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Notes the rise of the harm-reduction model in the provision of substance abuse services and the history and success of syringe exchange programs. Describes the Xchange Point, a nonprofit community-based AIDS services organization founded in 1996 as a street-based outreach and syringe exchange program. (Contains 15 references.) (GCP)

A recent development in the provision of substance abuse services has been the rise of the harm-reduction model and non-abstinence-based services. Harm reduction is based on the suppositions that drug [...]

The present research explored whether atheists managing death awareness would be effectively buffered by affirmations of supernatural and/or natural literal immortality. Prior data were reanalyzed, revealing ambiguous results, so further experiments were conducted. In Study 1 (n = 382), atheists were randomly assigned to a supernatural afterlife-confirmed (vs. afterlife-disconfirmed) prime, an MS (vs. control topic) prime, and then given an opportunity to engage in secular worldview defense. In Study 2 (n = 360), atheists were randomly assigned to supernatural (afterlife) versus natural (medical indefinite life extension; MILE) immortality prime, an MS (vs. control topic) prime, and then given an opportunity to engage in secular worldview defense. Atheists managing death awareness increased worldview defense in the supernatural/afterlife conditions but that effect was eliminated in the MILE condition. These findings are consistent with the terror management theory perspective on worldview defense. Implications for theory and research are discussed. [ABSTRACT FROM AUTHOR]

Interfacing the terror management health model with the meaning transfer model, we offer novel hypotheses concerning the effectiveness of celebrity and medical endorsements for consumer products and health behavior decisions. Studies 1 and 2 revealed that, compared with control topic primes, death thoughts in focal attention increased the effectiveness of health-oriented (doctor) endorsers but not culture-oriented (celebrity) endorsers, whereas death thoughts outside of focal attention increased the effectiveness of culture-oriented endorsers but not health-oriented endorsers. Studies 3 and 4 then focus more specifically on the valence and specificity of culture-oriented endorsements, revealing that death thoughts outside focal attention increase the effectiveness of culture-oriented endorsers only on the behaviors specifically endorsed and only when the endorser is characterized as possessing cultural value. Discussion focuses on everyday management of existential concerns and implications for persuasive communications in the health domain. [ABSTRACT FROM PUBLISHER]

This article describes a pilot project that provided Internet-based outreach and HIV educational information to Men Who Have Sex with Men (MSM). The project provided services via chat rooms designated for MSM who meet them anonymously for sexual encounters. Services were designed to support behavior changes as well as serving a gateway function for additional services at the host agency. The experiences of the project suggest that the target population may engage in high-risk sexual activity mote than what was initially assumed; and that Internet outreach provides a relevant means of conducting outreach to this group. [ABSTRACT FROM AUTHOR]