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Titre du document / Document title

Challenges to HIV prevention in psychiatric settings : Perceptions of South African mental health care providers

Auteur(s) / Author(s)

COLLINS Pamela Y. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Columbia University, New York, NY, ETATS-UNIS

Résumé / Abstract

Mental health services in South Africa increasingly feel the brunt of the AIDS epidemic. Despite the high prevalence of infection in the psychiatric setting, HIV risk reduction interventions targeting South Africans with psychiatric illness remain few and far between. The attitudes of mental health care providers about sexual relations and HIV among people with mental illness continue to influence the extent to which these issues are addressed in care settings. This study examines these attitudes through the use of a semi-structured interview administered to 46 mental health care providers in four provinces of South Africa. I found that personal, contextual and political factors in the clinic and the hospital create barriers to integrating prevention activities. In particular, providers face at least three challenges to intervening in the epidemic among their patients: their own views of psychiatric illness, the transitions occurring in the mental health care system, and shifting social attitudes toward sexuality. Barriers operate at the individual level, the institutional level, and the societal level. At the individual level providers' perceptions of psychiatric symptoms shape their outlook on intervention with psychiatric patients. At the institutional level disruptive transitions in service delivery relegate HIV services to lesser importance. At the societal level, personal beliefs about sexuality and mental illness have remained slow to change despite major political changes. Minimizing barriers to implementing HIV prevention services requires institutional and health care policies that ensure adequate resources for treating people with mental illness and for staff development and support.

Revue / Journal Title

Social science & medicine    ISSN  0277-9536   CODEN SSMDEP 

Source / Source

2006, vol. 63, no4, pp. 979-990 [12 page(s) (article)] (28 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, Kidlington, ROYAUME-UNI  (1982) (Revue)

Mots-clés anglais / English Keywords

Immunopathology

;

Immune deficiency

;

Africa

;

Infection

;

Viral disease

;

Social medicine

;

Human

;

Psychiatric consultation

;

Psychiatric hospital

;

Social aspect

;

Care

;

Accessibility

;

Health staff patient relation

;

Health care staff

;

Health staff

;

Public health

;

Mental health

;

South Africa

;

Social perception

;

AIDS

;

Mots-clés français / French Keywords

Immunopathologie

;

Immunodéficit

;

Afrique

;

Infection

;

Virose

;

Médecine sociale

;

Homme

;

Consultation psychiatrique

;

Hôpital psychiatrique

;

Aspect social

;

Soin

;

Accessibilité

;

Relation soignant soigné

;

Equipe soignante

;

Personnel sanitaire

;

Santé publique

;

Santé mentale

;

Afrique du Sud

;

Perception sociale

;

SIDA

;

Mots-clés espagnols / Spanish Keywords

Inmunopatología

;

Inmunodeficiencia

;

Africa

;

Infección

;

Virosis

;

Medicina social

;

Hombre

;

Consulta psiquiátrica

;

Hospital psiquiátrico

;

Aspecto social

;

Cuidado

;

Accesibilidad

;

Relación equipo de saludad familia

;

Equipo de salud

;

Personal sanitario

;

Salud pública

;

Salud mental

;

Sudáfrica

;

Percepción social

;

SIDA

;

Mots-clés d'auteur / Author Keywords

Mental health care providers

;

HIV prevention

;

South Africa

;

Barriers

;

Localisation / Location

INIST-CNRS, Cote INIST : 13689, 35400013899308.0140

Nº notice refdoc (ud4) : 17961263



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