Abstract
Objective: Despite high rates of HIV infection among people with serious mental illness little is known about the provision of HIV related services in outpatient mental health settings. This study examined HIV service provision and staff training needs among New York State outpatient providers. Methods: An anonymous survey regarding patient characteristics, provision of routine HIV risk assessment, general HIV service provision, and staff training needs regarding HIV was sent to the directors of all New York State Office of Mental Health licensed and certified outpatient programs. Results: Less than one-third of respondents stated that HIV risk assessment was performed routinely upon intake. Programs that served more HIV identified patients were more likely to have staff trained in HIV service provision. The number of identified HIV infected patients also influenced the frequency with which programs stated that their staff needed additional training in HIV risk interviewing, with clinics serving over 100 known HIV infected patients annually reporting the least training need and clinics serving between 11-50 known HIV infected patients annually reporting the most training need. Conclusions: It appears that clinics with large numbers of known HIV infected patients have mobilized to deal with the unique needs of these patients by providing specialty services and training staff in HIV service provision. However, the majority of clinics have failed to realize that severe mental illness is associated with behaviors that place individuals at risk of HIV infection or else routine HIV risk assessment would be more common.
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REFERENCES
Meyer I, McKinnon K, Cournos F, et al: HIV seroprevalence among long-stay patients in a state psychiatric hospital. Hospital and Community Psychiatry 44: 282–284, 1993.
Cournos F, Empfield M, Horwath E, et al: HIV seroprevalence among patients admitted to two psychiatric hospitals. American Journal of Psychiatry 148: 1225–1230, 1991.
Volavka J, Convit A, Czobor P, et al: HIV seroprevalence and risk behaviors in psychiatric inpatients. Psychiatric Research 39: 109–114, 1991.
Sacks M, Dermatis H, Looser-Ott S, et al: Undetected HIV infection among acutely ill psychiatric inpatients. American Journal of Psychiatry 149: 544–545, 1992.
Empfield M, Cournos F, Meyer I, et al: HIV seroprevalence among homeless patients admitted to a psychiatric inpatient unit. American Journal of Psychiatry 150: 47–52, 1993.
Cournos F, Guido J, Coomaraswamy S, et al: Sexual activity and risk of HIV infection among patients with schizophrenia. American Journal of Psychiatry 151: 228–232, 1994.
Lee HK, Travin S, Bluestone H: HIV in inpatients (letter). Hospital and Community Psychiatry 43: 181–182, 1992.
Silberstein C, Marmor M, Lifshutz H, et al: HIV-1 among inner city dually diagnosed inpatients. American Journal of Drug and Alcohol Abuse 20: 101–113, 1994.
Hanson M, Kramer TH, Gross W, et al: AIDS awareness and risk behaviors among dually disordered adults. AIDS Education and Prevention 4: 41–51, 1992.
Kelly JA, Murphy DA, Bahr GR, et al: AIDS/HIV risk behavior among the chronic mentally ill. American Journal of Psychiatry 149: 886–889, 1992.
Kalichman SC, Carey MP, Carey KB: Factors associated with risk for HIV infection among chronically mentally ill adults. American Journal of Psychiatry 151: 221–227, 1994.
McKinnon K: Sexual and Drug Use Risk Behavior, in AIDS and People with Severe Mental Illness: a Handbook for Mental Health Professionals. Edited by Cournos F, and Bakalar N. New Haven, Yale University Press, 17–46, 1996.
Stewart D, Zuckerman J. Ingle J: HIV seroprevalence in a chronically mentally ill population. Journal of the National Medical Association 86: 519–523, 1994.
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Satriano, J., Rothschild, R.R., Steiner, J. et al. HIV Service Provision and Training Needs in Outpatient Mental Health Settings. Psychiatr Q 70, 63–74 (1999). https://doi.org/10.1023/A:1022079125130
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DOI: https://doi.org/10.1023/A:1022079125130