Challenges in developing an inpatient psychiatric program for patients with AIDS and ARC. NLM AIDSLINE Important note: Information in this article was accurate in 1988. The state of the art may have changed since the publication date.

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Challenges in developing an inpatient psychiatric program for patients with AIDS and ARC.

Hosp Community Psychiatry. 1987 Dec;38(12):1299-303. Unique Identifier : AIDSLINE MED/88085034
Baer JW; Hall JM; Holm K; Lewitter-Koehler S; Department of Psychiatry, San Francisco General Hospital,; California 94110.

Abstract: The presence of patients with AIDS and AIDS-related complex (ARC) on a psychiatric unit requires education of and adaptation by staff and other patients as well as changes in the psychiatric milieu. The authors describe their experiences with 36 AIDS and ARC patients admitted to a psychiatric unit over an 18-month period. They address issues related to staff reactions to terminal illness and to increased demands to provide physical care, milieu management that takes into account the limitations of AIDS patients suffering from dementia, diagnostic complications arising from mixed psychopathology in some AIDS patients, and the increased susceptibility of AIDS patients to side effects and toxicity from psychotropic medication. Other issues relating to infection control, ethical concerns, needs of friends and family, and disposition planning are also discussed.
Keywords: Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL/ PSYCHOLOGY/*THERAPY Attitude of Health Personnel AIDS-Related Complex/*THERAPY Case Report Ethics, Medical Human Inservice Training Male Milieu Therapy Personnel, Hospital/EDUCATION/PSYCHOLOGY *Psychiatric Department, Hospital Social Support JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/prevention&control/psychology/KWDtherapyattitudeofhealthpersonnelaids-relatedcomplex/KWDtherapycasereportethics,medicalhumaninservicetrainingmalemilieutherapypersonnel,hospital/education/psychologyKWDpsychiatricdepartment,hospitalsocialsupportjournalarticle
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M8840431

Copyright © 1988 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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