No abstract

Purpose of review.-This paper reports on the results of a study comparing two behavioral treatments for methamphetamine users. The outcomes was the effectiveness of the interventions in reducing meth use. The interventions were Contingency Management (CM) and Contingency Management plus Strengths-Based Case Management (CM/SBCM).Recent findings.-CM/SBCM was found to be associated with attending more sessions for people who reported being in a couple. Also, participants who earned more money in the first part of the study were more likely to have more clean urinalysis in the second part of the study. Latent class analysis identified a class of participants who were in a couple, without sexual abuse history and less meth use at baseline. This class tended to have more clean urinalysis in the CM/SBCM intervention.Summary.-These results indicate that incentive-based interventions with case management may be useful for helping meth users reduce their drug use.

Context:The decision to initiate a syringe service program or expand to a supervised use site is often influenced by local public support or opposition. Objective: The purpose of this study was to better understand public attitudes to local syringe service programs to inform the possibility of expanding services. Design, Setting, and Participants: We surveyed a sample of registered voters (n = 690) in the 8 counties in the state of Colorado with existing syringe service programs. Main Outcome Measures:Respondents were asked about their awareness of and attitudes toward syringe service programs and supervised use sites. Results: More than three-fourths of respondents reported they were familiar with syringe service programs, but only a quarter knew they were legal, despite all survey respondents living near an operating program. Nearly one in 3 respondents thought a syringe service program or a supervised use site makes a community better, and a majority (57%) thought supervised use sites should be legal in their state. There were significant differences in attitudes toward the benefits and risks of syringe service programs by political party affiliation. Conclusion:Understanding the level of community knowledge and support for syringe service programs, as well as the reasons for opposition, can be helpful in addressing community concerns when seeking to initiate or expand services.KEY WORDS: public perceptions of injection drug use, public perceptions of syringe program, supervised use sites, syringe service programs S yringe service programs (SSPs), also known as needle exchange programs, are communitybased initiatives that aim to prevent the transmission of infectious diseases by providing