title: Working with heroin sniffers: clinical issues in preventing drug injection.
abstract: Preventing illicit drug injection would be the ideal point for preventing HIV infection and AIDS among illicit drug injectors. This paper reports on clinical issues that arose in a program for intranasal ("sniffer") heroin users who were at high risk of injecting drugs. Extensive field notes were kept by the staff of the project. A generalized mistrust of authorities, denial of problems associated with non-injected drug use, and ambivalence about injecting were the major issues that arose during subject recruitment and the group sessions. The staff underwent trial and error learning, both becoming more confident in working with heroin sniffers, and finding better results for later participants in the study.
authors.affiliation: Narcotic and Drug Research, Inc., New York City.
authors.forename: C
authors.initials: C
authors.lastname: Casriel
authors.forename: D C
authors.initials: DC
authors.lastname: Des Jarlais
authors.forename: R
authors.initials: R
authors.lastname: Rodriguez
authors.forename: S R
authors.initials: SR
authors.lastname: Friedman
authors.forename: B
authors.initials: B
authors.lastname: Stepherson
authors.forename: E
authors.initials: E
authors.lastname: Khuri
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control* / Q000635:transmission; D000280:Administration, Inhalation; D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003479:Curriculum; D005260:Female; D003932:Heroin / Q000008:administration & dosage*; D006556:Heroin Dependence / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods; D010865:Pilot Projects; D012307:Risk Factors; D015819:Substance Abuse, Intravenous / Q000517:prevention & control* / Q000523:psychology
chemical_list: D003932:Heroin