Let's Chat
A Brief Behavioral Skills Intervention to Prevent HIV Infection among Chronic Mentally Ill Adults

Seth Kalichman, Ph.D.

FOCUS

SUMMARY

Developed for use with same-sex groups of adults with mental illness, LET'S CHAT is a small group behavioral skills intervention emphasizing risk education, sexual assertiveness, problem solving, condom use and behavioral management (as related to HIV/AIDS risk reduction). Researchers designed the intervention to address risk-reduction needs specific to persons with mental illness.

The developers first implemented LET'S CHAT in two community-based psychiatric outpatient programs. A total of 52 participants (27 men and 25 women) were randomly assigned to either the immediate intervention or the waitlist control group Researchers analyzed the results of the pre-, post- and follow-up tests to determine the effectiveness of the intervention. They concluded that LET'S CHAT had a positive, short-term effect on sexual risk behaviors, including the increase of AIDS-risk knowledge, self-reported condom-use and intentions to change HIV-risk behavior among adults with chronic mental illness.

SUITABLE FOR USE IN

This program is suitable for use in inpatient or outpatient mental health settings, including community-based programs, day treatment centers, case management services, medication management programs and substance abuse treatment centers.

ORIGINAL INTERVENTION SAMPLE

Age, Gender
23-55 years of age, 52% male

Race/Ethnicity
73% White, 19% African-American, 8% Other Race/Ethnicity

PROGRAM LENGTH

Each of the four program sessions is designed to last 90 minutes. The actual time needed to deliver the program in your treatment center, clinic, or community will vary according to the participation levels of the group members themselves.

STAFFING REQUIREMENTS/TRAINING

The original intervention called for two facilitators to deliver the program to small groups ranging in size from 4-12 participants. HAPPA staff suggest that organizations weigh the importance of the facilitators' experience and/or training working with mentally ill adults when identifying appropriate facilitators.

   Injection Drug Users & Their Non-injecting Partners
   Gay/Bisexual Men
   STD Clinic Clients
   Women
   Minority Specific
   Other

ORIGINAL SITE
   Community-Based
   Clinic-Based

APPROACH
   Behavioral Skills Development
   Community Outreach
   Condom Education/Access
   HIV/STD Education
   Needle Cleaning/Exchange
   Self Efficacy/Self-Esteem

COMPONENTS
   Behavioral Skills Practice
   Group Discussion
   HIV Antibody Testing/Counseling
   Lectures
   Peer Counseling/Instruction
   Role Pay
   Safer Sex Communication/Negotiation
   Video
   Other
   

HAPPA PROGRAM PACKAGE

The HAPPA Program Package for this program includes:

  • Let's Chat User's Guide
  • Facilitator's Manual
  • This Stuff Can Save Your Life videotape
  • Time Out videotape
  • 2 Activity Masters packets
  • 3 Answering Your Questions about AIDS books
  • HAPPA Evaluation Assistance Kit (includes the Evaluation Questionnaire)
  • Original Evaluation Instrument
  • Process Evaluation Instrument
  • HAPPA Adaptation Workbook

  • Telephone technical support on implementation and evaluation for 1 year