Three Decades and Counting: HIV Service Provision in Outpatient Mental Health Settings

被引:6
作者
McKinnon, Karen [1 ,2 ]
Satriano, James [3 ]
Alves-Bradford, Jean-Marie [1 ,2 ]
Erby, Whitney [4 ]
Jaafar, Fatima J. [5 ]
Simonen, Elizabeth H. [4 ]
Gozzo, Izabella S. [4 ]
Huang, Amy N. Robles [4 ]
Sposito, Jonah S. [4 ]
Tao, Ziyi [4 ]
Zakoian, Martin J. [4 ]
McKinnon, Alma Zurita [4 ]
Cournos, Francine [3 ,5 ]
机构
[1] New York State Psychiat Inst & Hosp, Washington Hts Community Serv, New York, NY 10032 USA
[2] Columbia Univ, Dept Psychiat, Vagelos Coll Phys & Surg, New York, NY USA
[3] Northeast Caribbean AIDS Educ & Training Ctr, New York, NY USA
[4] Columbia Univ, HIV Behav Hlth Training, New York, NY USA
[5] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA
关键词
CARE; PREVALENCE; ILLNESS; PEOPLE;
D O I
10.1176/appi.ps.201900415
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: People with serious mental illness in the United States have higher human immunodeficiency virus (HIV) infection rates than the general U.S. population. This study aimed to assess delivery of HIV services in New York State's outpatient mental health programs. Greater access would enhance efforts to improve HIV prevention and care outcomes. Methods: The authors surveyed directors of licensed outpatient mental health care programs statewide to investigate their HIV service delivery. Data were compared with surveys conducted in 1997 and 2004 in order to examine differences in services between geographic regions and time periods. Results: Outpatient mental health programs have improved in the volume and range of HIV services offered, but their provision of preexposure prophylaxis, condoms, HIV testing, and HIV antiretroviral treatment monitoring has lagged. Conclusions: New York's initiative to end the HIV epidemic is not optimized to reach people with serious mental illness in settings designed for their care.
引用
收藏
页码:726 / 729
页数:4
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