HIV Infection and Intravenous Drug Use

HIV Infection and Intravenous Drug Use

HIV Infection and Intravenous Drug Use

HIV Infection and Intravenous Drug Use

Synopsis

The author has compiled information from a vast array of sources to provide this resource guide to the important issues involved in HIV infection and intravenous drug use. He presents sections on historical background, behavioral antecedents, virology, immunology, incidence, prevalence, HIV testing, treatment, counseling, confidentiality, methodological issues, and the latest scientific findings, based upon his clinical experience and synthesis of the research literature. Physicians, nurses, psychologists, social workers, health educators, and public health officials who are addressing issues related to HIV infection and intravenous drug use will find this handbook useful.

Excerpt

As with many other developments, this book is the product of necessity. When our treatment program decided to develop AIDS prevention resources, including the HIV testing and counseling program, I was unprepared for the multitude of issues emerging from the endeavor. I was inundated by questions from patients and staff regarding every conceivable aspect of patient care including treatment protocols, confidentiality, prevention resources, interview techniques, patient management, and crisis intervention. Although an overwhelming majority of our patients requested on-site availability of HIV testing, I was very much aware that in most of us the chasm between verbalized inclinations and behavioral implementation is often bridged by good intentions and infrequently by followthrough. However, the patients were very serious about their interest in HIV testing, their need for current information regarding their serostatus, and their survival interest in risk-reduction activities. Although the HIV testing and counseling program had its share of anxious moments, generally it was the patients who provided direction regarding the services required for their treatment needs.

The devastation of human lives caused by AIDS and its toll upon the service delivery capability of the health care system is readily apparent. The resources to treat the needs of the patients and the information to anticipate and identify the treatment issues are fre-

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