Delivery of HIV risk-reduction services in drug treatment programs

This study examined services received for HIV risk reduction among individu als in drug treatment. Analyses were conducted using data from 4,412 partic ipants in the national Drug Abuse Treatment Outcome Study (DATOS), a prospe ctive multisite study of drug treatment effectiveness. A higher percentage of individuals in long-term residential programs received HIV-related servi ces, compared with clients in short-term inpatient, methadone maintenance, and outpatient drug-free programs. More men than women, and individuals at higher sex-risk as compared with those at lower sex-risk, received HIV serv ices. Logistic regression analyses indicated that individuals who engaged i n sex work had a higher likelihood than those who did not, of receiving HIV -related services, although individuals with high-risk or multiple sexual p artners were no more likely than others to receive HIV services. More compr ehensive service delivery is needed in order to reduce the risk for HIV amo ng clients in drug treatment. (C) 2000 Elsevier Science Inc. All rights res erved.