Delivery of behavioral HIV prevention services in New York City outpatient substance abuse treatment clinics: providers' perspectives on opportunities and challenges

Providers (e.g., counselors, physicians) of substance abuse treatment have an opportunity to address HIV. This study identified: (1) providers' HIV prevention practices, (2) barriers, and (3) promoters to offering HIV prevention in substance abuse treatment. Semistructured qualitative interview...

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Bibliographic Details
Published in:AIDS education and prevention 2015-02, Vol.27 (1), p.1-14
Main Authors: Spector, Anya Y, Remien, Robert H
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adolescents
AIDS/HIV
Ambulatory Care Facilities
Attitude of Health Personnel
Condoms
Constraints
Content analysis
Counseling
Disease prevention
Disease transmission
Drug abuse
Educational Attainment
Female
Health care delivery
Health Knowledge, Attitudes, Practice
Health Personnel - psychology
Health Services Needs and Demand
HIV
HIV Infections - prevention & control
Human immunodeficiency virus
Human immunodeficiency virus 2
Humans
Interviews as Topic
Male
New York City
Outpatients
Prevention
Qualitative Research
Risk
Risk assessment
Sexually Transmitted Diseases
Substance Abuse
Substance abuse treatment
Substance Abuse Treatment Centers
Substance-Related Disorders - complications
Substance-Related Disorders - psychology
Training
Treatment
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Summary:Providers (e.g., counselors, physicians) of substance abuse treatment have an opportunity to address HIV. This study identified: (1) providers' HIV prevention practices, (2) barriers, and (3) promoters to offering HIV prevention in substance abuse treatment. Semistructured qualitative interviews with one director, one medical provider, and four counselors, from each of six outpatient clinics (N = 36) were transcribed and coded according to thematic content analysis. Providers' practices included: (1) recommending condoms, (2) explaining HIV transmission, (3) HIV testing, and (4) assessing risk. Barriers included: (1) believing that clients know enough about HIV, (2) believing that clients are not at risk, (3) lacking information, (4) outdated training (i.e., > 5 years ago), (5) HIV stigma, and (6) avoidance. While some providers recommended condoms and HIV testing, many avoided discussing HIV. Our results suggest a need for training to improve understanding of HIV transmission, effective counseling practices, and to build capacity for HIV testing or linkages with HIV service agencies.
ISSN:0899-9546
1943-2755
DOI:10.1521/aeap.2015.27.1.1