Psychiatric Quarterly [psaq] ph071-psaq-346683 November 8, 2001 9:10 Style ﬁle version Nov. 19th, 1999
Psychiatric Quarterly, Vol. 73, No. 1, Spring 2002 (
HIV AMONG PEOPLE WITH CHRONIC
Karen McKinnon, M.A., Francine Cournos, M.D.,
and Richard Herman, M.A.
Rates of HIV infection, STDs, and sexual and drug-use risk behaviors are high
among people with severe mental illness. Clinicians often are in the best posi-
tion to connect psychiatric patients to the particular HIV-related services they
need. These may include prevention interventions, risk assessment, antibody
test counseling, and medical care. This review article describes the AIDS epi-
demic and its underpinnings in this population in an effort to help clinicians
to recognize when their patients are at risk for acquiring or transmitting the
virus and to intervene appropriately and effectively with an array of relevant
services. The importance of training to enhance clinicians’ skills and comfort in
delivering these services is emphasized. The lives and well-being of psychiatric
patients are threatened by the AIDS epidemic, and there is much clinicians can
do to minimize the devastating impact of HIV and AIDS on clients in hospitals,
clinics, and other psychiatric treatment settings.
KEY WORDS: HIV infection; people with severe mental illness; prevention interven-
tions; training; HIV-related services.
The authors are afﬁliated with Columbia University College of Physicians and
Surgeons, Department of Psychiatry, and the New York State Psychiatric Institute.
Address correspondence to: Karen McKinnon, 1051 Riverside Drive, Unit 112, New
York, NY 10032; e-mail: firstname.lastname@example.org.
2002 Human Sciences Press, Inc.