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Research efforts to reduce human immunodeficiency virus (HIV) risk behavior among street living youth have shown disappointing outcomes, with few studies reporting reduced risk behaviors. The current study tested the impact of an integrated HIV prevention intervention, and predictors of change, for youth (N = 270) between ages 14 and 20 years receiving substance use treatment through a drop-in center. Condom use, HIV knowledge, number of sexual partners and behaviors associated with an overall HIV risk index were assessed at baseline, 3, 6 and 12 months post-baseline. Findings suggest that HIV prevention integrated with substance use treatment is associated with increased condom use and reduced sex partners. However, the effects on condom use were short lived and dissipated by 12 months post-baseline. Higher treatment attendance and baseline substance use predicted increased condom use. Although no significant change was observed in the overall HIV risk index, increases in depressive symptoms were associated with increases in the index score, as well as more sexual partners. Future research should determine whether successful intervention requires reinforcement of risk reduction behaviors while youth remain homeless.

Aims: This study examines the lives of women in substance abuse treatment by exploring the stigmas they perceive as they reintegrate into their communities Methods: Semi-structured interviews and observations were conducted over 9 months with 34 women in treatment. Data was collected and analyzed using a grounded theory approach of comparing emergent themes to develop theoretical conceptualizations. NVivowasused for initial, and theoretical codingprocesses in order to analyze women’s stigma and coping mechanisms. Results: Study participants perceived stigmas from family and intimate partners based on views of the permanence of the “addict identity”. Moreover, stigmas were undergirded by norms of proper womanhood violated bywomen’s experiences with addiction, survival sex, mothering and incarceration. Additionally, the Latina and Caucasian sample population reported perceptions of stigma embedded in racialized stereotypes of proper behavior for their ethnic community. Moreover, women also perceived stigma from treatment peers also managing psychological threats. As a result study participants employed strategies to reduce stigma and preserve their burgeoning identities. Conclusions: This study increases knowledge available to social justice researchers and advocates working with women managing stigmas. It gives insights into how stigmas shape processes of support seeking and community reintegration. Research findings can also inform programming for their families who are also managing anger, loss and stigma. This study has implications for both trauma andstigma informed initiatives that respond to theneedsofwomen and families with complex illness-related struggles. Financial support: I do not have any financial support to participate in the CPDD conference.