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HIV Infection in State Hospitals: Case Reports and Long-Term Management Strategies
Francine Cournos; Maureen Empfield; Ewald Horwath; Howell Schrage
Psychiatric Services 1990; doi:
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The authors thank Stephan Haimowitz, J.D., for his advice on legal matters.

Washington Heights Community Service of the New York State Psychiatric Institute, 722 West 168th Street, New York, New York 10032

Creedmoor Psychiatric Center in Queens, New York

Community Service Inpatient Unit of the New York State Psychiatric Institute

1990 by the American Psychiatric Association

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Issues facing state psychiatric hospitals as a result of the epidemic of human immunodeficiency virus (HIV) are illustrated by five cases. These issues include use of universal precautions to prevent transmission of HIV, medical diagnosis and management of HIV-infected patients, management of threatening behavior by infected patients, management of patients' sexual behavior, and discharge planning. The authors suggest that institutions will be required to ensure that sexual behavior between patients does not occur or to offer patients condoms or other means to protect themselves from infection. They recommend upgrading the medical capabilities of state hospitals so that they can competently provide long-term combined medical and psychiatric care to HIV-infected patients.

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