Early HIV detection: a community mental health role.

This paper documents the changing need for early detection of human immunodeficiency virus (HIV) infection and proposes a role for community mental health centers (CMHCs). Ignorance of HIV infection status can result in greater risk of medical complications and denies the individual the opportunity to take the steps necessary to prolong life and prevent further transmission of the virus. Individuals who know they are infected can obtain good medical care, avoid infection, avoid becoming pregnant, behave responsibly and plan their lives appropriately. Advances in specific therapeutics now make it important for infected individuals to know their HIV status well before becoming overly ill. The social history, sexual history, drug use history, and physical and mental status of each client will provide important clues regarding infection status. Reluctance to refer for testing because of concerns about level of stress, liability and confidentiality should be tempered by a policy of referring for testing whenever any indication of infection arises.