does not offer trainings for Holistic Health Recovery Program (HHRP).
However, the intervention implementation materials are available for download from Yale University School of Medicine, Department of Psychiatry.
Holistic Health Recovery Program (HHRP) is a 12-session, manual-guided,
group-level program for HIV-positive and HIV negative injection drug
The primary goals of HHRP are health promotion and
improved quality of life. More specific goals are abstinence from
illicit drug use or from sexual risk behaviors; reduced drug use;
reduced risk for HIV transmission; and improved medical, psychological,
and social functioning. HHRP is based on the
Information-Motivation-Behavioral Skills (IMB) model of HIV prevention
behavioral change. According to this model, there are three steps to
changing behavior: Providing HIV prevention information, motivation to
engage in HIV prevention and opportunities to practice behavior skills
for HIV prevention.
HHRP takes a harm reduction approach to
behavior change in which abstinence from drug use or sexual risk-taking
behavior is one goal along a continuum of risk-reduction strategies.
Clients are not assumed to be abstinent from either drug use or sexual
risk behaviors. Risk behaviors are viewed as being sustained by
hopelessness in the face of a life-threatening illness, high levels of
stress, psychiatric disorders, and medical and social problems. In
addition, the ability to acquire and retain the skills needed for
change may be impeded by the impact of HIV status and/or drug-related
cognitive deficits. The HHRP intervention allows clients to meet their
own harm-reduction goals by presenting materials in a way to minimize
the effects of cognitive difficulties, and providing clients with an
empathic, directive, non-confrontational setting where structure and
consistency are emphasized.
Research and Development
A., Avants, S.K., Warburton, L.A., Hawkins, K.A., & Shi, J. (2003).
A randomized clinical trial of a manual-guided risk reduction
intervention for HIV-positive injection drug users. Health Psychology,
Program Review Panel Information
CDC requires all CDC-funded agencies using the Holistic Health Recovery
Program intervention to identify, or establish, and utilize a Program
Review Panel and complete Form 0.1113 to document this activity. The
intervention researchers and developers are not involved in this
activity. This is a CDC requirement for their grantees, and all
questions in this regard should be directed to your agency's CDC
Project Officer or to the health department funding your agency's
implementation of the intervention.
Program Review Panel guidelines, instructions for completion of Form
0.113, and the form itself are available under the Related Links section.
CDC Policy on Youth Peer Outreach Workers
funded (directly or indirectly) agencies using youth (either paid or
volunteer) in program outreach activities, it is very important that
said organizations use caution and judgment in the venues/situations
where youth workers are placed. Agencies should give careful
consideration to the "age appropriateness" of the activity or venue.
Additionally, agencies should comply with all relevant laws and
regulations regarding entrance into adult establishments/environments.
Laws and curfews should be clearly outlined in required safety
protocols developed and implemented by agencies directly and indirectly
funded by CDC.
If you have specific questions, please contact your CDC project officer.