Community-Based Harm Reduction Substance Abuse Treatment with Methamphetamine-Using Men Who Have Sex with Men

• DOI: 10.1007/s11524-014-9870-y
• Publication Date: 2014-04-17T22:18:00Z
• Authors: Adam W. Carrico; Annesa Flentje; Valerie A. Gruber; William J. Woods; Michael V. Discepola; Samantha E. Dilworth; Torsten B. Neilands; Jennifer Jain; Michael D. Siever
• Keywords: harm reduction; Methamphetamine

Harm reduction approaches endeavor to assist individuals with avoiding the most detrimental consequences of risk taking behaviors, but limited research has documented outcomes harm substance abuse treatment. In total, 211 methamphetamine-using men who have sex (MSM) enrolled in two outcome studies treatment programs that were implementing an evidence-based, cognitive-behavioral intervention (i.e., Matrix Model) from a perspective. Study 1 (N = 123) examined changes self-reported use, Addiction Severity Index (ASI) composite scores, and HIV care indicators over 12-month follow-up. 2 88) assessed sexual taking, 6-month Participants study reported reductions cocaine/crack use as well decreases ASI drug employment scores. Among HIV-positive participants (n 75), 47 % initiated or consistently utilized anti-retroviral therapy this was paralleled by significant increases undetectable viral load. methamphetamine erectile dysfunction medication combination other substances, risk-taking behavior while using methamphetamine. both concurrent marijuana use. Taken together, these are among first observe clients may reduce stimulant concomitant during Randomized controlled trials needed examine differential effectiveness abstinence-based