title: The twin epidemics of substance use and HIV: a state-level response using a train-the-trainer model.
abstract: Use of alcohol and drugs is highly correlated with acquiring the human immunodeficiency virus (HIV), the precursor to developing an AIDS-related condition. Today the USA faces not one but two epidemics, the twin epidemics of substance use and HIV infection. A needs assessment in the state of Ohio of the 300 state-supported drug treatment facilities confirmed a need for HIV-related education and training of the 120 health care personnel, physicians and nurses. Unique train-the-trainer programming was planned and undertaken, including in the same training programme physician and nurse participants dealing both with substance use and HIV/AIDS issues. Significant differences were found in perceived levels of knowledge, and/or attitudes, before and after programme sessions, regarding substance use, HIV/AIDS, and related training issues. To reach all of Ohio's 120 drug treatment facility physicians and nurses required a 2.75 person-hour per trainee expenditure of professional resources.
authors.affiliation: Department of Family Medicine, Ohio State University, Columbus.
authors.forename: L L
authors.initials: LL
authors.lastname: Gabel
authors.forename: J A
authors.initials: JA
authors.lastname: Pearsol
mesh_terms: D000293:Adolescent; D000328:Adult; D004196:Disease Outbreaks; D004496:Education, Continuing / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000150:complications; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D017145:Models, Educational; D009820:Ohio / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000150:complications; D013663:Teaching / Q000379:methods*