Introduction: Syringe exchange programs (SEPs) are used to promote HIV risk reduction among active intravenous drug users (IDUs). The extent to which SEPs can serve to recruit individuals into substance abuse treatment is less clear. We assessed the readiness for drug treatment among participants at a NYC SEP according to a standardized instrument based on Prochaska's Stages of Change Model. Results: Between August-December 1999, 69 active IDUs were interviewed; 35% were females, 39% non-Hispanic Black, 32% White, 19% Hispanic, and 10% Other. Median age 42. 43% and 11% reported ³ once daily injections heroin or cocaine, respectively. 80% reported prior drug treatment and 25% were currently in drug treatment. 88% thought their "drug use was a problem." 51% felt "being in drug treatment is the only way to get off drugs, and 72% thought "being in drug treatment would help you with a lot of your problems." 62% felt they "would like to get into drug treatment." 52% thought they "wanted to make changes in their drug use but feel they can't right now." Summary measures revealed that 61% were in the contemplation stage; 39% precontemplation/indeterminant stage. Conclusion: Approximately one-quarter of participants were in drug treatment but still using drugs. The majority were in the contemplation stage, suggesting that attempts to engage SEP participants in drug treatment need to consider their individual stage of treatment readiness and employ strategies to address previously unsuccessful attempts at drug treatment and to move individuals along the stages of change continuum.
Learning Objectives: At the conclusion of the session, the participant in this session will be able to: 1) Gain a better understanding of how theoretical models of change for addictive behaviors can enhance program planning and evaluation, 2) Define ways to incorporate theory into applied research based on our experience using a standardized instrument with drug users at a SEP
Keywords: Drug Abuse Treatment, Hazardous Air Pollutants
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.