HIV and HCV Intervention in Drug Treatment Settings
Robert Booth, Ph.D. Lead Investigator Health Sciences Center - ARTS School of Medicine 1741 Vine St. Box C247 Denver, CO 80206 robert.booth@UCHSC.edu

The connection between AIDS and drug injection is well established. Through June 2000, injection drug users accounted for more than a third of all cases reported among persons aged 13 or older to the Centers for Disease Control and Prevention. Hepatitis C virus (HCV), transmitted primarily through sharing drug preparation and injection equipment, is also a major public health concern. Sixty percent of HCV transmission is related to injection drug use and as many as 50-95% of injection drug users are infected with HCV. This study tests two strategies to reduce the risk of contracting HIV or HCV by reducing risk behaviors in patients undergoing drug detoxification. The first, a two-session HIV/HCV counseling and education model (C&E) includes pretest counseling, testing, posttest counseling, and the provision of HIV/HCV results. The second strategy, called therapeutic alliance, provides clients with information to guide them through the process of role induction and aims to facilitate transition to continuing care for drug treatment. Both will be compared to standard care in drug detoxification settings.

Primary Findings: Significant reductions in drug and sex risk behaviors occurred for all three conditions over a 6-month follow-up period. Findings indicate that participation in detoxification was followed by significant decreases in drug injection and risk behaviors for up to six months; interventions added to standard treatment offered no improvement in risk behavior outcomes. Source: Forman R, et al. Booth RE, et al. Reducing HIV-Related Risk Behaviors Among Injection Drug Users in Residential Detoxification. AIDS and Behavior 2010 (in press). [get article]

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