Persons with previous mental disorders are a high risk group for conditions transmitted by unsafe sexual practices such as HIV/AIDS. Conditions such as schizophrenia and Bipolar disorder do not however appear to be more common in persons with HIVD.
For persons with previous mental illness, as with other clients seen at clinics, risk reduction counseling and strategies should be addressed at each counseling session. Monitoring drug treatments for schizophrenia and bipolar disorder should prevent or decrease relapse of episodes. When episodes do occur they should be treated. Referral to mental health services at the district level should occur and a case management approach used with such services.
NB: Health care workers are encouraged to the manual on counseling with issues related to different aspects of counseling