Substance abuse treatment for HIV infected young people: an open pilot trial

J Subst Abuse Treat. 2014 Feb;46(2):244-50. doi: 10.1016/j.jsat.2013.07.008. Epub 2013 Aug 27.


The purpose of this study was to test an integrated cognitive behavioral and contingency management (CBT/CM) intervention for young people living with HIV (YPLH) with an alcohol and/or cannabis use disorder in an open pilot trial. Seventeen participants (ages 18-24) were recruited from three HIV community clinics. Assessments were completed at pre-and post-treatment as well as 3 month follow-up. Eighty percent of participants were retained in the study. Results suggest that the CBT/CM intervention was acceptable, feasible, and could be delivered with fidelity. Further, participants reported significant reductions in alcohol use, withdrawal symptoms, dependence symptoms and related problems, as well as co-occurring depressive symptoms and delinquent behavior across assessment periods. A trend was evident for reductions in marijuana use and related problems. Overall, these preliminary results suggest that a substance abuse CBT/CM intervention tailored to YPLH is acceptable, feasible, and holds promise for symptomatic improvement. Further testing of this type of protocol is warranted.

Keywords: Alcohol; Cannabis; Cognitive–Behavioral; Contingency management.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Alcoholism / rehabilitation*
  • Cognitive Behavioral Therapy / methods*
  • Community Health Services / methods
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • HIV Infections / epidemiology*
  • Humans
  • Male
  • Marijuana Abuse / rehabilitation*
  • Patient Acceptance of Health Care
  • Pilot Projects
  • Treatment Outcome
  • Young Adult