Mandatory HIV testing and occupational therapists.
OBJECTIVE
As the prevalence of human immunodeficiency virus (HIV) increases, so does the prevalence of HIV-positive health care workers. This study explored what effect this will have on occupational therapy service provision. Attitudes and policies of 118 occupational therapy administrators were examined in relation to mandatory testing for HIV, attitudes on treating HIV-positive patients, working with HIV-positive staff members and students, and use of Centers for Disease Control's guidelines on universal precautions.


METHODS
A stratified sample of 200 occupational therapy administrators, drawn proportionally from all occupational therapy fieldwork centers, was sent questionnaires. The respondents (N = 118) were asked questions reflecting policy and attitude regarding HIV-positive staff members, students, and patients and mandatory testing. Descriptive statistics and chi-square analyses were computed to examine variances related to policy, ethics, and attitudes.


RESULTS
Few occupational therapy departments have policies regarding HIV-positive health care workers or students. Those policies in place involve disability discrimination acts and using universal precautions. More than one third of the respondents support mandatory testing of all health care workers and notifying patients if their occupational therapist is HIV-positive. A large minority of respondents would either refuse to hire or train an HIV-positive therapist or student, or would restrict patient care responsibilities.


CONCLUSIONS
Although most occupational therapy administrators adhere to CDC guidelines and anti-discrimination policies, some concern and fear was expressed regarding HIV transmission through occupational therapy practice. This may result in administrative decisions regarding work and training responsibilities that are unnecessarily restrictive, such as limiting all patient care responsibilities.
Falk-Kessler
J
J
Programs in Occupational Therapy, Columbia University, New York, New York.
Barnowski
C
C
Salvant
S
S
D015492:AIDS Serodiagnosis / Q000331:legislation & jurisprudence*; D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control / Q000523:psychology / Q000635:transmission; D000328:Adult; D001291:Attitude of Health Personnel; D030881:Disclosure; D004995:Ethics, Professional; D005239:Fear; D035082:Federal Government; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D006291:Health Policy / Q000331:legislation & jurisprudence; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control*; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects; D009788:Occupational Therapy / Q000331:legislation & jurisprudence*; D011287:Prejudice; D016079:Refusal to Treat / Q000331:legislation & jurisprudence; D012307:Risk Factors