about risk reduction behaviors, including safer sexual practices, not sharing needles or other injection equipment, proper needle-cleaning techniques, needle exchange programs, tuberculosis prevention, and life skills such as sexual negotiation and assertive communication.

National Association of State Alcohol and Drug Abuse Directors (NASADAD)

The NASADAD Board of Directors formally passed the following resolution on September 18, 1991:

The NASADAD Board of Directors supports the recommendations of the National Commission on AIDS regarding the Twin Epidemics of Substance Use and HIV. Additional alcohol and other drug abuse prevention and treatment services, increased HIV prevention activities, and expanded research and epidemiologic studies are urgently needed to prevent further HIV transmission among highly vulnerable and at-risk populations.

NASADAD recommends support for bleach and/or needle distribution programs in areas and geographic regions where appropriate. However, the decision to conduct bleach and/or needle distribution programs should remain at the discretion of States and Territories and/or local communities (where legally permissible).

National Association of Substance Abuse Trainers and Educators (NASATE)

No response was received.

National Consortium of Chemical Dependency Nurses, Inc. (NCCDN)

The NCCDN has no official position on the issues of needle exchange and bleach distribution. This type of program is quite controversial among treatment professionals and the Board of Directors has chosen to not officially speak to these techniques.

National Nurses Society on Addiction (NNSA)

No response was received.

Social Work Administrators in Health Care (SWAHC)

No response was received.

Therapeutic Communities of America (TCA)

No response was received.

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