       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).

