HIV Prevention and Sexual Compulsivity: The Need for an Integrated Strategy of Public Health and Mental Health

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Abstract
Two studies were conducted in conjunction with an inner-city mental health clinic's development and implementation of an integrated HIV prevention and group psychotherapy program for 262 individuals living with HIV. Results indicated that HIV seropositive individuals, particularly those with high levels of sexual compulsivity and who were engaged in the HIV care system, were representative of those most appropriate for an HIV prevention program that integrated the best practice principles of mental health and public health. However, results also indicated that the development and implementation of such integrated programs may be challenged by unique clinical issues related to sexual compulsivity and by administrative and policy barriers that are inherent in the existing community-based HIV services infrastructure.