Breaking the mold or business as usual? Meeting the challenges of HIV prevention in people With serious mental illness and substance use disorders

Conall O'Cleirigh, Steven Safren

Research output: Contribution to journalComment/debate

8 Scopus citations

Abstract

Meade and Weiss (2007) present a timely review of HIV sexual risk behavior in serious mental illness (SMI) and substance use disorders (SUD), and identify a critical paucity of relevant HIV prevention research. They suggest pathways by which SMI/SUD may combine to create risks for HIV. This commentary suggests that the complexities of this patient population may be better suited to hybrid models (Carroll & Rounsaville, 2003) combining the priorities of efficacy and effectiveness. We consider some recent modifications to cognitive-behavioral therapy (CBT) interventions that may provide useful tools to support HIV prevention. The challenges presented by HIV infection in this group are also considered in relation to our current work adapting traditional CBT to treat mental health and substance use issues in the context of HIV infection and/or prevention.

Original languageEnglish (US)
Pages (from-to)34-38
Number of pages5
JournalClinical Psychology: Science and Practice
Volume14
Issue number1
DOIs
StatePublished - Mar 1 2007
Externally publishedYes

Keywords

  • Cognitive-behavioral therapy
  • Dual diagnosis
  • HIV/AIDS
  • Prevention

ASJC Scopus subject areas

  • Clinical Psychology

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