1. Secondary HIV Prevention Research at NIMH Christopher M. Gordon, PhD Chief, Secondary Prevention and Treatment Adherence Center for Mental Health Research on AIDS, NIMH Presented at the 2002 Ryan White Care Act Grantees Conference

2. Addressing the needs of persons living with HIV/AIDS: Program Goals Behavioral risk-reduction Treatment adherence Psychological coping/growth Impact of stigma

3. Overview 37 Total Awards –7 K awards –26 RO1s –8 U10 grants, (2) collaborative agreement –Total Budget = approx 19 M

4. Behavioral Risk Reduction (BRR) Social Networks Brief Targeted clinic-based Women (NY/Miami/International) MD – Delivered Coping, risk-reduction, and adherence combined (Healthy Living Project)

5. Brief Safer Sex Intervention for HIV Outpatient Clinics Jean Richardson, Gary Marks and colleagues in and around USC Randomly assigned 6 clinics across California to –“Advantages” Safer Sex Counseling – “Consequences” Safer Sex Counseling – Adherence Counseling

6. Characteristics of the Program Integrates prevention into routine primary care Emphasize Self Protection, Partner Protection and Disclosure Every patient counseled at every visit Change in clinic norms Can be retained and can be diffused

7. Interviewed 887 patients before the intervention period Intervened with all patients seen during a 10 month period – over 9,000 patients at over 53,000 visits Collected follow-up data on 586 patients or 2/3 of the cohort Scope of intervention

8. Healthy Living Project 4 cities (NY, SF, LA, NYC) Over 900 men and women living with HIV participating in the intervention portion of the study Over 3800 agreed to share information for the baseline assessment

9. Social Networks and HIV+ Women Emory University, in conjunction with CBOs and clinics in Atlanta and Montgomery, Alabama The “WILLOW” Project (Women Involved in Life, Learning From Other Women) Goals are to enhance quality of life and decrease risk through social support, especially among women living in more rural settings.

10. Meeting of the Data Safety and Monitoring Board May 13, 2002 Neuroscience Center Bethesda, Maryland African-American Serodiscordant Couples “EBAN” Project; To enhance communication, increase cultural pride, and increase protective behaviors Goal is to recruit 800 couples in Philadelphia, NYC, LA, and Atlanta

11. Program Announcements HIV PREVENTION IN TREATMENT SETTINGS: U.S. AND INTERNATIONAL PRIORITIES http://grants2.nih.gov/grants/guide/rfa- files/RFA-MH-03-006.htmlhttp://grants2.nih.gov/grants/guide/rfa- files/RFA-MH-03-006.html

12. Summary We are working hard Will continue to work together Contact me anytime –301-443-1613 –Cgordon1@mail.nih.gov