“They need people to actually show up in their lives:” deploying community health workers to improve mental health and substance use outcomes among PLWH
Bibliographic record
Abstract
Mental health and substance use disorders are associated with lower adherence to anti-retroviral treatment, and viral suppression among people living with HIV (PLWH). The first objective of this study was to identify syndemic drivers of mental health problems, substance use and HIV engagement among PLWH. The second aim was to elucidate perspectives on using community health workers (CHWs) as an implementation strategy for increasing engagement in harm reduction services, mental health care and HIV treatment. Key informant interviews analyzed using rapid qualitative analysis identified key themes related to poor MH and substance use as barriers to engagement in HIV care, housing insecurity, the essential role of CHWs in delivering harm reduction services, and other barriers and facilitators. Interventions are needed to evaluate the potential effectiveness of deploying CHWs to enhance coordination of care, trust and the quality of services received by PLWH with mental health and substance use disorders.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.011 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.005 | 0.004 |
| Scholarly communication | 0.003 | 0.005 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".