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Mandatory HIV testing and occupational therapists

J Falk-Kessler1, C Barnowski, S Salvant

  • 1Programs in Occupational Therapy, Columbia University, New York, New York.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|January 1, 1994
PubMed
Summary

Occupational therapy administrators show fear of HIV transmission, leading to restrictive policies for HIV-positive staff and students. Many support mandatory HIV testing and patient notification despite adherence to universal precautions.

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The American journal of occupational therapy : official publication of the American Occupational Therapy Association·1991

Area of Science:

  • Healthcare Administration
  • Infectious Disease Policy
  • Occupational Therapy

Background:

  • Rising human immunodeficiency virus (HIV) prevalence impacts healthcare settings.
  • Increased prevalence of HIV-positive healthcare workers necessitates understanding their impact on service provision.

Purpose of the Study:

  • To explore the effect of HIV-positive healthcare workers on occupational therapy service provision.
  • To examine occupational therapy administrators' attitudes and policies regarding HIV in the workplace.

Main Methods:

  • A survey of 118 occupational therapy administrators was conducted.
  • Questionnaires assessed policies and attitudes toward HIV-positive staff, students, patients, and mandatory testing.
  • Descriptive statistics and chi-square analyses were used.
Keywords:
Centers for Disease Control and PreventionEmpirical ApproachHealth Care and Public Health

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Main Results:

  • Few departments have specific policies for HIV-positive personnel; existing ones focus on discrimination acts and universal precautions.
  • Over one-third of administrators favor mandatory HIV testing and patient notification.
  • A significant minority would refuse to hire/train or would restrict patient care for HIV-positive therapists/students.

Conclusions:

  • Despite adherence to Centers for Disease Control (CDC) guidelines and anti-discrimination laws, fear of HIV transmission persists in occupational therapy.
  • This fear may lead to unnecessarily restrictive administrative decisions impacting HIV-positive staff and students.
  • Concerns about occupational therapy practice and HIV transmission warrant further investigation and policy refinement.