Carolina Alcohol and Drug Resources
| Status: | Recruiting |
|---|---|
| Conditions: | HIV / AIDS |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | February 2013 |
| End Date: | September 2018 |
| Contact: | Susan S Reif, PhD |
| Email: | susan.reif@duke.edu |
| Phone: | 704 258-7111 |
Substance abuse is highly prevalent among individuals with HIV and associated with negative
outcomes including poorer medication adherence and HIV risk behavior. The primary aim of
this project is to address substance abuse among individuals with or at high-risk for HIV by
enhancing and expanding the substance abuse services provided in the formerly Substance
Abuse and Mental Health Services Administration (SAMHSA) funded Carolinas Alcohol and Drug
Expansion Team (CADET) program, which offered comprehensive substance abuse care for
individuals with HIV living primarily in the Durham NC area. Services will be enhanced by
adding peer outreach and navigation services to improve treatment engagement and
participation and expanded to replicate the enhanced CADET service model in Charlotte NC.
The target population for this project is minority individuals, primarily African-Americans,
with HIV or at high-risk for HIV with a particular focus on minority men who have sex with
men (MSM)s. The program will provide up to 18 months of comprehensive services for
approximately 315 individuals and will include: 1) peer outreach to facilitate and enhance
treatment engagement 2) individual and group substance abuse treatment using evidence-based
models 3) ongoing recovery groups for individuals who have completed the intensive substance
abuse treatment phase and 4) linkage to needed services such as case management, psychiatric
care, and HIV/Hepatitis medical care. We will also target HIV and Hepatitis C testing and
treatment services for minority MSM of unknown HIV status to increase access and utilization
of substance use services and identify HIV and Hepatitis status.
The study evaluation will involve analysis of participant survey data gathered at baseline,
6, 12, 18 months of study participation to determine the effect of the comprehensive
substance abuse care services on outcomes for individuals with HIV including substance use,
mental health, HIV treatment adherence, HIV risk behavior, and access and utilization of HIV
services. The study will also determine the effect of the comprehensive substance use
program on substance abuse, mental health, and risk behavior outcomes for minority MSM who
are not HIV-positive.
outcomes including poorer medication adherence and HIV risk behavior. The primary aim of
this project is to address substance abuse among individuals with or at high-risk for HIV by
enhancing and expanding the substance abuse services provided in the formerly Substance
Abuse and Mental Health Services Administration (SAMHSA) funded Carolinas Alcohol and Drug
Expansion Team (CADET) program, which offered comprehensive substance abuse care for
individuals with HIV living primarily in the Durham NC area. Services will be enhanced by
adding peer outreach and navigation services to improve treatment engagement and
participation and expanded to replicate the enhanced CADET service model in Charlotte NC.
The target population for this project is minority individuals, primarily African-Americans,
with HIV or at high-risk for HIV with a particular focus on minority men who have sex with
men (MSM)s. The program will provide up to 18 months of comprehensive services for
approximately 315 individuals and will include: 1) peer outreach to facilitate and enhance
treatment engagement 2) individual and group substance abuse treatment using evidence-based
models 3) ongoing recovery groups for individuals who have completed the intensive substance
abuse treatment phase and 4) linkage to needed services such as case management, psychiatric
care, and HIV/Hepatitis medical care. We will also target HIV and Hepatitis C testing and
treatment services for minority MSM of unknown HIV status to increase access and utilization
of substance use services and identify HIV and Hepatitis status.
The study evaluation will involve analysis of participant survey data gathered at baseline,
6, 12, 18 months of study participation to determine the effect of the comprehensive
substance abuse care services on outcomes for individuals with HIV including substance use,
mental health, HIV treatment adherence, HIV risk behavior, and access and utilization of HIV
services. The study will also determine the effect of the comprehensive substance use
program on substance abuse, mental health, and risk behavior outcomes for minority MSM who
are not HIV-positive.
Inclusion Criteria:
- HIV-positive or minority MSM
- substance abuse
- 18 or over
Exclusion Criteria:
- Under 18
- cognitive impairment that would preclude participation in substance abuse treatment
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