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Novel Patient Engagement Strategies for Underserved and Vulnerable Persons with HIV

Activity Type:

  • On Demand

Release Date: 1/1/2019

Expiration Date: 1/1/2022

  • AMA PRA Category 1: 1.5
  • Participation: 1.5

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As collaborative care becomes increasingly valued within the medical field, psychiatric consultants are poised to bridge gaps in management for patients living with HIV. This may prove to be particularly challenging in treating the underserved and vulnerable populations – specifically patients with depression, immigrants, homeless and co-infected patients. HIV infection is associated with psychiatric illness because of its effects on the brain, social stigmatization, and multidirectional interactions with substance use, mood, and trauma/stress-related disorders. HIV-infected immigrants and homeless/marginally housed individuals are particularly vulnerable populations where sociocultural factors are known barriers to care and have implications in the early diagnosis and adherence to treatment. Finally, HIV/HCV co-infection is increasingly common and leads to far worse outcomes, including lower rates of adherence to care, faster progression of HIV and increased mortality.


  • General Member - $15.00
  • Resident-Fellow Member - $7.50
  • Medical Student Member - $15.00
  • Non-Member - $30.00

Learning Objectives

  • Differentiate the barriers to care for HIV-infected patients in underserved and vulnerable populations, and determine effective methods of treating this complex and challenging population.
  • Implement a collaborative care intervention for depression to result in improved depressive symptoms for patients with HIV.
  • Discuss strategies to improve care of documented and undocumented HIV-positive patients by predicting and overcoming sociocultural and structural barriers.
  • Review the role of psychiatry in treating the underlying psychiatric comorbidities in HIV/HCV co-infection to improve engagement and adherence.

Target Audience

Psychiatrists, Residents/Fellows

Estimated Time to Complete

Estimated Duration: 90 minutes
Begin Date: January 1, 2019
End Date: January 1, 2022

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 100% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring CME activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures


  • Michael Maksimowski, M.D., Physician Psychiatrist, John D. Dingell VA Medical Center. Reports no financial relationships with commercial interests.
  • Mallika Lavakumar, M.D., Psychiatrist, MetroHealth, Cleveland, OH. Disclosure: Honoraria - Oakstone (educational material); Research Funding - Health Research Services Administration.
  • Asma Iqbal, M.D., Psychiatrist, Ascension All Saints Hospital. Reports no financial relationships with commercial interests.
  • Kevin Donnelly-Boylen, M.D., Instructor, Psychiatrist in Consul and Liaison Service, Boston University School of Medicine. Reports no financial relationships with commercial interests.

Program Planners

  • Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Ally Brown, Senior Program Manager, American Psychiatric Association. Reports no financial relationships with commercial interests.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.3+ 
  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

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All materials copyright American Psychiatric Association ©2018.

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