The first national scientific meeting of the Social and Behavioral Science Research Network.

Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
JAIDS Journal of Acquired Immune Deficiency Syndromes (Impact Factor: 4.39). 04/2008; 47 Suppl 1:S1-4. DOI: 10.1097/QAI.0b013e3181605888
Source: PubMed
  • JAIDS Journal of Acquired Immune Deficiency Syndromes 06/2013; 63 Suppl 1:S1-3. DOI:10.1097/QAI.0b013e3182921554 · 4.39 Impact Factor
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    ABSTRACT: Following a randomized trial of case manager delivered HIV prevention intervention to persons with severe mental illness (SMI), this study sought to document changes within the service environment and with case managers themselves as a result of their experience and skills training. Utilizing qualitative methods, researchers conducted focus groups and in-depth interviews with 22 case managers and 3 administrators at an urban community mental health center. Beyond confirming previously established barriers to case manager delivery of HIV prevention interventions for persons with SMI, most noteworthy was the finding that case managers were generally unskilled in conducting assessments and tended to focus on "spoiled identity" and illness parts of their consumers. Experimental case managers revealed that they had been transformed by the training experience in a manner permitting them to both understand and work from a recovery model. Implications and directions for further study are discussed.
    Community Mental Health Journal 10/2010; 46(5):486-93. DOI:10.1007/s10597-010-9326-0 · 1.03 Impact Factor
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    ABSTRACT: In this study, we use the Colorado Symptom Index, a measure of psychiatric symptomatology, to identify vulnerable subgroups within the severely mentally ill population at elevated risk for HIV infection. Baseline data on 228 HIV positive and 281 HIV negative participants from two clinical trials were used. With years to HIV diagnosis as our primary endpoint, Kaplan-Meier estimates were calculated to find a CSI cut-off score, and a Cox proportional hazards model was used to obtain relative risks of infection for the two CSI categories created by the cut point. We found that a CSI score ≥ 30 was associated with a 47% increased risk for HIV infection (P < 0.01). While this study establishes the foundation for using CSI scores to identify a vulnerable subgroup within the SMI community, further studies should develop effective approaches to mitigate psychiatric symptomatology in order to examine the impact on HIV transmission risky behaviors.
    Community Mental Health Journal 04/2011; 47(6):672-8. DOI:10.1007/s10597-011-9402-0 · 1.03 Impact Factor