Conclusion
ideation, PWH
We observed a decrease in substance use and mental health screening rates for PWH during early COVID, which may reflect reduced patient engagement with telemedicine in certain populations of PWH early in the pandemic. Contrary to expectations and to provider perceptions, we also found decreased tobacco and substance use and decreased suicidal ideation during the early months of the pandemic, which may reflect resiliency in this population. Care delivery is likely shifting to greater use of virtual visits over the long term, and future research should focus on longer-term outcomes and effective ways to screen for substance use and mental health symptoms in an increasingly remote-care environment.