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Article   |    
Management of HIV-Positive Psychiatric Patients Who Fail to Reduce High-Risk Behaviors
Gregory A. Carlson; Michael Greeman; Thomas A. McClellan
Psychiatric Services 1989; doi:
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Department of Psychiatry of the Veterans Administration Medical Center in Minneapolis, University of Minnesota Hospitals

Social Work Service at the Minneapolis VA

1989 by the American Psychiatric Association

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The authors describe clinical and legal dilemmas faced by staff involved in providing inpatient psychiatric treatment to two HIV carriers who continued to practice high-risk behaviors after learning of their HIV infection. Staff were unsure of their obligation to report the patients under a state law giving the commissioner of health broad discretion to limit the freedoms of HIV-infected individuals who continue to practice high-risk behaviors. Treatment of the patients also raised concerns about the appropriateness of treating noncompliant HIV-infected patients in traditional psychiatric settings and the lack of suitable aftercare facilities. The authors advocate developing a specialized treatment approach for noncompliant HIV-infected patients and provide a series of recommendations that might serve as the foundation for such an effort.

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