Sexually Transmitted Disease and Family Planning Counselling of Psychiatric Patients in New Zealand

We aimed to determine the attitudes and behaviours of mental health professionals (MHPs) including psychiatrists towards identifying and reducing their own patients' risk for sexually transmitted diseases and unwanted pregnancies.102 of all of the 162 mental health professionals serving predominantly chronically psychiatrically ill adult outpatients and inpatients in Waitemata district responded to an anonymous questionnaire (response rate = 63%), concerning their own attitudes and behaviours towards identifying and counselling patients on their risk for sexually transmitted diseases and unwanted pregnancies.Mental health professionals reported that, on average, they had counselled 14% of their own male patients and 21% of their own female patients on sexually transmitted diseases, including AIDS prevention, and that more of their own patients were at risk than were counselled. They also reported that they had counselled 5% of their own male patients and 17% of their own female patients about family planing. Forty-two per cent of mental health professionals indicated that they had insufficient knowledge about sexually transmitted diseases to educate patients, 72% indicated that when it came to risky sexual behaviours chronic psychiatric patients were much the same as other people, and 33% or more felt uncomfortable discussing topics of condom use and patients' sexual preferences.These results suggest that family planning and sexually transmitted diseases risk preventive interventions for psychiatric patients need to overcome mental health professionals' own barriers to risk prevention.The authors aimed to determine the attitudes and behaviors of mental health professionals (MHPs), including psychiatrists, towards identifying and reducing their own patients' risk for sexually transmitted diseases (STDs) and unwanted pregnancies. 102 of all of the 162 MHPs serving predominantly chronically psychiatrically ill adult outpatients and inpatients in Waitemata district responded to an anonymous questionnaire (response rate = 63%) concerning their own attitudes and behaviors towards identifying and counseling patients on their risk for STDs and unwanted pregnancies. MHPs reported that, on average, they had counseled 14% of their male patients and 21% of their female patients on STDs, including AIDS prevention, and that more of their patients were at risk than were counseled. They also reported that they had counseled 5% of their male patients and 17% of their female patients about family planning. 42% of MHPs indicated that they had insufficient knowledge about STDs to educate patients, 72% indicated that when it came to risky sexual behaviors chronic psychiatric patients were much the same as other people, and 33% or more felt uncomfortable discussing topics of condom use and patients' sexual preferences. These results suggest that family planning and STD preventive interventions for psychiatric patients need to overcome MHPs' own barriers to risk prevention.