If you have issues viewing or accessing this file contact us at NCJRS.gov. The Best of Science and the Best of Program 1991 National STDIHIV Prevention Conference Q- C-" May 20-24 - San Diego "YIC'l,J '~" u.s. DEPARTMENT OF HEALTH & HUMAN SERVICES CDC f'F- Public Health Service rtI 'i::f- Centers for Disease ConlIol - 'o(J CENTERS FOR DISEAse CONTRex. Proceedings ACTION ALLIANCE The Best of Science and the Best of Program 1991 Natinnal STDIHIV Preventinn Conference San Diego, California Sponsored By CENTERS FOR DISEASE CONTROL William L. Roper, M.D., M.P.H. Assistant Surgeon General Director, Centers for Disease Control Administrator, Agency for Toxic Substances and Disease Registry Alan R. Hinman, M.D., M.P.H. Assistant Surgeon General Director, National Center for Prevention Services Jack N. Spencer Acting Director, Division of STD/HIV Prevention CO-HOSTS California Department of Health Services California STD Control Association County of San Diego Department of Health Services u.s. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control Atlanta, Georgia 137010 U.S. Department of Justice National Institute of Justice This document has been reproduced exactly as received from the person or organization originating it. Points of view or opinions stated in this document are those of the authors and do not necessarily represent the official po~ition or policies of the National Institute of Justice. Permission to reproduce this 8 III) ... 7 material has been granted by Public Domain/U.S. Dept. of Health and Human Services to the National Criminal Justice Reference Service (NCJRS). Further reproduction outside of the NCJRS system requires permis­ sion of the ~ owner. ii Contents Page Plenary Session Presentations Challenge for the Conference .......................................................... 1 Alan R. Hinman, M.D., M.P.H. AIDS and Sexually Transmitted Diseases . .. 5 Mervyn F. Silverman, M.D., M.P.H. Meeting the STD/HIV Challenge Through Collaboration: Coalition BUilding. .. 7 Jane L. Delgado, Ph.D. The Impact of HIV on STD/Public Health Infrastructure .................................... 11 Gary R. Noble, M.D., M.P.H. Women and Adolescents and STD/HIV .................................................. 15 M. Joycelyn Elders, M.D. Epidemiology of Drug Abuse in the United States .......................................... 19 Don C Desjarlais, Ph.D. CDC Strategic Plan for HIV Prevention ....... : . 23 WilliamL. Roper, M.D., M.P.H. Sexual Behavior in the United States ..................................................... 27 William W. Darrow, Ph.D. An End to HIV Exceptionalism? AIDS in the Next Decade. 35 Ronald Bayer, Ph.D. Never Say Never .................................................................... 39 JohnE. Arradondo, M.D. National STD/HIV Prevention Conference Summary ....................................... 43 Windell Bradford How to Build on What We Have Learned ................................................. 47 Ronald 0. Valdiserri, M.D., M.P.H. Annotated List of Special Topics Seminars • Substance Abuse: What Everyone Should Know . 51 • Integration of Substance Abuse Services with STD/HIV Prevention Services ................... 51 • Outreach to Substance Abusers ....................................................... 52 • Early Intervention for Persons with HIV Infection ........................................ 52 • Syphilis Epidemic and Its Impact on Programs . 52 • "Modern Day" Approaches to Disease Intervention: The Best of Program ..................... 52 • STD/HIV; Crosscutting Issues for Community-Based Organizations .......................... 53 • Integration of STD/HIV Counseling, Testing, Referral, and Partner Notification Services at the Clinic Level . 53 • Legal Issues Related to HIV/STD Prevention Activities .................................... 53 • HIV Partner Notification Services ..................................................... 54 • HIV Counseling and Testing Services . 54 iii Page CDC Perspective • Outreach to Adolescents, ............................................................ 55 • Outreach to Men Who Have Sex With Men. 55 • Outreach to Women ................................................................ 55 • HIV/STD Prevention Activities in the Criminal Justice System .............................. 55 • Initiating and Sustaining Behavior Change .............................................. 55 • STD Updates ..................................................................... 56 • Showcase of Collaborative Efforts . 56 • Overview of Behavioral Research in DSTD/HIVP . 57 • Impact of CARE. 57 • STD Surveillance Update. 57 • Building Effective Relationships Between National and Community Organizations .............. 57 • America Responds to AIDS (ARTA) Media Campaign ..................................... 58 • STD/HIV Clinical Research Report .................................................... 58 • STD and Family Planning: Strange Bedfellows? .......................................... 58 Community-Based Organization Workshop Tracks • CBO-l: Women and HIV ........................................................... 59 Workshop A: Issues of Sex and Reproduction Related to HIV Prevention for Women ........ 59 Workshop B: Accessing Services for Women Infected/Affected by HIV .................. 59 Workshop C: Educational and Behavioral Strategies Targeting Women ................... 59 Workshop D: Public Policy as it Relates to STD/HIV Prevention Programs for Women ...... 59 • CBO-2: Working with Culturally Diverse Populations ................................... 60 Workshop A: Racial and Ethnic Populations ...'. 60 Workshop B: Gay Men and Lesbians .............................................. 60 Workshop C: Special Populations: Hearing Impaired, Visually Impaired, Developmentally Disabled, Mentally Ill ........................................................ 60 • CBO-3: Substance Abuse and HIV ................................................... 61 Workshop A: Substance Use and Sex .............................................. 61 Workshop B: Addiction and Relapse .............................................. 61 Workshop C: Accessing Treatment Services .............. , ......................... 61 Workshop D: Effective Skills Building for HIV Prevention Programs Targeting Substance Using/Abusing Populations .................................................... 61 • CBO-4: Youth and mv ............................................................ 61 Workshop A: Sexuality and Youth At-Risk for HIV .................................. 61 Workshop B: Public Policy as it Affects Youth At-Risk for HIV ......................... 61 Workshop C: Runaway, Throwaway, and Homeless Youth, Youth Engaged in Exchanging Sex for Drugs and/or Money, Incarcerated Youth, and Gangs ......................... 61 Workshop D: Outreach, Education, and Support Systems for Youth At-Risk: Examples of Culturally Focused Programs that "Work" ........................................ 61 • CBO-S: Outreach and Educational Strategies .......................................... 62 Workshop A: Safety Issues and Outreach Workers ................................... 62 Workshop B: Creating Innovative Educational Strategies for HIV Prevention Programs . 62 • CBO-6: Program Development and Management ...................................... 62 Workshop A: Program Planning and Evaluation Strategies ............................. 62 Workshop B: Standards for Staff and Volunteer Training and Development. 62 • CBO Workshop About Condoms .................................................... 63 iv Page National Minority Organizations Workshop Tracks .................................. 65 • NMO-1: Organizational and Leadership Development ..................................... 65 • NMO-2: The Role of National Minority Organizations in Collaborating with Communities Working Together in HIV Prevention. 65 • NMO-3: Public Policy and Advocacy on HIV Prevention Issues . 65 • NMO-4: Coordination of mv and STD Prevention Services ............................. 65 • WORKSHOP NMO-2: Evaluating National Minority and Community Organizations . 66 STD/HIV Workshop Tracks ........................................................ 67 • STD-l: Outreach and Intervention for Hard-to-Reach Populations ........................ 67 Workshop A: Women and Children: Congenital Syphilis and HIV . 67 Workshop B: Innovative Intervention: Outreach Strategies for Substance Users ............. 67 Workshop C: Special Efforts to Reach Racial/Ethnic Minority Population . 67 Workshop D: Realistic Approaches to Providing STD/HIV Prevention Services to the Criminal Justice System. 68 • STD-2: Prevention Opportunities Through Supervisory Involvement (Training and Education) . 68 Workshop A: Improving Disease Intervention Specialist (DIS) and Non-DIS Intervention Activities .................................................................. 68 Workshop B: The Role of the Supervisor in STD/HIV Prevention and Intervention Activities .................................................................. 69 • STD-3: Providing Alternative Clinical and Referral Services with Limited Resources ......... 69 Workshop A: Alternative STD/HIV Clinical and/or Referral Services When Resources are Level, Nonexistent, or Limited ................................................. 69 Workshop-Use of mv Seroprevalence Data in Thrgeting and Evaluating Prevention Programs ....................................................................... 71 Workshop-STD Surveillance .....................................................