mental health AIDS

Summer 2007 Newsletter / Volume 8, Issue 4

Resources

Books & Articles

Card, J.J., Lessard, L., & Benner, T. (2007). PASHA: Facilitating the replication and use of effective adolescent pregnancy and STI/HIV prevention programs. Journal of Adolescent Health, 40(3), 275.e1-275.e14.

"This article provides an update on an innovative resource for promoting the replication of effective teen pregnancy and STI [sexually transmitted infection]/HIV prevention programs. The resource is called the Program Archive on Sexuality, Health & Adolescence (PASHA). ... Fifty-six programs have been selected by PASHA's Scientist Expert Panel as 'effective' in changing one or more risky behaviors associated with adolescent pregnancy or STI/HIV. Complete program and evaluation materials from 35 of these programs are now currently available through PASHA, five are pending, 12 are publicly available from other sources, and only four are not publicly available. ... The resource can be used by adolescent pregnancy and STI/HIV prevention practitioners to put what works to work to continue the lowering of the nation's adolescent pregnancy and STI/HIV rates" (p. 275.e1).

Fernandez, F., & Ruiz, P. (Eds.). (2006). Psychiatric aspects of HIV/AIDS. Philadelphia: Lippincott Williams & Wilkins.

From the publisher: "This comprehensive text focuses on psychiatric issues associated with HIV/AIDS and provides clinicians with a basic understanding of epidemiology, virology, transmission, and medical treatments inclusive of occupational exposures. Psychosocial, spiritual, and sociocultural aspects of HIV/AIDS are covered, describing implications of HIV/AIDS across minority groups. The treatment section allows clinicians to organize an effective psychiatric treatment plan for all mental disorders associated with HIV/AIDS. Issues of adherence, prevention, and public well-being are emphasized throughout. The management of medical problems such as delirium, dementia, and pain ... in ... patients with co-morbid substance abuse[,] as well as end[-]of[-]life care[,] is also included. In addition, requests for physician[-] assisted suicide are sensitively addressed from a biopsychosocial perspective."

Lightfoot, M., Rotheram-Borus, M.J., & Tevendale, H. (2007). An HIV-preventive intervention for youth living with HIV. Behavior Modification, 31(3), 345-363.

"Based on ... [our] experiences in delivering a small-group intervention to YLH [youth living with HIV], we developed an intervention that capitalized on the successful elements of our previous intervention (Teens Linked to Care) and addressed the challenges in delivering a HIV-preventive intervention to YLH. The CLEAR (Choosing Life: Empowerment, Action, Results) intervention consists of 3 modules, each containing six 1.5-hour sessions, for a total of 18 sessions. The first module focuses on reducing substance use, the second on decreasing sex risk behaviors, and the third on maintaining physical health by improving attendance at medical appointments and adhering to medication regimens" (p. 350).

Mason, S., & Vazquez, D. (2007). Making Positive Changes: A psychoeducation group for parents with HIV/AIDS. Social Work with Groups, 30(2), 27-40.

"The Making Positive Changes Program uses groups to enhance social support and to provide education on issues that affect families with HIV. Sessions focus on one of two major topics – self-care and parenting – with consumer involvement in planning and facilitation. Challenges included those typical to group work but also specific to HIV/AIDS, especially stigma. As the program develops, consumers will increasingly participate in and guide group implementation" (p. 27).

Meade, C.S., & Weiss, R.D. (2007). Substance abuse as a risk factor for HIV sexual risk behavior among persons with severe mental illness: Review of evidence and exploration of mechanisms. Clinical Psychology: Science & Practice, 14(1), 23-33.

"The objectives of this article are to (a) document the rate of HIV infection among persons with co-occurring SMI [severe mental illness] and SUD [substance use disorder], (b) review studies examining substance abuse as a risk factor for sexual risk behavior among persons with SMI, (c) identify mechanisms through which substance abuse may influence sexual risk behavior, (d) discuss how the co-occurrence of SMI and SUD may have additive or synergistic effects on HIV sexual risk behavior, and (e) provide recommendations for clinical practice" (p. 24).

Miller, R.L., Jr. (2007). Legacy denied: African American gay men, AIDS, and the black church. Social Work, 52(1), 51-61.

"This qualitative study used narrative data to examine the religious education and spiritual formation of 10 African American gay men living with AIDS and to describe their experience of religiously sanctioned homophobia, heterosexism, and AIDS phobia of the black church in the context of its historical opposition to societal prejudice and oppression. Examining how African American gay men living with AIDS manage their religious and spiritual involvement, sexual orientation, and disease status may help ... [clinicians] understand the challenges such men may experience. It might also help ... [clinicians] offer culturally relevant and emotionally restorative ... interventions for clients experiencing such losses" (p. 51).

Noar, S.M. (2007). An interventionist's guide to AIDS behavioral theories. AIDS Care, 19(3), 392-402.

"Although numerous individual-level AIDS behavioral theories (ABTs) exist in the literature, there is currently no consensus as to which theory is most precise in explaining or predicting HIV risk behavior. In the absence of empirical evidence favoring one ABT over another, how should an interventionist go about choosing a theory for one's particular prevention efforts? The current article provides an overview of and conceptually compares 13 ABTs in an attempt to provide guidance regarding this critical decision. A variety of criteria upon which one might judge ABTs are proposed and discussed, including empirical support for variables that make up the theory, whether or not theories are belief-based, AIDS-specific, message-based, intervention-based and behavior or behavioral-change focused. While all of the theories have strengths and weaknesses, the task for an interventionist is to choose the theory of best fit for one's particular prevention efforts. The suggestions provided in the current article may help with such a choice" (p. 392).

Rutledge, S.E. (2007). Single-session motivational enhancement counseling to support change toward reduction of HIV transmission by HIV positive persons. Archives of Sexual Behavior, 36(2), 313-319.

"Using two case examples, this article presents an overview of motivational interviewing in a single counseling session as a promising treatment for addressing ambivalence about safer sex with HIV+ persons" (p. 313).

Scheid, T.L. (2007). Specialized adherence counselors can improve treatment adherence guidelines for specific treatment issues. Journal of HIV/AIDS & Social Services, 6(1-2), 121-138.

"This paper describes the role played by specialized adherence counselors and provides a summary of the guidelines that were developed throughout the course of this project. Strategies are offered for helping with diverse adherence problems … [and are] directed towards clinicians working on the front line to improve adherence" (pp. 121-122).

Shoptaw, S., & Reback, C.J. (2007). Methamphetamine use and infectious disease-related behaviors in men who have sex with men: Implications for interventions. Addiction, 102(Suppl. 1), 130-135.

"Methamphetamine [meth] use is highly prevalent in MSM [men who have sex with men]. Strong associations between [meth] use and HIV-related sexual transmission behaviors are noted across studies of MSM and correspond to increased incidence for HIV and syphilis compared to MSM who do not use the drug. Behavioral treatments produce sustained reductions in [meth] use and concomitant sexual risk behaviors among [meth]-dependent MSM" (p. 130). For these reasons, Shoptaw and Reback recommend "[b]rief screening of [meth] use for MSM who seek physical, mental health and substance abuse services ... . Behavioral interventions that address [meth] use may range from brief interventions to intensive out-patient treatments" (p. 130).

Steele, R.G., Nelson, T.D., & Cole, B.P. (2007). Psychosocial functioning of children with AIDS and HIV infection: Review of the literature from a socioecological framework. Journal of Developmental & Behavioral Pediatrics, 28(1), 58-69.

"[B]eyond the direct effects on children's neurocognitive and psychological functioning, HIV infection may disrupt many of the social support systems that children depend on for optimal development. Further, unlike many other illnesses, children with HIV infection are more likely to experience parental illness and possible death, social stigmatization, and the prospect of lifelong adherence to complicated medical regimens. Families face difficult decisions regarding disclosure of the illness both to the child and to others within and outside of the family. Children who are disclosed to about their illness generally evidence better adjustment. Similarly, appropriate disclosure outside of the immediate family may confer some benefits to the child in terms of psychological and physical health. However, research into the larger social ecologies of youth with HIV remains lacking, limiting the conclusions that can be drawn regarding longer term outcomes" (p. 58).

Welle, D.L., & Clatts, M.C. (2007). Scaffolded interviewing with lesbian, gay, bisexual, transgender, queer, and questioning youth: A developmental approach to HIV education and prevention. Journal of the Association of Nurses in AIDS Care, 18(2), 5-14.

"This article introduces an approach to scaffolded interviewing that builds narrative and relational 'platforms' for young people's self-development and facilitates health communication, trust and rapport, and HIV awareness. ... In scaffolded interviewing, three kinds of platforms or supportive structures serve to scaffold enhanced health communication and HIV awareness: (a) the interview design (a strategic sequencing of life history and HIV-related questions), (b) the developing relationship between interviewer and study participant, and (c) the young person's own narration of a 'real' and developing self" (p. 5).

Wiener, L., Mellins, C.A., Marhefka, S., & Battles, H.B. (2007). Disclosure of an HIV diagnosis to children: History, current research, and future directions. Journal of Developmental & Behavioral Pediatrics, 28(2), 155-166.

"This paper provides a systematic review of research on disclosure of pediatric HIV infection. ... While no consensus on when the diagnosis of HIV should be disclosed to a child or the psychological outcomes associated with disclosure was found, clinical consensus on several issues related to working with families was identified. We apply this literature to clinical practice and suggest avenues and directions for future research" (p. 155).

– Compiled by Abraham Feingold, Psy.D.

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