title: A one-session human immunodeficiency virus risk-reduction intervention in adolescents with psychiatric and substance use disorders.
abstract: OBJECTIVE
  To explore change in human immunodeficiency virus (HIV) risk among teens in outpatient treatment for substance use disorders (SUDs).
  
  
  METHODS
  From December 2002 to August 2004, 50 adolescents (13-19 years) with major depressive disorder, conduct disorder, and one or more non-nicotine SUD completed the Teen Health Survey (THS) at the beginning and end of 16 weeks of outpatient cognitive behavioral SUD treatment, which included a one-session HIV intervention. Changes in THS scale scores and specific item responses targeted by the intervention were assessed with paired t tests and Wilcoxon signed rank tests.
  
  
  RESULTS
  Pre/post mean THS scores significantly improved for two subscales: Measures of HIV Information (14.8-17.6; p < .001) and Beliefs about Condom Use (17.6-18.5; p < .05). Analyses of specific items showed trends for improvement in intentions to carry condoms and in the number of teens who obtained condoms. Not all of the risks targeted by the intervention showed significant change, but no change was observed in any area that was not specifically targeted.
  
  
  CONCLUSIONS
  Results from this preliminary study are consistent with the need for specific assessment and targeted intervention to reduce HIV risk in outpatient adolescent SUD treatment.
authors: Dr. Thurstone is affiliated with Denver Health and Hospital Authority and the University of Colorado at Denver and Health Sciences Center. All of the other authors are affiliated with the University of Colorado at Denver and Health Sciences Center.. Electronic address: Christian.Thurstone@dhha.org.
authors: Christian
authors: C
authors: Thurstone
authors: Dr. Thurstone is affiliated with Denver Health and Hospital Authority and the University of Colorado at Denver and Health Sciences Center. All of the other authors are affiliated with the University of Colorado at Denver and Health Sciences Center.
authors: Paula D
authors: PD
authors: Riggs
authors: Dr. Thurstone is affiliated with Denver Health and Hospital Authority and the University of Colorado at Denver and Health Sciences Center. All of the other authors are affiliated with the University of Colorado at Denver and Health Sciences Center.
authors: Constance
authors: C
authors: Klein
authors: Dr. Thurstone is affiliated with Denver Health and Hospital Authority and the University of Colorado at Denver and Health Sciences Center. All of the other authors are affiliated with the University of Colorado at Denver and Health Sciences Center.
authors: Susan K
authors: SK
authors: Mikulich-Gilbertson
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000821:virology*; D040261:Harm Reduction; D006293:Health Promotion; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy