This report reviews what is known about the state of the HIV/AIDS in the Vancouver downtown east end, based on the formal literature, current and previous studies from and about that downtown community; summarizes a community consultation process with adults and youth, current and ex- drug users, HIV-positive individuals, and community social and medical service providers; and presents an action plan to reduce the spread of HIV/AIDS among those downtown community members involved in injection drug (heroin and cocaine) use.
Issues discussed in the consultations included physical health, housing, having a sense of belonging and usefulness, information dissemination, public safety, and needs of special high-risk groups. Recommendations are made under such objectives as: ensuring that high-risk persons are connected with and make better use of existing resources; improve shelter and housing conditions; increase community ability to deal with the HIV/AIDS problem; support co-ordination of HIV/AIDS services; and funding. Appendices include survey questionnaires and a background paper on methadone treatment.
1. Learning, Applying, and Extending Motivational Interviewing, William R. Miller & Hal Arkowitz 2. Motivation Facilitation in the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, James F. Boswell, Kate H. Bentley, & David H. Barlow 3. Enhancing the Effectiveness of Exposure and Response Prevention in the Treatment of Obsessive-Compulsive Disorder: Exploring a Role for Motivational Interviewing, Allan Zuckoff, Ivan C. Balan, & Helen Blair Simpson 4. Integrating Motivational Interviewing into the Treatment of Anxiety, Henny A. Westra & Adi Aviram 5. Enhancing Motivation in Individuals with Posttraumatic Stress Disorder and Comorbid Substance Use Disorders, David Yusko, Michelle L. Drapkin, & Rebecca Yeh 6. Motivational Interviewing as a Prelude to Psychotherapy for Depressed Women, Allan Zuckoff, Holly A. Swartz, & Nancy K. Grote 7. Motivational Interviewing and the Treatment of Depression, Sylvie Naar & Heather Flynn 8. Motivational Interviewing to Address Suicidal Ideation, Peter C. Britton 9. Motivational Pharmacotherapy: Combining Motivational Interviewing and Antidepressant Therapy to Improve Treatment Outcomes, Ivan C. Balan, Theresa B. Moyers, & Roberto Lewis-Fernandez 10. Motivational Interviewing in Treating Addictions, William R. Miller 11. Brief Treatments for Gambling Problems Using Motivational Approaches, David C. Hodgins, Jennifer L. Swan, & Katherine M. Diskin 12. Motivational Interviewing for Smoking Cessation with Adolescents, Suzanne M. Colby 13. Motivational Interviewing for Intimate Partner Violence, Erica M. Woodin 14. Motivational Interviewing in the Treatment of Disordered Eating, Stephanie C. Cassin & Josie Geller 15.Conclusions and Future Directions, Hal Arkowitz, William R. Miller, & Stephen Rollnick Index