Section 1: Why Change

MIDUS_HIV_collective-care-2

 

MIDUS stands for
Maximizing the Impact on Depression through Unifying Systems

The goal of the MIDUS model is to better identify depressive symptoms in patients who are living with HIV and utilize a collaborative care model to quickly provide them with mental health care and treatment.

Major depressive disorders are prevalent in people living with HIV, with over 50% of people living with HIV reporting depressive symptoms in the past week.1-3  Additionally, engaging depressed people living with HIV with mental health care has been difficult; one study indicated that 82% of people living with HIV and depression were not receiving any treatment.4 In people living with HIV, depressive symptoms have been associated with reduced HIV self-management behaviors, such as medication adherence and engagement in care, which can lead to increased morbidity and mortality.5-13


Next: Understanding the MIDUS Model