Abstract
Of 200 substance abusers who consecutively applied for treatment at Phoenix House, Oslo, 79% (n=158) were HIV-tested. The prevalence of HIV-positive applicants was 10% (n=16). The HIV-positive clients were followed up prospectively through the total program, and a follow-up was undertaken 4 years after the start of treatment. Although the HIV-positive clients had a more frequent use of opiates and a longer alcohol career than the HIV-negative clients, more HIV-positive applicants began treatment. Moreover, 53% of the HIV-positive clients completed the 1-year inpatient phase of the program, against 27% of the HIV-negative clients. In the outpatient phase, however, the HIV-positive clients managed less successfully than the HIV-negative clients, and time in treatment could not predict outcome. These findings, together with the rather negative follow-up results, may indicate that inpatient programs such as the Phoenix House adequately serve the HIV-positives' needs for a safe and caring atmosphere but do not...
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