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3. Harm Reduction: A New Perspective on Substance Abuse Services

Author

MacMaster, Samuel A.

Abstract

This article provides information on harm reduction, a recent development in substance abuse services in response to the HIV/AIDS epidemic. The author outlines abstinence and harm reduction perspectives and the stages of change model and discusses how these perspectives can be integrated in social work practice. He proposes using harm reduction strategies for individuals for whom the abstinence perspective may not be appropriate. Together, the traditional abstinence and harm reduction perspectives provide a basis for a more comprehensive continuum of care for individuals experiencing problems related to their substance use.

Published
2004

6. Recommendations for Increasing Physician Provision of Pre-Exposure Prophylaxis: Implications for Medical Student Training

Author

Cooper, Robert L., primary, Juarez, Paul D., additional, Morris, Matthew C., additional, Ramesh, Aramandla, additional, Edgerton, Ryan, additional, Brown, Lauren L., additional, Mena, Leandro, additional, MacMaster, Samuel A., additional, Collins, Shavonne, additional, Juarez, Patricia Matthews-, additional, Tabatabai, Mohammad, additional, Brown, Katherine Y., additional, Paul, Michael J., additional, Im, Wansoo, additional, Arcury, Thomas A., additional, and Shinn, Marybeth, additional

Published
2021
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8. Assessing the Social Service Needs of an Emerging Population of Recent Mexican Immigrants Living with, or at risk for, HIV/AIDS

Author

MacMaster, Samuel A., Shatila, Suzanne, Holleran, Lori K., MacMaster, Samuel A., Shatila, Suzanne, and Holleran, Lori K.

Abstract

Latinos have recently become the largest minority group in the United States. It is expected that Latino population growth will continue due to high fertility and high immigration rates. Latinos currently experience a health disparity in HIV rates compared to Caucasians. This disparity may be associated with health care access, which is compounded by the phenomenon of an emerging population with language and culture that differ from the health care system. This article then provides an example of the methodology developed to access and assess the needs of, individuals with HIV/AIDS who traditionally have not participated in needs assessments. Implications of the current research findings and recommendations for future research are discussed., Desde hace poco tiempo la población latina se ha convertido en el grupo minoritario más grande de los Estados Unidos. Se espera que el crecimiento de este sector poblacional continúe también en el futuro debido a una elevada tasa de fertilidad y de inmigración. Comparados con la población blanca, los latinos experimentan una disparidad en cuanto a las tasas de VIH que puede estar asociada con el acceso a servicios de salud el cual se agrava ya que se trata de una población emergente con lengua y cultura diferentes a los conocidos por el sistema de salud. En este artículo se ofrecen ejemplos de una metodología que fue desarrollada para conocer y evaluar las necesidades de individuos que padecen VIH/SIDA y que tradicionalmente no han participado en este tipo de evaluaciones. Sobre esta base se discuten las implicaciones de los resultados y se elaboran una serie de recomendaciones para investigaciones futuras.

Published
2004

9. Recommendations for Increasing Physician Provision of Pre-Exposure Prophylaxis: Implications for Medical Student Training.

Author

Cooper RL, Juarez PD, Morris MC, Ramesh A, Edgerton R, Brown LL, Mena L, MacMaster SA, Collins S, Juarez PM, Tabatabai M, Brown KY, Paul MJ, Im W, Arcury TA, and Shinn M

Subjects
Humans, United States, Anti-HIV Agents therapeutic use, HIV Infections drug therapy, HIV Infections prevention & control, Physicians, Pre-Exposure Prophylaxis, Students, Medical
Abstract

There is growing evidence that pre-exposure prophylaxis (PrEP) prevents HIV acquisition. However, in the United States, approximately only 4% of people who could benefit from PrEP are currently receiving it, and it is estimated only 1 in 5 physicians has ever prescribed PrEP. We conducted a scoping review to gain an understanding of physician-identified barriers to PrEP provision. Four overarching barriers presented in the literature: Purview Paradox, Patient Financial Constraints, Risk Compensation, and Concern for ART Resistance. Considering the physician-identified barriers, we make recommendations for how physicians and students may work to increase PrEP knowledge and competence along each stage of the PrEP cascade. We recommend adopting HIV risk assessment as a standard of care, improving physician ability to identify PrEP candidates, improving physician interest and ability in encouraging PrEP uptake, and increasing utilization of continuous care management to ensure retention and adherence to PrEP.

Published
2021
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