Winiarski M G, Beckett E, Salcedo J
Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.
AIDS Care. 2005 Aug;17(6):747-56. doi: 10.1080/09540120412331336733.
Effectiveness of HIV-related mental health practice in inner cities has not been adequately documented despite an urgent need for interventions for populations disproportionately affected by the epidemic. Practices must take into account and respond to cultural issues of people of colour and the needs of those infected through injection drug use or heterosexual sex with IDUs. We report the effectiveness of an HIV mental health programme integrated with primary care and emphasizing cultural responsiveness. A sample of 47 of 188 patients who received psychiatric and psychotherapy services was compared with other subjects. The 47 had an average of 8.34 encounters over an average of 36.23 weeks. Consumers of project services used mental health care at a higher rate than did comparison subjects. Regression analyses indicated that utilization was related to reduction in reported mental health problems, HIV-related physical symptoms, and use of alcohol and powdered cocaine, as well as to improvement in social functioning. Our clients, individuals often viewed as not likely to avail themselves of or benefit from mental health care, were highly motivated for self-improvement and, given access to competent, convenient and culturally respectful services, improved their well-being in significant domains.
尽管迫切需要针对受该流行病影响尤为严重的人群进行干预，但城市中心地区与艾滋病毒相关的心理健康服务成效尚未得到充分记录。这些服务必须考虑并回应有色人种的文化问题以及通过注射吸毒或与注射吸毒者发生异性性行为而感染艾滋病毒者的需求。我们报告了一项与初级保健相结合并强调文化适应性的艾滋病毒心理健康项目的成效。将接受精神科和心理治疗服务的188名患者中的47名样本与其他受试者进行了比较。这47名患者在平均36.23周内平均接受了8.34次诊疗。项目服务的消费者使用心理健康护理的比例高于对照受试者。回归分析表明，利用率与报告的心理健康问题、与艾滋病毒相关的身体症状、酒精和粉状可卡因的使用减少有关，也与社会功能改善有关。我们的客户通常被认为不太可能利用心理健康护理或从中受益，但他们自我提升的积极性很高，并且在获得了专业、便捷且尊重文化的服务后，在诸多重要方面改善了自身的健康状况。
