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1996-02-26
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Document 0711
DOCN M9620711
TI Sexually transmitted disease prevention services for female chronically
mentally ill patients.
DT 9602
AU Coverdale JH; Bayer TL; McCullough LB; Chervenak FA; Department of
Psychiatry, Baylor College of Medicine, Houston,; Texas, USA.
SO Community Ment Health J. 1995 Aug;31(4):303-15. Unique Identifier :
AIDSLINE MED/96075990
AB Chronically and variably impaired autonomy makes women with chronic
mental illness particularly vulnerable to contracting sexually
transmitted diseases (STDs) including AIDS. A lack of female controlled
protective devices also adds to the vulnerability of these patients. In
this context, the authors make recommendations for the design of
clinically comprehensive and ethically justified programs to minimize
the risk of mentally ill women for STDs. When female chronically
mentally ill patients are at risk of STDs, barriers to the exercise of
their autonomy must be identified and clinically treated. Preventive
clinical interventions can also be usefully augmented by educational
strategies and facilitate patients' communication and behavioral skills,
particularly in order to enable them to abstain from unwanted sex or to
make prospective male partners wear a condom. Outreach efforts to the
male partners of female patients and to the homeless mentally ill may
also be required. Preventive services could be integrated and
coordinated with STD clinics, substance abuse treatment programs and
family planning programs.
DE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/
PSYCHOLOGY/TRANSMISSION Adult Chronic Disease *Community Mental
Health Services Family Planning Female Homeless Persons/PSYCHOLOGY
Human Knowledge, Attitudes, Practice Male Mental
Disorders/PSYCHOLOGY/*REHABILITATION Pregnancy Risk Factors Sexual
Partners Sexually Transmitted Diseases/*PREVENTION &
CONTROL/PSYCHOLOGY/ TRANSMISSION Substance
Abuse/PSYCHOLOGY/REHABILITATION JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).