Stay current with practical, evidence-based approaches to recognizing and managing depression in people with HIV. Through real-world patient cases, this webinar highlights strategies for integrating mental health screening into HIV care, optimizing treatment, and strengthening team-based, interprofessional care to improve patient outcomes.
Every ACTHIV educational activity is designed to help clinicians and care team members translate evolving evidence into better HIV prevention and care through practical, evidence-based, interprofessional education.
Perspectives from across the HIV care team.
Andrew Angelino, MD
Dr. Angelino is Professor of Clinical Psychiatry and Chair of Psychiatry at Johns Hopkins Howard County Medical Center, where he has provided psychiatric care to people living with HIV through the Johns Hopkins HIV Clinic since 1999.
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Andrew Angelino, MD, graduated from Loyola University School of Medicine in Chicago. He completed psychiatry residency at The Johns Hopkins Hospital and joined the faculty of the Department of Psychiatry and Behavioral Sciences in the Johns Hopkins University School of Medicine in 1999. He is currently a Professor of Clinical Psychiatry and the Chair of Psychiatry at Johns Hopkins Howard County Medical Center. He has been an attending psychiatrist in the Johns Hopkins HIV (Bartlett) Clinic since 1999, seeing a great many patients, and publishing papers and textbook chapters on the treatment of psychiatric illnesses in patients with HIV infection. He has lectured on HIV Psychiatry all over the United States, and the world, including Denmark, Ireland, Argentina, Canada, and Russia. With his long-time friend, colleague and mentor, Dr. Glenn Treisman, he co-authored the book The Psychiatry of AIDS: A Guide to Diagnosis and Treatment.
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Dr. Maister is a Clinical Pharmacy Practitioner specializing in outpatient behavioral health at the Corporal Michael J. Crescenz VA Medical Center in Philadelphia, where she provides psychiatric pharmacy care and serves as a preceptor for pharmacy students and residents.
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Ashley Maister, PharmD, BCPP, is a clinical pharmacy practitioner in the outpatient behavioral health clinic at the Corporal Michael J. Crescenz VA Medical Center in Philadelphia, PA. She received her Doctor of Pharmacy degree Thomas Jefferson University in 2018. She then completed her PGY-1 pharmacy residency at Penn Presbyterian Medical Center in Philadelphia, PA and PGY-2 psychiatric pharmacy residency at Ernest Mario School of Pharmacy at Rutgers University in Piscataway, NJ. Dr. Maister is a Board Certified in Psychiatric Pharmacy, and her clinical interests include serious mental illnesses and substance use disorders. She serves as a preceptor for both pharmacy students and residents, and was awarded her facility’s Preceptor of the Year award in 2022. She also contributes to the profession through research and involvement in local and national pharmacy organizations.
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Andrew Angelino, MD: No relevant financial relationships to disclose.
Ashley Maister, BS, PharmD, BCPP: No relevant financial relationships to disclose.
Jonathan Colasanti, MD; Courtney Fletcher, PharmD; Jose Gutierrez, PhD, FNP-BC; Margaret Hoffman-Terry, MD, FACP, AAHIVS; John JD Juchniewicz, MCIS, CHCP, FACEHP; H. Nina Kim, MD, MS; Natalie Kirkwood, RN, BSN, JD; Daiquiri Y. Robinson, Med, Matthew Young: No relevant financial relationships to disclose.
Christopher Evans, MD: Grant/Research Support: ViiV Healthcare
William R. Short, MD, MPH: Advisory Board/Consultant – ViiV Healthcare, Gilead Sciences; Grant/Research Support – Gilead Sciences
Sarah Smith, MHS, PA-C, AAHIVS: Advisory Board/Consultant: ViiV Healthcare, Gilead Sciences, Merck, Janssen*; Speaker’s Bureau: ViiV Healthcare, Gilead Sciences, Merck, Janssen*
*Relationship has ended
The opinions expressed in this accredited continuing education activity are those of the faculty, and do not represent those of the Academy/ACTHIV Institute. This educational activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.
Implicit Bias: Implicit bias refers to unconscious attitudes and stereotypes that influence our thoughts, judgements, decisions, and actions without our awareness. Everyone is susceptible to implicit bias, even clinicians. In healthcare, implicit biases can have a significant impact on the quality of care an individual receives. These biases can be both favorable and unfavorable, and are activated involuntarily without an individual’s awareness or intentional control. Studies have indicated that healthcare providers’ incorrect perceptions can impact providers’ communications and clinical decision-making contributing to disparities in clinical outcomes. Addressing implicit biases in healthcare is critical to improving health outcomes and promoting health equity for all patients. Patient-centered care can reduce the impact of implicit bias, by treating each patient as a unique individual who may or may not hold beliefs associated with their backgrounds and circumstances. In addition, recognizing implicit bias in one’s own practice using techniques such as self-reflection and mindful clinical decision-making can ensure more equitable and effective care for all patients.
Over the past several decades, cognitive science research has demonstrated human behavior, beliefs and attitudes are shaped by automatic and unconscious cognitive processes. The healthcare profession is devoting greater attention to how these automatic and unconscious processes impact care including:
(1) preferential treatment toward or against specific patient populations causing healthcare inequities,
(2) influence patient-provider communications leading to misunderstandings and mistrust, and
(3) impact access to healthcare and affect treatment decisions resulting in misdiagnosis, delays in treatment and specialty referrals and poor pain management. Considering one might have unconscious biases and exploring them may be uncomfortable because the very idea that they exist may conflict with how clinicians perceive themselves. It is only by becoming aware of one’s unconscious biases that members of the healthcare team can take steps to mitigate them to ensure all their patients receive quality healthcare. For more information on strategies to reduce implicit bias, visit: https://www.ihi.org/library/blog/how-reduce-implicit-bias
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