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Scale-up of HIV care and prevention services have produced remarkable reductions in new HIV cases. For those able to respond to general efforts to get people tested and into treatment quickly, reductions in incidence and health improvements are observed. Yet it is increasingly evident that there are groups who do not have consistent access to care and prevention efforts. In this workshop, presentations will focus on the complexities of the most challenging people to reach and keep engaged in HIV care, due to co-morbid mental disorders, substance use, STIs, and other barriers such as poverty, interpersonal violence, and social exclusion. Where indicated, speakers will also discuss differentiated care approaches (integrated care or otherwise) that teams are testing to address one or more of these factors. Discussion will also consider how the concept of « syndemics » has contributed to this research domain, and implications for prevention and treatment interventions.

14:30
WESY0501
Introduction
Christopher Gordon, National Institute of Mental Health (NIMH), United States
14:35
WESY0502
HIV and STI: Why Addressing these Syndemics Matters
Kenneth Mayer, Fenway Health, United States
Slides
14:50
WESY0503
The impact of mental health and substance use disorder on reaching global HIV care and prevention targets
Steven Shoptaw, UCLA, United States
Slides
15:05
WESY0504
Reaching Young Minority MSM with HIV Prevention and Treatment
Marguerita Lightfoot, University of California, San Francisco, United States
Slides
15:20
WESY0505
Syndemics of Blood-Borne Disease Transmission and Injection Drug Use in Tijuana, Mexico
Claudia Rafful, Mexican National Autonomous University (UNAM), Mexico
Slides
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