HIV/AIDS preparedness in mental health care agencies with high and low substance use disorder caseloads
HIV/AIDS preparedness in mental health care agencies with high and low substance use disorder caseloads
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DOI：
10.1016/s0899-3289(01)00074-8
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发表时间：
2001-01-01
期刊：
影响因子：
--
通讯作者：
Cournos, F
中科院分区：
文献类型：
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作者：
McKinnon, K;Wainberg, ML;Cournos, F
目的：哥伦比亚大学艾滋病毒精神健康培训项目旨在改善纽约和邻近各州精神卫生工作人员对艾滋病的准备，试图比较在药物使用障碍患者占主导地位的情况下与药物使用障碍患者占少数的情况下，精神卫生保健提供者感知的艾滋病毒相关需求和能力。方法：在2000年3月至2001年1月期间，首批连续67家要求提供艾滋病毒/艾滋病培训的精神卫生保健机构完成了一份书面需求评估，描述了它们与艾滋病毒有关的服务和培训需求。结果：与其他机构相比，药物滥用案件量较高的机构更有可能有大量艾滋病毒/艾滋病案件，目前正在向客户提供避孕套，并将工作人员对性身份问题和与毒品有关的问题的舒适度评为良好。总体而言，以前接受过特定专题领域(例如艾滋病毒风险评估)培训的机构比其他机构提供这些服务的可能性要大得多。即便如此，在所有情况下，都发现在提供服务方面存在重大差距。影响：艾滋病流行20年后，精神卫生保健机构，特别是那些治疗数量较少的药物使用障碍患者的机构，可能无法提供足够的服务来满足客户与艾滋病毒相关的需求。(C)2001 Elsevier Science Inc.保留所有权利。
Purpose: The Columbia University HIV Mental Health Training Project, created to improve the mental health workforce's AIDS preparedness in New York and neighboring states, sought to compare the perceived HIV-related needs and capacities of mental health care providers in settings where clients with substance use disorders predominated versus those where clients with substance use disorders were the minority of the agencies' caseload. Methods: The first consecutive 67 mental health care agencies that requested HIV/AIDS training between March 2000 and January 2001 completed a written needs assessment describing their HIV-related services and training needs. Results: Agencies with higher substance abuse caseloads were significantly more likely than others to have large HIV/AIDS caseloads, to be currently providing condoms to clients, and to rate staff comfort with sexual identity issues as well as drug-related issues as good. Overall, agencies that had received previous training in specific topic areas (e.g., HIV risk assessment) were significantly more likely than others to provide those services. Even so, in all settings, significant gaps in service provision were found. Implications: Two decades into the AIDS epidemic, mental health care agencies, especially those treating smaller caseloads of patients with substance use disorders, may not be providing sufficient services to meet their clients' HIV-related needs. (C) 2001 Elsevier Science Inc. All rights reserved.