TY - JOUR
T1 - Mental Health Case Management as a Locus for HIV Prevention
T2 - Results from Case-Manager Focus Groups
AU - Encandela, John A.
AU - Korr, Wynne S.
AU - Hulton, Kathleen
AU - Koeske, Gary F.
AU - Klinkenberg, W. Dean
AU - Otto-Salaj, Laura L.
AU - Silvestre, Anthony J.
AU - Wright, Eric R.
N1 - Funding Information:
Work described in this article was part of research conducted for a grant from the National Institute of Mental Health, R03 MH62281.
PY - 2003/10
Y1 - 2003/10
N2 - HIV infection among people with severe mental illness (SMI) is a growing concern, and interventions have been designed to address HIV prevention among these individuals. However, little is known about the preparedness of mental health providers to support these interventions. This study concentrated on mental health case management as a locus for HIV-prevention services. Focus groups of case managers were conducted to learn participants' motivation to adopt HIV-prevention services and barriers/facilitators to such adoption. Participants reported they would be motivated to offer HIV prevention if services were to be presented in the context of existing client relationships and case-management tasks. Barriers and facilitators were discussed at client, provider, and community levels, and recommendations for training were offered. Findings have implications for diffusion of HIV-prevention services in case management, and the line of questioning in focus groups provides a basis for learning about other behavioral health service contexts as loci for disease prevention.
AB - HIV infection among people with severe mental illness (SMI) is a growing concern, and interventions have been designed to address HIV prevention among these individuals. However, little is known about the preparedness of mental health providers to support these interventions. This study concentrated on mental health case management as a locus for HIV-prevention services. Focus groups of case managers were conducted to learn participants' motivation to adopt HIV-prevention services and barriers/facilitators to such adoption. Participants reported they would be motivated to offer HIV prevention if services were to be presented in the context of existing client relationships and case-management tasks. Barriers and facilitators were discussed at client, provider, and community levels, and recommendations for training were offered. Findings have implications for diffusion of HIV-prevention services in case management, and the line of questioning in focus groups provides a basis for learning about other behavioral health service contexts as loci for disease prevention.
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U2 - 10.1007/BF02287429
DO - 10.1007/BF02287429
M3 - Review article
C2 - 14593665
AN - SCOPUS:0142040257
SN - 1094-3412
VL - 30
SP - 418
EP - 432
JO - Journal of Behavioral Health Services and Research
JF - Journal of Behavioral Health Services and Research
IS - 4
ER -