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Behavioral Health Screening in HIV Care Settings

1. The following statements about people living with HIV are true, except for:

A. People living with HIV have much higher rates of behavioral health disorders than the general population.

B. People with HIV are as much as two times more likely to have experienced trauma than the general population.

C. Both (A) and (B) are true.

D. None of the above are true.

2. When people with HIV have depression, they are more likely to have:

A. Higher viral loads

B. More symptoms of anxiety

C. A substance use problem

D. All of the above

3. Addressing behavioral health concerns can play a critical role in the public health approach to reducing transmission of HIV.

A. True

B. False

4. The SBIRT model does which of the following?

A. It identifies risky substance use.

B. It provides brief interventions for those with lower level substance use before it becomes a problem.

C. It offers referral for those who need more intensive, specialty care.

D. It does all of the above.

5. Early detection through screening can result in earlier intervention and substance abuse treatment, including medication-assisted treatment, which can make a substantial difference in the health of the individual and reduce transmission of HIV by:

A. Increasing medication compliance.

B. Decreasing depression.

C. Decreasing behavioral health disorders.

D. All of the above.

6. The Electronic Patient Recorded Outcomes system screens for all of the following, except for:

A. Depression

B. Tobacco

C. Childhood trauma

D. Intimate partner violence

7. An effective medical provider should be able to identify behavioral health problems, without screening, simply based on their clinical judgment and knowledge of a particular patient.

A. True

B. False

8. Universal screening reduces the possibility of biases that might influence a decision to skip screening, and “normalizing” behavioral health screening demonstrates to patients that it is a routine part of health care.

A. True

B. False

9. What should be done for patients who leave a number of questions blank at the end of the screening questionnaire for fear of hospitalization for their responses?

A. Staff should recommend a follow-up conversation with their primary care provider.

B. There should be a warm hand-off to a behavioral health professionals.

C. Either (A) and/or (B).

D. None of the above.

10. Planning for change in a busy primary HIV care program requires an understanding of how the change will affect the larger clinic environment, and the planning process should include:

A. Carefully selecting validated screening tools and a workflow analysis.

B. Implementing screening instruments based on clinic workflow and adjusting as necessary.

C. Training all employees in the screening process, including how to conduct screening and respond to results.

D. All of the above.

11. Behavioral health clinicians in an integrated and/or co-located program must be all of the following, except for:

A. Accepting of the responsibility of providing mostly long-term interventions.

B. Flexible and understand the model for providing services in a primary care setting.

C. Available for a warm hand-off for immediate assessment.

D. Behavioral health clinicians in an integrated and/or co-located program must be all of the above.

12. A warm hand-off can be guaranteed if there is co-location.

A. True

B. False

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