The sexual culture of psychiatric treatment facilities and mental illness clients' HIV risk: A theoretical framework and pilot study

Eric R. Wright

    Research output: Chapter in Book/Report/Conference proceedingChapter

    3 Scopus citations

    Abstract

    This paper presents a theoretical framework and pilot study that examines the social context of the mental health treatment system and its impact on the spread of HIV among people with serious mental disorders. Recent epidemiological evidence indicates that mental illness clients may be at especially high risk of contracting HIV/AIDS. Mental health professionals' efforts to respond to the emerging epidemic, however, have been limited and focused primarily on individual-level interventions to change risk behavior. Virtually no consideration has been given to how treatment environments influence client risk behavior and/or the effectiveness of HIV prevention efforts. The perspective outlined in this paper builds on existing clinical research and proposes a general sociological framework for researching mental illness clients' HIV risk that emphasizes the clinical sexual culture of treatment programs. In an effort to develop preliminary measures and test key assumptions of the proposed framework, a small pilot study was conducted at a large state psychiatric hospital in the Midwest. The results suggest that clinical sexual culture does have a significant impact on the way both the patients and staff think about the management of patient sexual expression and HIV/AIDS at the hospital. More generally, the findings provide preliminary support for the theoretical framework presented.

    Original languageEnglish (US)
    Title of host publicationThe Organizational Response to Social Problems
    PublisherJAI Press
    Pages275-309
    Number of pages35
    ISBN (Print)0762307161, 9780762307166
    DOIs
    StatePublished - 2001

    Publication series

    NameResearch in Social Problems and Public Policy
    Volume8
    ISSN (Print)0196-1152

    ASJC Scopus subject areas

    • Rehabilitation
    • Sociology and Political Science

    Fingerprint Dive into the research topics of 'The sexual culture of psychiatric treatment facilities and mental illness clients' HIV risk: A theoretical framework and pilot study'. Together they form a unique fingerprint.

  • Cite this

    Wright, E. R. (2001). The sexual culture of psychiatric treatment facilities and mental illness clients' HIV risk: A theoretical framework and pilot study. In The Organizational Response to Social Problems (pp. 275-309). (Research in Social Problems and Public Policy; Vol. 8). JAI Press. https://doi.org/10.1016/s0196-1152(01)80014-4