The 130th Annual Meeting of APHA

3174.0: Monday, November 11, 2002 - Board 10

Abstract #46765

HIV and partner violence interventions: Adapting motivational enhancement and stages of change models for use in a public health setting

John A. Dougherty, PhD, Program Design and Evaluation Services, Multnomah County Health Department, Oregon, 426 SW Stark Street, 6th Floor, Portland, OR 97204, 503-988-3663 x22290, John.X.Dougherty@co.multnomah.or.us, Kerth O'Brien, PhD, Program Design and Evaluation Services, Multnomah County Health Dept. and Portland State University, 800 NE Oregon St, Suite 550, Portland, OR 97232, and Mike J. Stark, PhD, Program Design and Evaluation Services, Multnomah County Health Dept, 800 NE Oregon St, Suite 550, Portland, OR 97232.

Abstract Text: As part of a NIDA-funded research project, public health staff who had no counseling backgrounds were taught a core set of motivational enhancement skills. These skills were used to assist women to reduce health risks in a series of structured intervention sessions, the components of which varied according to the participant's stage of change. The goals of the intervention were to assist women with substance use histories and who had recent contact with the criminal justice system to reduce their risk of HIV and STDs, and if present, their risk of partner violence. Intervention sessions also involved motivational enhancement for concerns related to life stability (e.g., housing). This poster describes the core set of skills learned by the staff and the components and development of the interventions. The partner violence intervention was more difficult to conceptualize and develop within the motivational enhancement framework than was the intervention to reduce HIV risks. Challenges to the development of the interventions included: 1) Staff training in other intervention models, 2) The need for extensive safety planning, 3) The appropriateness of a self-directed intervention model in coercive, potentially violent situations, and 4) Alternative approaches to partner violence treatment and prevention in the community. The effectiveness of the interventions currently is being tested within a behavioral clinical trials study.

Learning Objectives:

  • Learning Objectives

    Keywords: HIV Interventions, Violence Prevention

    Presenting author's disclosure statement:
    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.

    Reducing HIV Risks: Profligates, Prostitutes, Penitents, Professionals, and Pupils

    The 130th Annual Meeting of APHA