HIV Counseling Intervention for Methadone-Maintained Patients - 2

The purpose of this proposal is to evaluate, in methadone-maintained patients the association
between an ADHD diagnosis and high-risk HIV/Hepatitis behavior. In addition, the
investigators would like to determine whether a new manually-guided HIV intervention; RISE:
Reduce high risk Intravenous drug use and unsafe Sexual Encounters is superior to standard
HIV/Hepatitis psycho-education.

Inclusion Criteria:

- Must meet DSM-IV criteria for opiate dependence and currently in methadone maintenance
treatment

- Able to give informed consent and capable of complying with study procedures

- Women who are of childbearing age and/or pregnant may be included

- Individuals who are HIV-positive or have Acquired Immunodeficiency Syndrome may be
included

- Patients who demonstrate moderate to high HIV risk behaviors will be included

- Patients with low to no HIV risk behaviors will be excluded

- Patients receiving a stable dose of methadone for three weeks will be included

Exclusion Criteria:

- Currently meets DSM-IV criteria for current Axis I psychiatric disorders (other than
ADHD or substance abuse) which requires medical intervention, i.e., active suicide
ideation, active psychosis, anxiety disorders, depression requiring hospitalization

- Patients who have exhibited suicidal or homicidal behavior within the past two years

- HIV positive patients must have knowledge of their status for a minimum of three weeks