While HIV spreads among people with severe mental illness for the same reasons it does in the general population, there are specific ways in which mental illness is associated with elevated HIV risk. Every mental health institution programme now has to deal with the consequences of increased HIV rates. AIDS and People with Severe Mental Illness covers the range of information for those who deal with these patients: epidemiological, medical, psychological, legal, ethical and policy issues are all examined by authorities in those areas.

This book is a practical guide in understanding how to prevent HIV transmission, to recognize risk behaviors, and to add something else to their repertoires. It aims to empower clinicians and provide a sense of security and competence with the recognition and understanding of some of the psychiatric illnesses that complicate and perpetuate the HIV pandemic that continue to persist throughout every area of the world despite the magnitude of the progress that has transformed the illness from a rapidly fatal to chronic illness that is no longer life-limiting. Missing in most of the literature on HIV is the subtle, and sometimes not so subtle, contribution of psychiatric symptoms, psychiatric illness, and risk behaviors that drive the pandemic and serve as catalysts for new infections. This practical guide provides state-of-the-art understanding of not only prevention but also a way to recognize risk behaviors, psychiatric symptoms, and psychiatric illnesses that will demystify and decode the sometimes enigmatic and frustrating reasons for nonadherence with diagnostic procedures and life-saving treatments and care. All behaviors and pathology are covered as well as the resources and treatments available. The goal of this text is to refresh knowledge on the current state of psychiatric illness management among people living with HIV, to provide a concise volume on the psychiatric aspects of HIV prevention and treatment that substantially impact the overall care of the patient, and to help understand the psychiatric catalysts of the pandemic Written by experts in the field, HIV Psychiatry: A Practical Guide for Clinicians provides enduring guidance to medical and other professionals caring for complicated clinical patients as they face ongoing challenges in working with persons with HIV and AIDS.

Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic. The editors of HIV/AIDS in South Africa 25 Years On present the South African crisis as a template for addressing the myriad issues surrounding the epidemic worldwide, as the book brings together a widely scattered body of literature, analyzes psychosocial and sexual aspects contributing to HIV transmission and prevention, and delves into complex intersections of race, gender, class, and politics. Including largely overlooked populations and issues (e.g., prisoners, persons with disabilities, stigma), as well as challenges shaping future research and policy, the contributors approach their topics with rare depth, meticulous research, carefully drawn conclusions, and profound compassion. Among the topics covered: The relationship between HIV and poverty, starting from the question, "Which is the determinant and which is the consequence?" Epidemiology of HIV among women and men: concepts of femininity and masculinity, and gender inequities as they affect HIV risk; gender-specific prevention and intervention strategies. The impact of AIDS on infants and young children: risk and protective factors; care of children by HIV-positive mothers; HIV-infected children. Current prevention and treatment projects, including local-level responses, community-based work, and VCT (voluntary counseling and testing) programs. New directions: promoting circumcision, vaccine trials, "positive prevention." South Africa’s history of AIDS denialism. The urgent lessons in this book apply both globally and locally, making HIV/AIDS in South Africa 25 Years On uniquely instructive and useful for professionals working in HIV/AIDS and global public health.

Learn why it’s time for a new era in mental health and prevention science HIV: Issues with Mental Health and Illness is a comprehensive examination of the co-morbidity that exists between HIV/AIDS and mental illness. Internationally recognized experts in the field analyze the latest research on why HIV sufferers are at risk of developing mental illness and how people who suffer from mental illness risk contracting HIV through sexual behavior and substance abuse. This unique book focuses on clinical and diagnostic issues, the organization of service delivery systems, and community-based interventions. HIV: Issues with Mental Health and Illness presents vital contributions from physicians, sociologists, nurses, social workers, and psychologists working to develop a plan to reduce the number of persons affected by the epidemic, and to improve the quality of life of those already HIV infected. Aimed at promoting a new era in mental health and prevention science, the book examines vital issues including: the interplay between depression, HIV, and chronic fatigue; condom use among adolescents with psychiatric disorders; predicting HIV risk and how targeted intervention can address multiple health risks; how an increase in emotional stress can affect African-American women concerned about becoming HIV infected; STI risk reduction strategies; how client gender can affect mental health care service delivery; and the implementation of intervention programs as part of supported housing programs. HIV: Issues with Mental Health and Illness examines: bridging the gap between research and practice depression and HIV schizophrenia and HIV mental health policy and infectious diseases HIV prevention community-based participatory research community psychology mental health disparities translation research transforming public health systems HIV: Issues with Mental Health and Illness is an invaluable resource for public health workers and policymakers, psychologists, psychiatrists, social work nurses, infectious disease physicians, and addictions disease counselors.

There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

Learn why it’s time for a new era in mental health and prevention science HIV: Issues with Mental Health and Illness is a comprehensive examination of the co-morbidity that exists between HIV/AIDS and mental illness. Internationally recognized experts in the field analyze the latest research on why HIV sufferers are at risk of developing mental illness and how people who suffer from mental illness risk contracting HIV through sexual behavior and substance abuse. This unique book focuses on clinical and diagnostic issues, the organization of service delivery systems, and community-based interventions. HIV: Issues with Mental Health and Illness presents vital contributions from physicians, sociologists, nurses, social workers, and psychologists working to develop a plan to reduce the number of persons affected by the epidemic, and to improve the quality of life of those already HIV infected. Aimed at promoting a new era in mental health and prevention science, the book examines vital issues including: the interplay between depression, HIV, and chronic fatigue; condom use among adolescents with psychiatric disorders; predicting HIV risk and how targeted intervention can address multiple health risks; how an increase in emotional stress can affect African-American women concerned about becoming HIV infected; STI risk reduction strategies; how client gender can affect mental health care service delivery; and the implementation of intervention programs as part of supported housing programs. HIV: Issues with Mental Health and Illness examines: bridging the gap between research and practice depression and HIV schizophrenia and HIV mental health policy and infectious diseases HIV prevention community-based participatory research community psychology mental health disparities translation research transforming public health systems HIV: Issues with Mental Health and Illness is an invaluable resource for public health workers and policymakers, psychologists, psychiatrists, social work nurses, infectious disease physicians, and addictions disease counselors.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

HIV/AIDS has become a psychiatric epidemic. The disease causes or exacerbates such psychiatric disorders as depression, dementia, schizophrenia, and bipolar disease. At the same time, the presence of a psychiatric disorder can lead to increased risk for HIV infection and worsen the prognosis of patients once they are infected. Dr. Glenn J. Treisman, who has been described as the "father of AIDS psychiatry," describes the relationship between psychiatric disorders and HIV/AIDS and demonstrates the ways in which effective recognition and treatment of mental disorders can increase a patient's ability to obtain better treatment, improve compliance with medical regimens, and reduce incidents of high-risk behavior. The book provides HIV/AIDS professionals with overviews of psychiatric disorders, including mood and personality disorders, mental retardation, substance abuse and addiction, and sexual disorders and dysfunction. It also provides mental health professionals with essential information on how to care for patients with HIV and those at risk for the infection. The book discusses psychopharmacology, psychotherapy and counseling, as well as adherence and compliance issues, and the relationship between psychiatric disorders and other STDs. Containing the most up-to-date information on diagnosis, prognosis, and treatment, this book draws on the authors' unrivaled experience and uses case studies to show HIV/AIDS professionals how psychiatric interventions benefit the patient, the medical team, and society as a whole. The cases are rich and engaging, and convey to the reader the intense disorder that can affect the lives of patients.

The 'Comprehensive Textbook of AIDS Psychiatry' provides insight into the interface between the psychiatric, medical, and social dimensions of HIV and AIDS and the need for a compassionate, integrated, and approach to the HIV pandemic with an emphasis on humanizing destigmatizing HIV

Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.