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Objective: People with serious mental illness in the United States have higher human immunodeficiency virus (HIV) infection rates than the general U.S. population. This study aimed to assess delivery of HIV services in New York State's outpatient mental health programs. Greater access would enhance efforts to improve HIV prevention and care outcomes.Methods: The authors surveyed directors of licensed outpatient mental health care programs statewide to investigate their HIV service delivery. Data were compared with surveys conducted in 1997 and 2004 in order to examine differences in services between geographic regions and time periods.Results: Outpatient mental health programs have improved in the volume and range of HIV services offered, but their provision of preexposure prophylaxis, condoms, HIV testing, and HIV antiretroviral treatment monitoring has lagged.Conclusions: New York's initiative to end the HIV epidemic is not optimized to reach people with serious mental illness in settings designed for their care. [ABSTRACT FROM AUTHOR]

This paper is a preliminary study of the use of computational techniques on the study of a major historical figure. We demonstrate how the life and writings of Chen Duxiu (陳獨秀, 1879-1942), founder of the Chinese Communist Party (CCP), can be studied with computational methodology in two ways. First, a network visualization of Chen's ties to the numerous associations in his pre-CCP days reveals Chen's multiple connections to members of these networks. This is the first step to future analysis of how Chen's ideas and activities were influenced by the cohorts of these networks, and thereby situating Chen in the political and intellectual historical contexts of the late Qing, early Republic period. Second, by text-mining with R we trace the evolution of some of the major concepts in Chen's writing over time; in this paper we look at the concept of patriotism. We calculate the word frequency curve of Chen's writing and place this curve against the natural language curve of Zipf's law. In particular, we select words such as citizen, race, revolution, youth, democratic, and being patriotic, and call them "umbrella words." His writing was divided into four periods, and in each period we find other high co-occurrence with these umbrella words, and designate these as "companion words." We study the high correlation of the umbrella with the companion words, look at fifty words before and after each companion words, and parse the meaning of the umbrella word in each specific context. The shift in meaning of the concept of patriotism is derived as the overall context changed. [ABSTRACT FROM AUTHOR]