Interventions for homeless men and women with mental illness: Reducing sexual risk behaviours for HIV

Süsser, Ezra; Valencia, Eliecer; Sohler, Nancy; Gheith, Ali; Conover, Sarah; Torres, Júlio César Nogueira

doi:10.1258/0956462961917672

Cited by 9 publications

(7 citation statements)

References 17 publications

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“…The effect size (78.7%) indicated that these changes were not just statistically significant, but also clinically meaningful. More importantly, the follow-up period for three of the four previous studies was less than 4 months (Kalichman et al, 1995;Kelly et al, 1997;Weinhardt et al, 1998a); in the one study that followed participants over time, the positive results of the intervention decreased significantly by 6 months (Susser et al, 1996). In contrast, the effects of Project LIGHT were sustained at similar levels across 12 months with little variation in effects over time.…”

Section: Discussionmentioning

confidence: 95%

HIV prevention with persons with mental health problems

He¹

2006

Psychology, Health & Medicine

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The HIV seroprevalence rate among persons with mental health problems (PMHP) is substantially higher than that of the general population in the United States. This study examines the efficacy over 12 months of an HIV prevention program with 99 individuals attending outpatient mental health clinics who were randomly assigned to receive either: (a) a seven-session, small-group intervention of Project LIGHT (Living in Good Health Together); or (b) a one-session video intervention. Regression analyses of data from 87% of the sample interviewed at 1-year follow-up revealed that intervention group membership was associated with significantly fewer sexual risk acts. A significant intervention effect for condom use was found for 72% of the sample who were African American, but not for Latino or Caucasian participants. Results from this study suggest that HIV risk reduction groups such as Project LIGHT may have utility in public mental health care settings.

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Section: Discussionmentioning

confidence: 95%

HIV prevention with persons with mental health problems

He¹

2006

Psychology, Health & Medicine

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“…SexG indicates the group receiving the intervention "Sex, Games, and Videotapes," described elsewhere. 25,26 SexG group scored 3 times lower than the control group (mean, 1.0 vs 3.1; P=.01) on the sexual risk index, indicating that they had less unprotected sex with casual and occasional partners.…”

Section: Commentmentioning

confidence: 87%

“…SexG indicates the group receiving the intervention "Sex, Games, and Videotapes," described elsewhere. 25,26 †Partner identified as lover, wife, or steady. *VEE indicates Vaginal Episode Equivalent for unprotected sex with casual or occasional partners during the initial 6 months of follow-up; SexG, the group receiving the intervention "Sex, Games, and Videotapes" described elsewhere.…”

Section: Discussionmentioning

confidence: 99%

“…The SexG intervention, described in detail elsewhere, 25,26 focuses mainly on reducing the frequency of unprotected penile-anal and penile-vaginal sexual intercourse with casual and occasional partners. Incorporating lessons from a decade of clinical experience, ethnographic research, 29,30 and the suggestions of the men themselves, 31 we designed an interactive and entertaining intervention based on familiar activities in which the men could excel: storytelling, competitive games, and acting scenes from their daily lives.…”

Section: Experimental Interventionmentioning

confidence: 99%

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Human Immunodeficiency Virus Sexual Risk Reduction in Homeless Men With Mental Illness

Süsser¹,

Valencia²,

Berkman³

et al. 1998

Arch Gen Psychiatry

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“…Susser et al . (1996) identify other reasons why the mentally ill could be at risk of HIV infection: they postulated that a great majority of those diagnosed as suffering from mental illness and who are drug users may engage in intravenous drug use which in itself carry a higher risk of HIV acquisition and development of AIDS via: needle use without sterilization, those at‐risk not being prepared to adapt risk reduction behaviours and this being an important vehicle to socialization.…”

Section: Discussionmentioning

confidence: 99%

HIV/AIDS awareness in those diagnosed with mental illness

Ngwena

2011

Psychiatric Ment Health Nurs

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The spread of human immunodeficiency virus (HIV) continues to increase among the general population. Previous studies in this field focused mainly on the 'at-risk' groups such as homosexuals, prostitutes, intravenous drug users, bisexual men and women. Mentally ill men and women remain one of the subgroups understudied and yet continue to show disproportionately high levels of seroprevalence. The purpose of this study was to elucidate awareness of the risk factors associated with HIV transmission and development of AIDS in those diagnosed with mental illness. Using questionnaires, information regarding HIV method of transmission, knowledge on HIV/AIDS and at-risk behaviour awareness was obtained from 30 subjects in an acute psychiatric mental health unit (13 women and 17 men). Significant association between different variables was determined at 95.5% confidence level (P=0.05). Assessment of HIV/AIDS awareness and at-risk behaviour awareness revealed significant knowledge deficit among this subject group. The outcome of this study underscores the need to introduce intervention programmes tailored to individual needs of the mentally ill. Measures such as 'at-risk sexual' behaviours should be incorporated into the current assessment process or profile so that accurate information and informed judgement can be reached regarding client or patient sexual behaviour.

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Interventions for homeless men and women with mental illness: Reducing sexual risk behaviours for HIV

Cited by 9 publications

References 17 publications

HIV prevention with persons with mental health problems

HIV prevention with persons with mental health problems

Human Immunodeficiency Virus Sexual Risk Reduction in Homeless Men With Mental Illness

HIV/AIDS awareness in those diagnosed with mental illness

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