Academic Commons

Articles

HIV Testing Policy and Serious Mental Illness

Walkup, James; Satriano, James; Barry, Danielle; Sadler, Pablo; Cournos, Francine

Objectives. Using opinion data from experts, we examined the context of the argument for mandatory testing of psychiatric patients.
Methods. Vignettes were distributed to experts on HIV and mental illness. Respondents were asked to provide appropriateness ratings for different hypothetical clinical decisions regarding HIV management.
Results. Respondents were reluctant to impose testing without informed consent in most circumstances. The presence of risk factors or danger to another increased appropriateness
ratings modestly.
Conclusions. Despite experts’ tendency to emphasize individual rights, public reluctance to mandate testing is unlikely to extend to people with serious mental illness. No argument for mandatory testing can be persuasive if improved voluntary testing can achieve adequate detection rates. Voluntary testing protocols should be studied to determine which successfully identify infected individuals. (Am J Public Health. 2002;92: 1931–1939)

Files

  • thumnail for HIV testing policy and serious mental illness.pdf HIV testing policy and serious mental illness.pdf application/pdf 160 KB Download File

Also Published In

Title
American Journal of Public Health
DOI
https://doi.org/10.2105/AJPH.92.12.1931

More About This Work

Academic Units
Psychiatry
Published Here
September 26, 2017
Academic Commons provides global access to research and scholarship produced at Columbia University, Barnard College, Teachers College, Union Theological Seminary and Jewish Theological Seminary. Academic Commons is managed by the Columbia University Libraries.