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Providing HIV counseling and testing services in methadone maintenance programs.

M L Cartter1, L R Petersen, R B Savage

  • 1Connecticut Department of Health Services, Hartford.

AIDS (London, England)
|May 1, 1990
PubMed
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Connecticut

Area of Science:

  • Public Health
  • Infectious Disease Prevention
  • Substance Abuse Treatment

Background:

  • State-supported methadone maintenance programs in Connecticut offered counseling and HIV-1 antibody testing starting in 1987.
  • This initiative marked the first statewide program of its kind in the United States.
  • Integration of HIV prevention into drug treatment centers was explored.

Purpose of the Study:

  • To assess the implementation and outcomes of an integrated HIV counseling and testing program within methadone maintenance services.
  • To evaluate the feasibility of combining drug use and HIV-1 transmission prevention strategies.
  • To report on the initial 2-year experience of a statewide HIV counseling and testing program in a methadone maintenance setting.

Main Methods:

  • Provided pre-test counseling to 2118 individuals in methadone maintenance programs.

Related Experiment Videos

  • Offered confidential human immunodeficiency virus type 1 (HIV-1) antibody testing.
  • Conducted post-test counseling and additional HIV counseling sessions.
  • Main Results:

    • 1521 individuals accepted HIV-1 antibody testing.
    • 1010 individuals received post-test counseling.
    • A total of 1600 HIV counseling sessions were conducted beyond initial pre- and post-test sessions.

    Conclusions:

    • The integration of human immunodeficiency virus (HIV) prevention services, including counseling and testing, into drug treatment centers is feasible and effective.
    • Statewide programs can successfully offer these services within methadone maintenance settings.
    • This approach supports the dual goals of preventing drug use and mitigating HIV-1 transmission.