Adam Carrico

iAspire

The purpose of this project is to evaluate an existing HIV prevention intervention, the Employment Services Program, a vocational rehabilitation program for HIV+ persons at the Positive Resource Center (PRC) in San Francisco. The Employment Services Program is an innovative and comprehensive program that helps clients overcome structural barriers (poverty, homelessness) to HIV prevention and care. This outcome evaluation will examine the effects of vocational rehabilitation on improved ART adherence and reduced HIV transmission risk.

Stonewall Treatment Evaluation Project (STEP)

The purpose of this project is to conduct a systematic program evaluation of the Stonewall Project, which is currently deployed in four community settings by the San Francisco AIDS Foundation. The Stonewall Project is an innovative, outpatient substance abuse treatment program for methamphetamine-using MSM that is implementing evidence-based interventions (i.e., the Matrix Model) in a real world clinical setting. In collaboration with the Stonewall Project, we will conduct a comprehensive treatment outcome evaluation with 150 participants who are newly initiating services.

Study Targeting Affect Regulation (STAR)

The STAR study will develop and pilot test a multi-component intervention to promote affect regulation among HIV+ methamphetamine-using MSM. In Phase 1a of this study, the intervention will be pilot tested with 10 HIV+ methamphetamine-using MSM to obtain initial feedback that will assist with refining the protocol. In Phase 1b, we will conduct a pilot randomized controlled trial to examine the feasibility, acceptability and potential clinical utility of this affect regulation intervention with 70 HIV+ methamphetamine-using MSM.

RCT of an Integrative Intervention for Non-Treatment-Seeking Meth Users

In the era of HIV treatment as prevention (TasP), efforts are needed to identify evidence-based combination prevention approaches that achieve greater decreases HIV viral load among populations that are more likely to engage in HIV transmission risk behavior. Because methamphetamine-using men who have sex with men (MSM) are at greater risk for acquiring and transmitting medication-resistant strains of HIV, interventions targeting stimulant use in this population of high-risk men could boost the effectiveness of TasP.

A Pilot RCT of Expressive Writing with HIV-Positive Methamphetamine Users

It is well established that HIV-positive persons who use stimulants such as methamphetamine are at increased risk for transmitting medication-resistant strains HIV. Mental health co-morbidities such as symptoms of post-traumatic stress disorder and HIV-specific traumatic stress may substantially contribute to increased stimulant use among HIV-positive persons. Consequently, adjuvant mental health interventions designed to address traumatic stress could ultimately improve substance abuse treatment outcomes and reduce transmission risk behavior among HIV-positive methamphetamine-using men.

Stonewall Treatment Evaluation Project (STEP)

The purpose of this project is to conduct a systematic program evaluation of the Stonewall Project, which is currently deployed in four community settings by the San Francisco AIDS Foundation. The Stonewall Project is an innovative, outpatient substance abuse treatment program for methamphetamine-using MSM that is implementing evidence-based interventions (i.e., the Matrix Model) in a real world clinical setting. In collaboration with the Stonewall Project, we will conduct a comprehensive treatment outcome evaluation with 150 participants who are newly initiating services.