Skills-Training Groups to Reduce HIV Transmission and Drug Use among Methadone Patients

Although methadone maintenance may be one of the more effective means of slowing the spread of human immunodeficiency virus among intravenous drug users, methadone patients continue to engage in high-risk behavior. Opiate relapse, alcohol and cocaine use, program attrition, and sexual risk-taking al...

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Veröffentlicht in:Social work (New York) 1995-01, Vol.40 (1), p.91-101
Hauptverfasser: Schilling, Robert F., El-Bassel, Nabila, Hadden, Bernadette, Gilbert, Louisa
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container_issue 1
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container_title Social work (New York)
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creator Schilling, Robert F.
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Hadden, Bernadette
Gilbert, Louisa
description Although methadone maintenance may be one of the more effective means of slowing the spread of human immunodeficiency virus among intravenous drug users, methadone patients continue to engage in high-risk behavior. Opiate relapse, alcohol and cocaine use, program attrition, and sexual risk-taking all present serious challenges to methadone maintenance treatment programs. These concerns underscore the need for enhancing the nonpharmacological elements of methadone clinics. This article describes the components and process of a skills-building intervention designed to reduce relapse, program attrition, and high-risk behavior in methadone-maintained populations. The authors offer a research agenda for determining whether the skills-building approach is feasible and efficacious in community- and hospital-based methadone clinics. In learning from social workers and other helping professionals, it is hoped that investigators will be able to recast and retest models that will be useful in freestanding clinical settings.
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Opiate relapse, alcohol and cocaine use, program attrition, and sexual risk-taking all present serious challenges to methadone maintenance treatment programs. These concerns underscore the need for enhancing the nonpharmacological elements of methadone clinics. This article describes the components and process of a skills-building intervention designed to reduce relapse, program attrition, and high-risk behavior in methadone-maintained populations. The authors offer a research agenda for determining whether the skills-building approach is feasible and efficacious in community- and hospital-based methadone clinics. In learning from social workers and other helping professionals, it is hoped that investigators will be able to recast and retest models that will be useful in freestanding clinical settings.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>7863377</pmid><doi>10.1093/sw/40.1.91</doi><tpages>11</tpages></addata></record>
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subjects Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome (AIDS)
Adaptation, Psychological
Addiction
AIDS
Assertiveness
Coping
Drug abuse
Drug Use
Education
Female
Focus Groups
Health Behavior
Help Seeking
high-risk populations
HIV
HIV infection
HIV infections
HIV Infections - prevention & control
HIV Infections - psychology
HIV Infections - transmission
HIV transmission
Homework
Human immunodeficiency virus
Humans
Interpersonal Competence
Intravenous drug addicts
Learning Theories
Male
Management
Methadone
Methadone - therapeutic use
Methadone maintenance
Patients
Pilot Projects
Prevention
Problem Solving
Psychotherapy - methods
Relapse
Risk-Taking
Self Efficacy
Sexual Behavior
Sexuality
Skill Development
Skills training
Social Services
Social work
Socialization
Substance Abuse, Intravenous - rehabilitation
Training
Treatment
title Skills-Training Groups to Reduce HIV Transmission and Drug Use among Methadone Patients
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