Abstract
Mental Health concomitants of the AIDS crisis are reviewed along with recommendations for a community mental health response. Proposed interventions range from traditional clinical services to support groups, case management, day treatment, training of caregivers, outreach, consultation, and community education. It is recommended that, at the very least, each community mental health center identify an AIDS specialist who will keep abreast of the rapidly changing information and become the in-house expert. The author predicts that AIDS is likely to become the major mental health problem of the next decade.
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American Psychiatric Association AIDS Policy: Confidentiality and Disclosure.American Journal of Psychiatry, 1988, 145 (4), 541.
Appelbaum, P.S. AIDS, Psychiatry, and the Law.Hospital and Community Psychiatry, 1988, 39 (1), 13–14.
Calabrese, J.R., Kling, M.A., & Gold, P.W. Alterations in immunocompetence during stress, bereavement, and depression: Focus on neuroendocrine regulation.The American Journal of Psychiatry, 1987, 144 (9), 1123–1134.
Centers for Disease Control. Quarterly Report to the Domestic Policy Council on the Prevalence and Rate of Spread of HIV and AIDS in the United States.MMWR, 1988, 37 (14), 223–227.
Curran, J.W., Morgan, W.M., Hardy, A.M., Jaffe, H.W., Darrow, W.W., & Dowdle, W.R. The epidemiology of AIDS: Current status and future prospects.Science, 1985, 229, (4720) 1352–1357.
Dilley, J.W., Ochitill, H.N., Perl, M. & Volberding, P.A. Findings in psychiatric consultation with patients with Acquired Immune Deficiency Syndrome.American Journal of Psychiatry, 1985, 142 (1), 82–85.
Dunkel, J., & Hatfield, S. Countertransference issues in working with persons with AIDS.Social Work, 1986, 32 (2), 114–117.
Fernandez, F., Levy, J.K., & Galizzi, H. Response of HIV/Related Depression to Psychostimulants: Case Reports.Hospital and Community Psychiatry, 1988, 39 (6), 628–631.
Ginzburg, H.M., & Gostin, L. Legal and Ethical Issues Associated with HTLV-III Diseases.Psychiatric Annals, 1986, 16 (3), 180–185.
Gray, L.A., & Harding, A.K. Confidentiality Limits with Clients Who Have the AIDS Virus.Journal of Counseling and Development, 1988, 66 (5) 219–221.
Henry, K., Maki, M. & Crossley, K. Analysis of the Use of HIV Antibody Testing in a Minnesota Hospital,The Journal of the American Medical Association, 1988, 259 (2), 229–232.
Hoffman, A.S. Impact of AIDS.Hospital and Community Psychiatry, 1986, 37 (9), 943–944.
Holland, J.C., & Tross, S. The psychosocial and neuropsychiatric sequelae of the Acquired Immunodeficiency Syndrome and related disorders.Annals of Internal Medicine, 1985, 103 (5), 760–764.
Insley, R.L. AIDS Issues in Inpatient/Residential Services, Presentation at conferenceAIDS: Mental Health Interventions, Tampa, Florida, June, 1987.
Jemmott, J.B., & Locke, S.E. Psychosocial factors, immunologic mediation, and human susceptibility to infectious diseases: How much do we know?Psychological Bulletin, 1984, 95 (1), 78–108.
Kelly, J.A., St. Lawrence, J.S., Smith, S., Hood, H.V., & Cooks, D.J. Stigmatization of AIDS patients by physicians.American Journal of Public Health, 1987, 77 (7), 789–791.
Kelly, J.A., & St. Lawrence, J.S. The prevention of AIDS: Roles for Behavioral Intervention. Scandinavian Journal of Behaviour Therapy, 1987, 16 (1), 5–19.
Knox, M.D., & Dow, M.G. AIDS: Knowledge and Attitudes Among Mental Health Care Providers. Presentation at theAnnual Meeting of the Southeastern Psychological Association, New Orleans, LA, March, 1988.
Lewis, C.E., Freeman, H.E., & Corey, C.R. AIDS-related competence of California's primary care physicians.American Journal of Public Health, 1987, 77 (7), 795–799.
Morgan, W.M., & Curran, J.W. Acquired Immunodeficiency Syndrome: Current and future trends.Public Health Reports, 1986, 101 (5), 459–465.
The New Republic, October 14, 1985, 193 (16), 7–10. AFRAIDS.
National Council of Community Mental Health Centers. Half of CMHCs serve AIDS clients.National Council News, August, 1988.
Nichols, S.E. Psychosocial reactions of persons with the Acquired Immunodeficiency Syndrome.Annals of Internal Medicine, 1985, 103, 765–767.
Perry, S., & Jacobsen, P. Neuropsychiatric manifestations of AIDS-spectrum disorders.Hospital and Community Psychiatry, 1986, 37 (2), 135–142.
Perry, S.W., & Markowitz, J. Psychiatric interventions for AIDS-spectrum disorders.Hospital and Community Psychiatry, 1986, 37 (10), 1001–1006.
Polan, H.J., Hellerstein, D., & Amchin, J. Impact of AIDS-related cases on an inpatient therapeutic mileu.Hospital and Community Psychiatry, 1985, 36 (2), 173–176.
Riley, V. Psychoneuroendocrine influences on immunocompetence and neoplasia.Science, 1981, 212 (5), 1100–1109.
Rosse, R.B. Reactions of Psychiatric Staff to an AIDS Patient.American Journal of Psychiatry, 1985, 142 (4), 523.
Seide, M., Greenberg, W.M., & Scimeca, M.M. Medical complications in psychiatric patients as demonstrated in a patient with AIDS.Quality Review Bulletin, 1987, 13 (4), 118–121.
Siegel, K. AIDS: The social dimension.Psychiatric Annals, 1986, 16 (3), 168–172.
Snider, W.D., Simpson, D.M., Nielson, S., Gold, J.W.M., Meroka, C.E., & Posner, J.B. Neurological complications of Acquired Immune Deficiency Syndrome: Analysis of 50 patients.Annals of Neurology, 1983, 14 (4), 403–418.
Tross, S. Psychological and Neuropsychological Function in AIDS-Spectrum Disorder Patients. Presentation at conferenceAIDS: Mental Health Interventions, Tampa, Florida, June, 1987.
Wertz, D.C., Sorenson, J.R., Liebling, L., Kessler, L. & Heeren, T.C. Knowledge and attitudes of AIDS health care providers before and after education programs.Public Health Reports, 1987, 102 (3), 248–254.
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Knox, M.D. Community mental health's role in the AIDS crisis. Community Ment Health J 25, 185–196 (1989). https://doi.org/10.1007/BF00754436
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DOI: https://doi.org/10.1007/BF00754436