within and outside of HIV care settings, their relevance to OPWH, evidence of implementation including known barriers and facilitators, and opportunities to advance such models. Our first presentation describes an embedded geriatrics outpatient consultation service within an HIV care setting in New York City (Condo). Our second presentation focuses on the barriers and facilitators to the integration of substance use treatment into HIV care in Georgia (Bender). Our third and fourth presentations will describe service models developed outside of HIV care, which are now being applied to support OPWH including the Veterans Affairs patient-centered Whole Health approach (Fix) and the CAPABLE program to support aging in place (Smith). With our discussant, we will reflect on these models of integration to enhance care and support systems for this population.

Presentations:

• 2:30 PM – 4:00 PM ET

  Integrating a Patient-Centered, Whole-Health Approach When Caring for People Aging with HIV
  

  Individual Symposium Abstract First Author: Gemmae M. Fix, PhD – US Department of Veteran Affairs
• 2:30 PM – 4:00 PM ET

  Barriers and Facilitators to Integrated Substance Use and HIV Care: Administrator and Provider Perspectives
  

  Individual Symposium Abstract First Author: Alexis A. Bender, PhD (she/her/hers) – Emory University
• 2:30 PM – 4:00 PM ET

  CAPABLE: Applying an Evidence-Based Model of Care for Older Adults With HIV
  

  Individual Symposium Abstract First Author: Jamie M. Smith, PhD, RN (she/her/hers) – Johns Hopkins University
• 2:30 PM – 4:00 PM ET

  Bringing Geriatric Care Into the HIV Primary Care Clinic: A Combined HIV/Geriatric Multidisciplinary Clinic Model
  

  Individual Symposium Abstract First Author: Angela Condo, MD (she/her/hers) – Icahn School of Medicine at Mount Sinai