McKinnon Karen, Cournos Francine, Herman Richard
Columbia University College of Physicians and Surgeons, Department of Psychiatry, New York State Psychiatric Institute, USA.
Psychiatr Q. 2002 Spring;73(1):17-31. doi: 10.1023/a:1012888500896.
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 position 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 epidemic 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.
在患有严重精神疾病的人群中，艾滋病毒感染率、性传播疾病以及性和药物使用风险行为的发生率都很高。临床医生往往最有条件将精神病患者与他们所需的特定艾滋病毒相关服务联系起来。这些服务可能包括预防干预、风险评估、抗体检测咨询和医疗护理。这篇综述文章描述了该人群中的艾滋病疫情及其根源，旨在帮助临床医生识别其患者何时有感染或传播病毒的风险，并通过一系列相关服务进行适当有效的干预。文中强调了培训对于提高临床医生提供这些服务的技能和信心的重要性。艾滋病疫情威胁着精神病患者的生命和福祉，临床医生可以做很多工作来尽量减少艾滋病毒和艾滋病对医院、诊所及其他精神治疗环境中患者的毁灭性影响。
