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ARRIVE: an AIDS education/relapse prevention model for high-risk parolees
H K Wexler1, S Magura, M M Beardsley
1National Development and Research Institutes, Inc., New York, New York.
The International Journal of the Addictions
|February 1, 1994
Summary
This study evaluated the ARRIVE AIDS prevention program for parolees. Participation significantly reduced risky sexual and drug behaviors, improving community adjustment.
Area of Science:
- Public Health
- Addiction Medicine
- Criminology
Background:
- Parolees with a history of injection drug use are at high risk for HIV/AIDS.
- Effective interventions are needed to reduce HIV transmission risk behaviors in this population.
Purpose of the Study:
- To develop and evaluate the AIDS and Risk Reduction Intervention for parolees (ARRIVE).
- To assess the impact of the ARRIVE program on HIV risk behaviors and community adjustment.
Main Methods:
- A social learning approach incorporating resistance skills, self-help, therapeutic community principles, and job readiness training.
- Recruitment of 394 eligible parolees, with 241 attending and 164 completing the program.
- One-year follow-up to assess behavioral changes and community adjustment.
Main Results:
- ARRIVE participation was associated with significant reductions in sexual risk behaviors.
- ARRIVE participation led to significant reductions in drug-related risk behaviors.
- Program completers demonstrated improved community adjustment after one year.
Conclusions:
- The ARRIVE program is an effective intervention for reducing HIV risk behaviors among parolees with a history of injection drug use.
- The program's multifaceted approach, including job readiness, contributes to improved community reintegration.
- This intervention model shows promise for preventing AIDS in high-risk populations transitioning from incarceration.