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Abstract

In the national Drug Abuse Treatment Outcome Studies (DATOS), many clients in outpatient methadone treatment (OMT) and outpatient drug-free (ODF) modalities were admitted with multiple sex and needle-risk behaviors, but they reduced these risks significantly during treatment. Using hierarchical linear model regression analysis, we examined client and treatment program characteristics as predictors of initial risk levels and of reductions over time. Clients who used cocaine frequently before treatment or had antisocial personality disorder entered treatment with elevated risks. In both modalities, cocaine users reduced risky behaviors significantly, but antisocial clients did so only in OMT. Treatment programs located in cities with higher prevalence rates of HIV/AIDS admitted clients with lower baseline levels of risk behavior than found in other cities. OMT programs in lower prevalence cities achieved higher rates of risk reduction than programs in higher prevalence cities. Reduction of sex and needle risks in both the OMT and ODF modalities indicates the importance of outpatient drug abuse treatment to national HIV prevention policy.
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... In fact, studies have documented the importance of HIV counseling/education and HIV testing components in substance abuse treatment programs (Batki & Ferrando 1996). One study concluded that HIV counseling and education services may have contributed to reductions in HIV-related risk behaviors during treatment (Broome, Joe, Simpson 1999). ...
... For example, individual and group counseling, educational provisions, and continuing care/aftercare services were required in the majority of the states. Individual and group counseling as well as education programs focusing on infectious disease transmission (e.g., HIV-related education) are central components of most treatment programs in the U.S. (NIDA 1999;Batki & Ferrando 1996;Broome et al. 1999). The limited number of states to require substance abuse and infectious disease-related testing services may be more due to potential structural barriers in the system (i.e., lack of trained staff, resource requirements, medical and safety hazards, etc.) than the fact that the states do not want treatment programs to engage in these practices. ...
... Volume 00, Number 00 '' 2017 the patients who were entered into the buprenorphine treatment group. [9][10][11] The research study by Broome et al,9 in the year 1999, showed that patients who were entered into methadone maintenance treatment (MMT) on an average had more high-risk behaviors than the buprenorphine-received group; the high-risk behaviors included unsafe sex and drug injectors, which significantly decreased after entering MMT. The results of the research study conducted by Dolan et al 12 revealed that treatment with methadone significantly reduced high-risk behaviors such as injecting drug use, sharing of injecting equipment, unsafe sexual behaviors, and sex for money or drugs. ...
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... It is not known what affect the client-therapist relationship may have had on the subjects and how this influenced their therapeutic process. Many studies indicate that effectiveness of therapy is related to the client -therapist relationship [53,54,55,56]. ...
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