Contingency management among homeless, out-of-treatment men who have sex with men.
Homeless men who have sex with men are a particularly vulnerable population with high rates of substance dependence, psychiatric disorders, and HIV prevalence. Most need strong incentives to engage with community-based prevention and treatment programs. Contingency management (CM) was implemented in a community HIV prevention setting and targeted reduced substance use and increased health-promoting behaviors over a 24-week intervention period. Participants in the CM condition achieved greater reductions in stimulant and alcohol use (χ(2) = 27.36, p < .01) and, in particular, methamphetamine use (χ(2) = 21.78, p < .01) and greater increases in health-promoting behaviors (χ(2) = 37.83, p < .01) during the intervention period than those in the control group. Reductions in substance use were maintained to 9- and 12-month follow-up evaluations. Findings indicate the utility of CM for this high-risk population and the feasibility of implementing the intervention in a community-based HIV prevention program.
Reback
Cathy J
CJ
Friends Research Institute, Los Angeles, CA 90028, USA. reback@friendsresearch.org
Peck
James A
JA
Dierst-Davies
Rhodri
R
Nuno
Miriam
M
Kamien
Jonathan B
JB
Amass
Leslie
L
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control; D000697:Central Nervous System Stimulants / Q000008:administration & dosage / Q000009:adverse effects; D005240:Feasibility Studies; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods*; D006703:Ill-Housed Persons; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008694:Methamphetamine / Q000008:administration & dosage / Q000009:adverse effects; D008875:Middle Aged; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*
D000697:Central Nervous System Stimulants; D008694:Methamphetamine