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Description:Modelo de Intervención Psicomédica (MIP) is an intensive intervention that combines counseling and case management. The 6 one-on-one counseling sessions conducted by a registered nurse use motivational interviewing strategies to engage injection drug users for behavior change. The first 3 counseling sessions focus on participants’ motivation to change behavior, the development of a work plan to facilitate behavior change, encouragement to enter into drug treatment, and strategies for relapse prevention. Session 4 focuses on strategies participants can use to explain to their peers why they rejected the practice of needle sharing. Session 5 provides skill building for safer sex negotiation and correct male and female condom use. The final session reinforces self-efficacy to reduce risk behaviors and drug injection and to increase the use of health care and drug treatment services. The case management component involves active assistance from a case manager to help participants get through the intervention and to provide access to drug treatment, pri mary health care services, and other legal or social welfare services. Participants also received standard HIV counseling and testing.
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