Using Goal-Oriented Counseling; and Peer Support to Reduce HIV/AIDS Risk Among Drug Users Not in Treatment

SUMMARY A six-month HIV/AIDS risk intervention program for injection drug and crack users not in treatment is described, incorporating behavioral contracting, social support, and social modeling as core elements. The program utilizes goal-oriented behavioral counseling and HIV testing in conjunction with social support by peers and project outreach workers to facilitate personal change by drug-using participants. The intervention incorporates both group workshops and individual counseling sessions plus monthly social events for participants, supportive peers, and project staff. Local drug users who have successfully reduced their own risk of HIV/AIDS are utilized as positive role models for risk reduction. In addition, outreach workers maintain structured supportive contacts with program participants on a scheduled basis. The efficacy of this enhanced intervention program in comparison with standard HIV testing and AIDS education is currently being evaluated in a follow-up study.