Faculty Collaboration Database

HIV risk reduction interventions for persons with severe mental illness. Clin Psychol Rev 1997;17(3):293-309

Date

01/01/1997

Pubmed ID

9160178

DOI

10.1016/s0272-7358(97)00020-2

Scopus ID

2-s2.0-0030988716 (requires institutional sign-in at Scopus site)   69 Citations

Abstract

Recent seroprevalence studies have shown alarming rates of HIV infection among severely mentally ill men and women in large urban areas, and HIV behavioral epidemiology research indicates that a substantial proportion of seriously mentally ill adults engage in activities that increase their vulnerability to HIV/AIDS. In this paper, the research literature on HIV prevention interventions is reviewed including reports that have described HIV prevention programs, studies that have used uncontrolled pre- and postintervention methods to evaluate risk reduction interventions, and those that have used rigorous randomized designs and examined risk behavior change. Collectively, these studies show that intensive, small-group interventions that target a variety of risk-related dimensions-including knowledge, attitudes, and motivations, and behavioral and cognitive skills-can produce at least short-term reductions in high-risk sexual behavior among the severely mentally ill. A number of gaps in the research literature are identified including the need to: (a) better tailor interventions to risk situations encountered by the mentally ill; (b) develop gender-tailored interventions; (c) examine and implement HIV prevention programs so they help persons sustain behavior change; (d) explore one-on-one counseling and community-level intervention methods; and (e) develop risk reduction interventions for already-seropositive individuals. Implications for service provision are discussed.

Author List

Kelly JA

Author

Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Acquired Immunodeficiency Syndrome
Adult
Behavior Therapy
Chronic Disease
Comorbidity
Female
Forecasting
HIV Infections
HIV Seroprevalence
Health Knowledge, Attitudes, Practice
Humans
Male
Psychotic Disorders
Risk
United States