Thursday, December 8, 2005
112

Testing and Counseling for Hepatitis B, Hepatitis C, and HIV Infections in Opioid Treatment Programs (OTP’s). Summary results from two surveys

Thomas F. Kresina, Carleen Maxwell, Mark W. Parrino, and Robert Lubran.


Learning Objectives for this Presentation:
By the end of the presentation the participants will be able to:
1. Understand the services provide by OTP's
2. Realize the state-by state differences in services
3. Importance of integration of hepatitis and HIV services as part of methadone treatment


Background:
OTP's provide a comprehensive therapeutic milieu for the treatment of opioid addiction including primary medical care, psychosocial counseling, vocational rehabilitation, HIV and hepatitis testing /counseling

Methods:
In order to determine the provision and integration of services by OTP's for prevention of HCV and HIV infections, two surveys, one of OTP's and one of State Provider contacts were performed to access the level of HBV and HCV testing, HIV testing, HIV education and integration of hepatitis and HIV services. All 1132 OTP's in the United States including the District of Columbia, Puerto Rico and the Virgin Islands were queried for hepatitis and HIV services provided in 2003

Results:
1109 OTP's (98%) responded to the survey. A graduated level of services were reported with 61.9% of OTP's providing HBV testing, 64.4% providing HCV testing, 74% providing HIV testing, and 88.9% providing HIV education. However, variations in service provision vary widely among individual states. Between 50-55% of surveyed OTP's test patients for hepatitis B/C on site with the remaining programs testing in collaboration with a state Department of Health. 75% of OTP's programs indicate that hepatitis services provided are integrated with HIV services provided

Conclusions:
The data indicate that a majority of OTP's are addressing both HIV and HCV infections through both testing for infection, prevention education and integration of services. However, further efforts are needed to involve all OTP's

See more of Poster Session #2
See more of The 2005 National Viral Hepatitis Prevention Conference