title: Impact of HIV risk and infection on delivery of psychosocial treatment services in outpatient programs.
abstract: HIV risk and HIV infection have profoundly affected the delivery of psychosocial treatment services in outpatient drug treatment settings. First, HIV has changed the programmatic emphasis of outpatient treatment, from the intake process through the goals of care, and treatment program staff are being altered significantly. Second, HIV brings with it a pull to extend the reach of drug abuse treatment to the sexual partners and families of patients. Finally, for community and statewide planners, a debate is emerging between the idea that programs should provide high-quality services to a few targeted "high risk" or "vital category" patients versus providing minimal services to as many drug abusers as possible. There is a vital need for research studies that will add data to the decision-making process, at both the policy and programmatic levels.
authors.affiliation: University of California, San Francisco, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Sorensen
authors.forename: M S
authors.initials: MS
authors.lastname: Miller
mesh_terms: D000553:Ambulatory Care; D003156:Community Mental Health Services; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D008297:Male; D011785:Quality Assurance, Health Care; D012307:Risk Factors; D015819:Substance Abuse, Intravenous / Q000534:rehabilitation*; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology