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Dissemination of Evidence-Based Treatments from Clinical Treatment Providers Bethesda, MD October 20, 2009

Dissemination of Project WORTH in a Residential Treatment Program for Women and Children. Dissemination of Evidence-Based Treatments from Clinical Treatment Providers Bethesda, MD October 20, 2009. Susan M. Gordon, Ph.D. Myriah Jackson, B.A. Acknowledgements.

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Dissemination of Evidence-Based Treatments from Clinical Treatment Providers Bethesda, MD October 20, 2009

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  1. Dissemination of Project WORTH in a Residential Treatment Program for Women and Children Dissemination of Evidence-Based Treatments from Clinical Treatment ProvidersBethesda, MDOctober 20, 2009 Susan M. Gordon, Ph.D. Myriah Jackson, B.A.

  2. Acknowledgements • Center for Substance Abuse Treatment HIV/TCE TI019726 • NIDA CTN U10 DA013043 • Seabrook House • Myriah Jackson, HIV counselor

  3. MatriArk Family Program • Residential treatment program for women & children • Southern New Jersey • 48 women and 80 children (birth – 12 yrs) • Programs:28-day program 1 – 6 month program6 – 12 month program • 1993 - 2009

  4. Average 30 years of age (18 – 47) 60% never married 90% birth to one or more children Race/Ethnicity60% White28% African-American12% Hispanic Drug Dependencies45% Cocaine45% Heroin/opioids15% Alcohol12% Cannabis10% Sedatives40% Nicotine Demographics

  5. Sexual Risk Behaviors & MAFC Intervention In the year prior to admission: • 93% sexual activity with males • 80% sex without barrier protection • 75% sex while high or partner was high • 40% 2 or more sex partners MAFC Intervention: • Offsite HIV screening • Monthly HIV educational sessions

  6. CSAT TCE/HIV Grant • On-site rapid HIV screening/counseling for residents and visitors • Medical Case Management for all residents & children • Project WORTH – safer sex education program for residents

  7. Safer sex skill development psycho-educational group to reduce HIV/STI transmission Focus: Barriers to safer sex practices Assertiveness training Problem solving Communication skills Methods to protect self from partner abuse 5 - 90-minute sessionsTrained facilitatorManual Visual presentations Group experiential exercises & discussions Practice using male & female condoms on inanimate models Project Women On the Road To Health(AKA CTN 0019)

  8. Implementation Steps • 2-day Training • Goals: • 3 - 5 sessions in first month of treatment • Review sessions for residents in treatment for 4 or more months • Modifications • Open enrollment • Individual session with new residents prior to admission to group • Boaster sessions for women in treatment more than 6 months

  9. Challenges • Open Enrollment • Maintain group cohesion • New members at Sessions 3 – 5 • Individual sessions • Identify residents eligible for review sessions before they discharge • How to keep curriculum interesting for the review group

  10. Attendance – Initial Sessions 150 eligible residents: • M = 3.5 +2 sessions • 72% received 3+ sessions • 13% received NO sessions

  11. Satisfaction

  12. Behavior Changes During the past 12/3 months did you have sex without using any kind of condom, dental dam or other barrier? 13 participants who completed Admission & Follow-up GAIN Risk Assessment and were sexually active at both points. X2 (1, N=13) = 4.0, p < .05 McNemar Test

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