Document 0809
 DOCN  M9550809
 TI    Skills-training groups to reduce HIV transmission and drug use among
       methadone patients.
 DT    9505
 AU    Schilling RF; el-Bassel N; Hadden B; Gilbert L; School of Social Work,
       Columbia University, New York, NY 10025.
 SO    Soc Work. 1995 Jan;40(1):91-101. Unique Identifier : AIDSLINE
       MED/95167536
 AB    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.
 DE    *Adaptation, Psychological  Case Report  Female  Human  HIV
       Infections/*PREVENTION & CONTROL/PSYCHOLOGY/TRANSMISSION  Male
       Methadone/*THERAPEUTIC USE  Pilot Projects  Psychotherapy/*METHODS
       *Risk-Taking  Sex Behavior  Substance Abuse, Intravenous/*REHABILITATION
       JOURNAL ARTICLE

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       protected by Copyright Law (Title 17, U.S.Code).