This program is a community-based intervention that seeks to reduce sex- and
drug-related HIV risk factors in populations of injection drug and crack cocaine
users. The intervention consists of nine sessions conducted by indigenous outreach
workers over a period of four to six months. Participants attend two sessions
of NIDA (National Institute on Drug Abuse) standard HIV counseling and testing,
two group workshop sessions, and one individual counseling session. In addition,
all participants receive a minimum of two planned supportive visits from outreach
staff, and are encouraged to attend a minimum of two risk-reduction social
events. Monetary and non-monetary incentives are used to encourage attendance.
This program's effectiveness was evaluated in comparison to the effectiveness
of the NIDA standard HIV counseling and testing intervention for reducing risky
behavior among IDUs. Participants were interviewed at enrollment and five to
nine months after the intervention. Urine tests at enrollment and follow-up
allowed researchers to collect information on opiate and cocaine use. In comparison
with participants in the NIDA standard intervention, participants in the enhanced
intervention were significantly more likely to increase their self-reported
condom use, reduce or cease their self-reported drug use, seek drug-abuse treatment,
and/or have a negative urine test for cocaine or opiates at follow-up. (Rhodes,
Wood and Hershberger, 1999). View
more detailed information on this program.
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