Holistic Health Recovery Program

An Evidence-Based Practice

Description

The goals of the Holistic Health Recovery Program (HHRP) are to promote health and improve quality of life among injection drug users. HHRP is conducted on a group-level over 12 sessions.

During these sessions participants are taught various skills, such as: reducing harm caused by injection drug use and unprotected sex, decision making and problem solving, goal setting, stress management, and improving health and adherence to medical treatments. HHRP is guided by the Information-Motivation-Behavioral Skills model. They believe that the three steps necessary to change behavior are: 1) provide HIV prevention information, 2) motivate individuals to engage in HIV prevention, and 3) give individuals opportunities to practice HIV prevention skills.

Goal / Mission

The goals of the Holistic Health Recovery Program are to promote health and improve quality of life of injection drug users.

Impact

Implementation of the program resulted in a decrease in addition severity, a decrease in risk behavior, and significant improvement in behavioral skills and quality of life.

Results / Accomplishments

One study compared participants that had received methadone maintenance treatment enhanced with an HIV risk reduction intervention (E-MMP) to patients that had received all components of E-MMP plus harm reduction therapy (HHRP+). The authors found that HHRP+ participants were significantly less likely to engage in unprotected sex or needle sharing during the post-intervention follow-up phase than were participants in the E-MMP (p<0.04). In addition, although both groups reduced their use of illicit opiates, the HHRP+ group had a much more significant decrease than the E-MMP group (p<0.01).

About this Promising Practice

Primary Contact
1600 Clifton Road
Atlanta, GA 30329-4027 USA
(240) 645-1756
interventions@danya.com
http://www.effectiveinterventions.org/en/HighImpac...
Topics
Health / Immunizations & Infectious Diseases
Source
Diffusion of Effective Behavioral Interventions (DEBI)
Date of publication
2003
Date of implementation
Jan 1997
Geographic Type
Urban
Location
New Haven, CT
For more details
https://medicine.yale.edu/spiritualselfschema/trai...
Additional Audience
injection drug users

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  5. CDC COMMUNITY GUIDE: Interventions to Reduce Sexual Risk Behaviors or Increase Protective Behaviors to Prevent Acquisition of HIV in Men Who Have Sex with Men: Individual-, Group-, and Community-Level Behavioral Interventions
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Related Content for: Holistic Health Recovery Program

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.