HIV disease is a critical and costly problem for women in the United States. Incarcerated women are a population at extremely high risk for HIV acquisition given their high rates of drug use and other risky behaviors. Lifetime rates of alcohol abuse or dependence are 39% among incarcerated women, and there is substantial evidence for the association between alcohol and HIV risk-taking. In populations of hazardously-drinking individuals, research has shown that brief interventions decrease alcohol use. To date, methods for reducing alcohol use among incarcerated women have not been explored, and the extent to which treatment for hazardous alcohol use will improve HIV risk-taking behaviors in this population is unknown. We propose to conduct a randomized clinical trial in which 326 hazardously drinking women who are incarcerated and are returning to the community will be randomly assigned to: (a) a brief, motivationally focused alcohol intervention (adapted from the Motivational Enhancement Therapy Manual used in Project MATCH) or (b) standard of care. Women's alcohol use, problems arising from alcohol use, and risky behaviors will be assessed at baseline, 1-, 3- and 6- month follow-up. We hypothesize that adding a brief alcohol treatment during incarceration with a booster session one-month after return to the community will result in less alcohol use and less HIV risk-taking at follow-up assessments relative to standard care. If effective, this brief alcohol intervention can be readily integrated into existing programs for incarcerated women who will soon be reintegrating into the community.
| Schonbrun, Yael Chatav; Johnson, Jennifer E; Anderson, Bradley J et al. (2017) Hazardously Drinking Jailed Women: Post-Release Perceived Needs and Risk of Reincarceration. Int J Offender Ther Comp Criminol 61:1819-1832 |
| Schonbrun, Yael Chatav; Johnson, Jennifer; Anderson, Bradley J et al. (2016) Sex Trading Among Hazardously Drinking Jailed Women. Women Crim Justice 26:165-179 |
| Caviness, Celeste M; Anderson, Bradley J; de Dios, Marcel A et al. (2013) Prescription medication exchange patterns among methadone maintenance patients. Drug Alcohol Depend 127:232-8 |
| Caviness, Celeste M; Anderson, Bradley J; Stein, Michael D (2012) Prevalence and predictors of sexually transmitted infections in hazardously-drinking incarcerated women. Women Health 52:119-34 |
| Stein, Michael D; Caviness, Celeste M; Anderson, Bradley J (2012) Incidence of sexually transmitted infections among hazardously drinking women after incarceration. Womens Health Issues 22:e1-7 |
| Hayaki, Jumi; Anderson, Bradley J; Stein, Michael D (2012) Sexual risk-taking mediates the association between impulsivity and acquisition of sexually transmitted infections among hazardously drinking incarcerated women. Am J Addict 21 Suppl 1:S63-71 |
| Schonbrun, Yael Chatav; Strong, David R; Anderson, Bradley J et al. (2011) Alcoholics Anonymous and hazardously drinking women returning to the community after incarceration: predictors of attendance and outcome. Alcohol Clin Exp Res 35:532-9 |
| Clarke, Jennifer G; Anderson, Bradley J; Stein, Michael D (2011) Hazardously drinking women leaving jail: time to first drink. J Correct Health Care 17:61-8 |
| Hennessey, Kathleen A; Stein, Michael D; Rosengard, Cynthia et al. (2010) Childhood attention deficit hyperactivity disorder, substance use, and adult functioning among incarcerated women. J Atten Disord 14:273-80 |
| Strong, David R; Caviness, Celeste; Anderson, Brad et al. (2010) Assessing the severity of hazardous drinking and related consequences among incarcerated women. Alcohol Clin Exp Res 34:907-14 |
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