NEEDS ASSESSMENT FOR TRAINING ON THE NEUROPSYCHIATRIC ASPECTS OF HIV/AIDS

100% of survey complete.

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Office of HIV Psychiatry, American Psychiatric Association
1000 Wilson Blvd., Suite 1825, Arlington, VA 22209
703-907-8668 www.psych.org/aids
<mailto:aids@psych.org>aids@psych.org</mailto>

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* 1. My contact information:

First Name

Last Name

Degree

Title/Position

Affiliation

Street Address

City

State

Zip

Telephone

Fax

E-mail

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* 2. Indicate topics of interest:

Neuropsychiatric Overview (CNS/PNS complications)

Mood disorders (includes major depression, bipolar disorders, and suicidality)

Anxiety disorders

Sleep disorders and insomnia

Pain syndromes

Triple Diagnosis HIV/Substance Use/Mental Illness

Neurocognitive screening

Drug-drug Interactions and Toxicity

Other (please specify)

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* 3. Indicate specific population groups of interest:
(Check all that apply.)

LGBT

Children/adolescents

Women

African Americans

Hispanics

Native Americans

Asian/Pacific Islanders

Substance users

Severely, chronically mentally ill

Rural populations

Other (please specify)

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* 4. Indicate the anticipated audience size:

25-50

50-75

75-100

More than 100

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* 5. Indicate the meeting/program type:

Grand rounds

Resident lecture

Resident case discussion

Webinars

Lecture

Interactive workshop

Issue-specific conference

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* 6. Proposed training location:

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* 7. Preferred timeframe (ex. Noon - 3 pm):

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* 8. Dates and times available:
We will work to accommodate your preferred training date pending faculty availability.

Option 1:

Option 2:

Option 3:

Option 4:

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* 9. Comments/questions:

*Please note: Training modules and other HIV psychiatry resources and materials are available to download for free at www.psych.org/aids.

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* 1. My contact information:

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* 2. Indicate topics of interest:

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* 3. Indicate specific population groups of interest: (Check all that apply.)

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* 4. Indicate the anticipated audience size:

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* 5. Indicate the meeting/program type:

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* 6. Proposed training location:

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* 7. Preferred timeframe (ex. Noon - 3 pm):

Question Title

* 8. Dates and times available: We will work to accommodate your preferred training date pending faculty availability.

Question Title

* 9. Comments/questions:

* 3. Indicate specific population groups of interest:
(Check all that apply.)

* 8. Dates and times available:
We will work to accommodate your preferred training date pending faculty availability.