CoChat
Sign Up
Cited by 56HIV, Drug Use, Sexual RiskHIV/AIDS Research and InterventionsSubstance Abuse Treatment and Outcomes

Assessing the STIRR model of best practices for blood‐borne infections of clients with severe mental illness

Open access
Rosenberg, Stanley D., Goldberg, Richard W., Dixon, Lisa B., Wolford, George L., Slade, Eric P., Himelhoch, Seth, Gallucci, Gerard, Potts, Wendy +2 more·2010·Psychiatric Services
DOI 10.1176/ps.2010.61.9.885PMC PMC3632357
Open this paper in CoChat — free account

Abstract

OBJECTIVES: People with co-occurring severe mental illness and a substance use disorder are at markedly elevated risk of infection from HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV), but they generally do not receive basic recommended screening or preventive and treatment services. Barriers to services include lack of programs offered by mental health providers and client refusal of available services. Clients from racial-ethnic minority groups are even less likely to accept recommended services. The intervention tested was designed to facilitate integrated infectious disease programming in mental health settings and to increase acceptance of such services among clients. METHODS: A randomized controlled trial (N=236) compared enhanced treatment as usual (control) with a brief intervention to deliver best-practice services for blood-borne diseases in an urban sample of clients with co-occurring disorders who were largely from racial-ethnic minority groups. The "STIRR" intervention included Screening for HIV and HCV risk factors, Testing for HIV and hepatitis, Immunization against hepatitis A and B, Risk reduction counseling, and medical treatment Referral and support at the site of mental health care. RESULTS: Clients randomly assigned to the STIRR intervention had high levels (over 80%) of participation and acceptance of core services. They were more likely to be tested for HBV and HCV, to be immunized against hepatitis A virus and HBV, and to increase their knowledge about hepatitis and reduce their substance abuse. However, they showed no reduction in risk behavior, were no more likely to be referred to care, and showed no increase in HIV knowledge. Intervention costs were $541 per client (including $234 for blood tests). CONCLUSIONS: STIRR appears to be efficacious in providing a basic, best-practice package of interventions for clients with co-occurring disorders.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1176/ps.2010.61.9.885

Cites

28 of 28 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 5

  1. [1]Glynn M Rhodes P Estimated HIV prevalence in the United States at the end of 2003 National HIV Prevention Conference Atlanta, GA June 2005 Abstract 595
  2. [4]Mohsen AH Taylor C Portmann B Progression rate of liver fibrosis HIV and hepatitis C coinfected patients, UK experiences Program and abstracts of the XIV International AIDS Conference Barcelona, Spain July 7-12, 2002 Abstract MoOrB1057
  3. [22]Chawarski M Baird J Comparison of two instruments for assessing HIV risk in drug abusers At Social and Behavioral Science: Proceedings of the 12th World AIDS Conference Geneva 1998
  4. [25]Schwartz M Swanson J Hannon M Regular sources of medical care among persons with severe mental illness at risk for hepatitis C infection Psychiatric Services 54 854 859 2003 12773600
  5. [30]Irvin E Flannery R Penk W The Alcohol Use Scale: Concurrent validity data Journal of Social Behavior and Personality 10 899 905 1995

Cited by

Sorted by citations

Related

Authors
Rosenberg, S. D., Goldberg, R. W., Dixon, L. B., Wolford, G. L., Slade, E. P., Himelhoch, S., Gallucci, G., Potts, W., Tapscott, S., & Welsh, C. J.
Affiliations
  • Dartmouth College (US)
  • Johns Hopkins University (US)
ORCID
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2010-09
Volume
61
Issue
9
Pages
885-891
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/ps.2010.61.9.885
PMC
PMC3632357
OpenAlex
W2130135983
Cited by
56
References
28
Citations by year
2026: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 11 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 8 · 2016: 7 · 2015: 2 · 2014: 2 · 2013: 6 · 2012: 4
FWCI
3.03
Type
journal article
Language
en
Open access
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Centers for Disease Control and Prevention
  • National Institute of Mental Health (R01MH072556)
Topics
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
severe mental illness, substance use disorders, co-occurring disorders, bloodborne infections, HIV screening, HCV screening, hepatitis B screening, hepatitis B vaccination, risk reduction counseling, service adoption, intervention costs
MeSH terms
Adult, Mental Disorders, Female, Hepatitis C, HIV Seropositivity, Humans, Male, Mass Screening, Middle Aged, Models, Theoretical, Patient Acceptance of Health Care, Referral and Consultation, Severity of Illness Index, Urban Population, Blood-Borne Pathogens, Evidence-Based Medicine

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review