HIV prevention among psychiatric inpatients: a pilot risk reduction study

Area of Science:

• Public Health
• Mental Health Services
• Infectious Disease Prevention

Background:

• Individuals with chronic mental illness often face higher risks for HIV infection.
• Limited evidence exists on the engagement of this population in structured HIV prevention programs.
• Substance use histories were higher in participants, indicating a focus on at-risk individuals.

Purpose of the Study:

• To pilot an HIV prevention program for patients on an acute inpatient psychiatric ward.
• To assess the engagement and tolerance of risk reduction discussions among chronically mentally ill patients.
• To identify potential benefits and areas for improvement in such programs.

Main Methods:

• A 7-week program with weekly 75-minute sessions co-led by an HIV counselor and social worker.
• Sessions included presentations, educational videos, discussions, and interactive activities (role-play, games).
• Voluntary participation was observed, with participants showing higher rates of substance use history.

Main Results:

• Despite a range in patient functioning, discussions were lively and participation was good.
• The program demonstrated that chronically mentally ill patients can engage in risk reduction programs.
• Explicit discussions of sexual issues were well-tolerated by participants.

Conclusions:

• HIV prevention programs are feasible and beneficial for individuals with chronic mental illness.
• This pilot indicates that frank discussions about sexual health and HIV risk are well-tolerated in this population.
• The program provides a foundation for developing improved risk reduction strategies for psychiatric inpatients.