The STIRR Model of Best Practices for Blood-Borne Diseases Among Clients With Serious Mental Illness
Abstract
OBJECTIVE: Persons with severe mental illness have a markedly elevated risk of several blood-borne infections, including HIV, hepatitis B, and hepatitis C. Prevention, early detection, and treatment of these disorders are crucial interventions for high-risk populations. However, because of a number of barriers, most clients with severe mental illness do not receive these basic best-practice services. The authors describe a public health model intervention designed to deliver basic best-practice services for blood-borne diseases, as specified by the Centers for Disease Control and Prevention, to clients with severe mental illness and co-occurring substance use disorders. METHODS: The intervention, called STIRR (for screen, test, immunize, reduce risk, and refer), is brief (requiring approximately one hour per client) and is delivered at the site of mental health care by a mobile team of specialists. Clients are provided with risk screening, testing for HIV and hepatitis, immunization for hepatitis A and B, risk-reduction counseling, and treatment referral for blood-borne infections. Also described is a pilot study to evaluate this model in two publicly funded community mental health centers. RESULTS: At the first site, 137 (79 percent) of clients with severe mental illness were tested and immunized. At the second site, more than two-thirds of the clients of a dual diagnosis team participated (67 clients, or 68 percent). Intervention costs per client ranged from 194 dollars to 262 dollars. CONCLUSION: S: The STIRR approach has the potential to provide a basic, best-practice package of interventions for high-risk clients with severe mental illness.
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Today, respiratory diseases are still more prevalent in people with SMI.
“Today, respiratory diseases are still more prevalent in people with SMI (8,(410)(411)(412)(413)(414)(415)(416)(417).”
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- Authors
- Rosenberg, S., Brunette, M., Oxman, T., Marsh, B., Dietrich, A., Mueser, K., Drake, R., Torrey, W., & Vidaver, R.
- Affiliations
- Dartmouth Psychiatric Research Center (US)
- Venue
- Psychiatric Services
- Published
- 2004-06
- Volume
- 55
- Issue
- 6
- Pages
- 660-664
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2085918561
- Cited by
- 41
- References
- 34
- Citations by year
- 2022: 1 · 2021: 1 · 2019: 1 · 2017: 1 · 2016: 2 · 2014: 4 · 2013: 3 · 2012: 1
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r21mh062270-03)
- National Institute of Mental Health (R21-MH-62270)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- bloodborne infections, HIV, hepatitis B, hepatitis C, severe mental illness, substance use disorders, dual diagnosis, HIV screening, hepatitis B vaccination, risk reduction counseling, referral to treatment, community mental health centers, intervention costs, public health interventions
- MeSH terms
- Adult, Mental Disorders, Communicable Disease Control, Community Mental Health Centers, Female, Humans, Immunization, Male, Mass Screening, New Hampshire, Pilot Projects, Referral and Consultation, United States, Diagnosis, Dual (Psychiatry), Blood-Borne Pathogens, Substance-Related Disorders
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