2. Behavioral and Social Science Research NIMH Division of AIDS Research
Dianne Rausch, Ph.D.
Director, Division of AIDS Research, National Institute of Mental Health
@NIMHgov
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3. No conflicts of interest
DISCLAIMER…
No conflicts of interest

4. NIMH Division of AIDS Research
The Division of AIDS Research (DAR) supports research to reduce the incidence of HIV/AIDS worldwide and to decrease the burden of living with HIV.
Mental Health
Neuroscience
Behavioral
Social Science
Mental health is integral to prevention and treatment efforts across the lifespan
Cognitive function
Pathogenesis
Cure
Therapeutics
Prevention cascade
Treatment cascade
Translation and implementation
Biomedical intervention

5. NIMH Division of AIDS Research
OAR Research Priorities
Reduce the Incidence of HIV
Research Toward HIV Cure
Develop Next-Generation HIV Therapies
Comorbidities, Coinfections, and Complications
Cross-Cutting Areas
National Institute of Drug Abuse (NIDA)
National Heart, Lung, and Blood Institute (NHLBI)
National Institute of Child Health and Human Development (NICHD)
…Many Other ICs
National Institute of Allergy and Infectious Diseases (NIAID)
National Institute of Mental Health (NIMH)
NIMH/DAR partners with trans-HHS colleagues to reduce the incidence of HIV/AIDS worldwide and to decrease the burden of living with HIV/AIDS.

6. Mental Health and HIV Mental Illnesses Counseling Risk U=U Identity
Depression
Comorbidities
Identity
Well-being
Technology
Outreach
Counseling
Cognition
Disparities
Mental
Illnesses
Individual Behavior
Adherence
U=U
Attendance
PrEP
Empowerment
Disclosure
Risk
Testing
Retention
Condoms
Awareness
Quality
Key Populations
Mental Health and HIV
Emotional and Mental Health
Interpersonal Factors and Structural Determinants
Communication
Beliefs
Stigma
Violence
Culture
Relationships
Social Networks
Incarceration
Food Insecurity
Economics
Global
Resources
Mothers
Adolescents
Youth
Adults
Migrants
Sex Workers
Sexual and Gender Minorities
Infants
Ethnicity
Race

7. BSSR Functional Framework
Biological
Individual
Family
Social
Networks
Community &
Work
National &
State
Global &
Economic
HIV/AIDS Prevention, Care, and Cure
Supported by BSSR Domains
Elemental
Supportive
Integrative
BSSR
BSSR
BSSR
Modifying vulnerable behaviors and environments
Strengthening biomedical product acceptability
Implementation of combination strategies
Graphic adapted from: Gaist & Stirratt, 2017, JAIDS
Basic BSSR: Understanding vulnerable populations and environments

8. Violence and HIV HIV VIOLENCE Types of Past and Current Violence
Childhood Abuse
Intimate Partner Violence
Community Violence
Among people at risk or living with HIV, trauma is associated with:
Poor retention in prevention and treatment care continua
Poor adherence to PrEP or ART
reduced viral
suppression
Priority Populations
Sexual and Gender Minorities
Sex Workers
Child-bearing Women
Adolescents
VIOLENCE
HIV
MAIN POINT: Having experienced trauma is associated with poorer retention in care, poorer medication adherence, and reduced viral suppression
Additional info pulled from RFA:
Research Gaps
Co-occurring Conditions
Modifiable Mechanisms
Intervention Development

9. HIV-related Health and Social Impacts: Stigma
Incidence, adherence, retention, morbidity, mortality, quality of life, social exclusion
Affected Populations
Organizations and Institutions
Stigma Experiences
Stigma Practices
HIV-related stigma
Intersecting Stigmas
Race, gender, sexual orientation, occupation, class-related stigma
Drivers
&
Facilitators
Outcomes
Manifestations
Stigma ‘Marking’
Link to article:
Individual
Interpersonal
Organizational
Community
Public Policy
Adapted from: Stangl, A. L., Earnshaw, V. A., Logie, C. H., van Brakel, W., Simbayi, L. C., Barré, I., & Dovidio, J. F. (2019).  BMC medicine, 17(1), 31.

10. National Stakeholders Community Stakeholders
Community Engagement
Global Stakeholders
NGOs, WHO/UNAIDS, NIH, foundations
National Stakeholders
Ministries of Health, media, funders
Broader Stakeholders
NGOs, policymakers, professionals
Community Stakeholders
Family, friends, CBOs, CABs, Peers
Trial Participant
Adapted from: AVAC (2012) GPP Guidelines for Biomedical HIV Prevention Trials 2011

11. Global Mental Health in HIV and Beyond
“There is no health without mental health”
Task shifting and/or sharing and use of paraprofessionals
Differentiated care/stepped care approaches
Collaborative care to support the integrated care delivery
Use of digital health/mobile technologies to support care delivery
Use of transdiagnostic approaches to address multiple mental disorders in the same interventions
Research Partnerships for Scaling Up Mental Health Interventions in Low- and Middle-Income Countries 

12. Current DAR Research Priorities
Emotional and Mental Health
Individual Behavior
Mental Health Comorbidities in HIV Prevention and Treatment
Implementation Research for Screening and Treatment for Mental Disorders
Development, Testing, Use, and Impact of Biomedical HIV Prevention, Treatment, and Cure Strategies
Advancing Differentiated Care for Adolescents and Young Adults
Interpersonal Factors and Structural Determinants
Advanced Epidemiological Modeling
Addressing the Impact of Violence on HIV Prevention and Treatment
Understanding and Reducing Stigma to Improve the HIV Prevention and Care Continua

13. Thank you