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 |
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creator | Schilling, Robert F. El-Bassel, Nabila 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. |
doi_str_mv | 10.1093/sw/40.1.91 |
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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.</description><identifier>ISSN: 0037-8046</identifier><identifier>ISSN: 1545-6846</identifier><identifier>EISSN: 1545-6846</identifier><identifier>DOI: 10.1093/sw/40.1.91</identifier><identifier>PMID: 7863377</identifier><identifier>CODEN: SOWOA8</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>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</subject><ispartof>Social work (New York), 1995-01, Vol.40 (1), p.91-101</ispartof><rights>Copyright © 1995 National Association of Social Workers, Inc.</rights><rights>COPYRIGHT 1995 Oxford University Press</rights><rights>COPYRIGHT 1995 Oxford University Press</rights><rights>Copyright National Association of Social Workers, Incorporated Jan 1995</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23718354$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23718354$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,778,782,801,27856,27911,27912,30987,33762,58004,58237</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7863377$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schilling, Robert F.</creatorcontrib><creatorcontrib>El-Bassel, Nabila</creatorcontrib><creatorcontrib>Hadden, Bernadette</creatorcontrib><creatorcontrib>Gilbert, Louisa</creatorcontrib><title>Skills-Training Groups to Reduce HIV Transmission and Drug Use among Methadone Patients</title><title>Social work (New York)</title><addtitle>Social Work</addtitle><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.</description><subject>Acquired immune deficiency syndrome</subject><subject>Acquired Immunodeficiency Syndrome (AIDS)</subject><subject>Adaptation, Psychological</subject><subject>Addiction</subject><subject>AIDS</subject><subject>Assertiveness</subject><subject>Coping</subject><subject>Drug abuse</subject><subject>Drug Use</subject><subject>Education</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Health Behavior</subject><subject>Help Seeking</subject><subject>high-risk populations</subject><subject>HIV</subject><subject>HIV infection</subject><subject>HIV infections</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - transmission</subject><subject>HIV transmission</subject><subject>Homework</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Interpersonal Competence</subject><subject>Intravenous drug addicts</subject><subject>Learning Theories</subject><subject>Male</subject><subject>Management</subject><subject>Methadone</subject><subject>Methadone - therapeutic use</subject><subject>Methadone maintenance</subject><subject>Patients</subject><subject>Pilot Projects</subject><subject>Prevention</subject><subject>Problem Solving</subject><subject>Psychotherapy - methods</subject><subject>Relapse</subject><subject>Risk-Taking</subject><subject>Self Efficacy</subject><subject>Sexual Behavior</subject><subject>Sexuality</subject><subject>Skill Development</subject><subject>Skills training</subject><subject>Social Services</subject><subject>Social work</subject><subject>Socialization</subject><subject>Substance Abuse, Intravenous - 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York)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schilling, Robert F.</au><au>El-Bassel, Nabila</au><au>Hadden, Bernadette</au><au>Gilbert, Louisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skills-Training Groups to Reduce HIV Transmission and Drug Use among Methadone Patients</atitle><jtitle>Social work (New York)</jtitle><addtitle>Social Work</addtitle><date>1995-01</date><risdate>1995</risdate><volume>40</volume><issue>1</issue><spage>91</spage><epage>101</epage><pages>91-101</pages><issn>0037-8046</issn><issn>1545-6846</issn><eissn>1545-6846</eissn><coden>SOWOA8</coden><abstract>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.</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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source | MEDLINE; Sociological Abstracts; Oxford University Press Journals Digital Archive Legacy; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; Education Source |
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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