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HIV, Stimulants, and Mental Health: Pacific AETC Train-the-Trainer Program

Date of Report: 10/2006
Source: Pacific AETC

In October 2005, the Pacific AETC (PAETC) received supplemental HRSA grant funds through the AETC Mental Health Training Program, along with the other 10 regional AETCs, to train HIV clinicians on the relationship between substance abuse (SA), mental health, and HIV/AIDS. The purpose of these funds was to address the increasing need and interest, as demonstrated by a growing body of research as well as local needs assessment findings, to improve access to mental health and SA treatment programs for HIV-infected patients. PAETC decided to use these funds to expand the ability of faculty based at our local performance sites (LPSs) to train on these issues. A train-the-trainer (TOT) model was utilized to accomplish this.

In January 2006, PAETC brought together 18 LPS-based faculty, including physicians (three psychiatrists), nurses, social workers, program directors, and one dentist, for a one-day TOT program in Los Angeles. The curriculum was developed by HIV, mental health, and SA clinicians and researchers from UCLA and the Pacific Southwest Addiction Technology Transfer Center. The curriculum included four modules:

dot Stimulants and HIV: What Clinicians Need to Know (119 slides with speaker notes)
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dot Cultural Competency, HIV, and Stimulants
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dot Neuropsychiatric Manifestations of HIV
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dot Interactive Cases
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The SA material presented at the TOT focused on party drugs and polysubstance use, which reflected the West Coast's experience as well as the increasingly important relationship between the methamphetamine and HIV epidemics. At the TOT, participants received slide sets with key speaker points on CD-ROM, a cultural competency audience exercise, and PAETC's Tips for HIV Clinicians Working with Methamphetamine Users . These materials have also been posted on the AETC website at http://www.aidsetc.org .

After participating in the TOT program, PAETC faculty were required to provide a minimum of two trainings at their local sites using the curriculum, which they could modify to address local concerns, before the end of June. Results far surpassed our expectations. Ten of our LPSs delivered 25 trainings to almost 800 participants. All agencies that requested the training expressed interest in additional programs as well. More than 4,000 individuals have downloaded the Methamphetamine Tip Sheet from various websites.

We very much appreciated the additional funding which enabled us to build the capacity of our LPSs to provide tailored training to address these critical issues in their local communities. These LPSs have made a commitment to continue to provide mental health and SA training, as well as to integrate these topics into other clinical programs.

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