investigator to extend his work and to form new prevention research partnerships.

The second project identified by NIAAA as linking AIDS research and services provides alcohol and drug abuse counseling to gay men in the context of AIDS prevention activities. Here, too, the success of the linkages is attributed to the ability of the principal investigator to act as a credible liaison between the research, service provider, and constituency communities. Indeed, this research project is described by NIAAA as one that was prompted by service providers in the gay community who observed an increased rate of HIV infection among heavy drinkers and identified this as an important area of research.

NIDA

NIDA has engaged in a fairly wide range of activities with other federal agencies and nongovernmental service providers related to AIDS prevention and treatment among the drug-using population. These activities include collaboration in funding and planning projects and conferences, technical assistance in research planning, service delivery, education, and information dissemination. The following is a representative sample of activities:

NIDA/HRSA Program Linking Primary Health Care and Drug Abuse Treatment

This program, which was one of those transferred to CSAT with the ADAMHA reorganization, is designed to demonstrate the feasibility of various models for linking substance abuse treatment with primary health care services for drug abusers at risk for acquiring or spreading HIV. Of the original 21 grantees, about one-third were community health centers, one-third were city or county health departments, and the remainder were other institutions such as hospitals or state agencies. Now in its second round of funding, the program already has demonstrated success in reaching historically underserved populations, including women, Hispanics/Latinos, African Americans, adolescents, and HIV-infected individuals. This project found that clients first identified through primary care were much less advanced in their drug abuse career than those identified in drug abuse treatment programs. This important finding has implications for the design of integrated HIV, drug abuse, and primary medical care models.



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