James W. Dilley, MD - Contact Information

James W. Dilley, MD

Title: Professor of Clinical Psychiatry and Vice-Chair, Department of Psychiatry; Chief, Dept of Psychiatry at SFGH; Director, AIDS Health Project

Education:

University of Missouri, MD

Postgraduate Training:

UCSF, Psychiatry Residency

Biography Summary:

For the past 20 years, I have had a professional interest in the mental health aspects of the HIV epidemic. I have been interested both in understanding the mental health consequences of HIV infection as well as in bringing a mental health perspective to the critical task of preventing the sexual transmission of HIV. In addition, as an administrator and the Director of the AIDS Health Project, the largest HIV and mental health services organization in San Francisco, I have an ongoing interest in service delivery and program evaluation. To those ends, I have pursued several research activities in each of these areas. Over the past few years, I have completed an NIMH funded project that compared a cognitive behavioral counseling intervention provided by mental health professionals to standard counseling and testing customarily offered at anonymous HIV antibody testing centers (the AIDS Health Project has operated San Francisco’s centers for the past 20 years, testing and counseling 6,000 people annually). The goal of the project was to reduce high-risk sexual behaviors among gay and bisexual men who had tested for HIV before but who continued to engage in high risk sexual behavior. This randomized controlled trial showed that our counseling intervention was able to significantly reduce future high risk sexual behavior at 6 and 12 months when compared to standard counseling and testing. More recently, I have been funded to test whether the same intervention would be successful when delivered by trained paraprofessional counselors rather than mental health professionals. That project is now in it’s final year. I have a new project beginning in 3rd quarter 2005 that uses a similar counseling approach to help already HIV infected gay and bisexual men reduce their high-risk behavior with partners of known negative or unknown serostatus. The project begins with identifying the thoughts, attitudes and beliefs held by HIV positive gay men towards having unprotected high risk sex and moves to testing the hypothesis that a counseling approach that addresses these ideas specifically is more effective than standard HIV prevention counseling.

Clinical Expertise:

long-term psychotherapy, mood & stress disorders, gay/lesbian issues

Educational Expertise:

small group instruction, medicine/psychiatry interface, mental health aspects of HIV/AIDS, gay/lesbian issues, community psychiatry, and psychiatric administration

Research Areas:

For the past 20 years, I have had a professional interest in the mental health aspects of the HIV epidemic. I have been interested both in understanding the mental health consequences of HIV infection as well as in bringing a mental health perspective to the critical task of preventing the sexual transmission of HIV. In addition, as an administrator and the Director of the UCSF AIDS Health Project, the largest HIV and mental health services organization in San Francisco, I have an ongoing interest in service delivery and program evaluation. To those ends, I have pursued several research activities in each of these areas (see above).

Campus Location: SFGH

Publications on PubMed »

AIDS Health Project

 

Leadership in research, education, psychiatric care and public service