Section: Module 5: Lesson 2: Substance Use and HIV | Substance Use Disorders in Primary Care | NextGenU.org

  • Learning Objectives:

    Upon completion of the second lesson of Module 5, students should be able to:

    • Understand how substance use (including alcohol and tobacco) interacts with HIV.
    • Understand the relationship between alcohol use and HIV, including the increased risk of HIV infection in those who consume alcohol.
    Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour.

    Click here to start this lesson

    • Required Learning Resources and Activities
    • Read the entire content and review the links on the web to learn about Health Systems and know the statistics on tobacco consumption.

    • Read the entire section titled "Introduction".  Then, click on the links titled "Identifying Alcohol Abuse", "Effects of Alcohol Use", and "Brief Interventions and Referrals".  Ensure you review the recommendations in bold.  The rest of the resource is optional reading.

    • Read the entire article to learn about the co-management of HIV and substance use.

    • In the "Substance Abuse Treatments for Persons with HIV/AIDS" manual read "Chapter 3--Mental Health Treatment." The rest of the document is supplementary, as the rest of the treatment issues and protocols for HIV are likely different in low- and middle-income countries, and even different in various other high-income countries, compared to what is done in North America.

    • As you read through Substance Abuse Treatments for Persons with HIV/AIDS: Chapter 3: Mental Health Treatment (pp. 69-89), reflect on the mental health disorders for which HIV-infected clients are at increased risk. For any two mental health disorders, write down what is currently being done and what you think should be done to manage mental health disorders among HIV-infected clients in your community. Post at least one of your answers in the forum.

      To post your answer click on the button at the bottom of the screen labeled 'Add a new discussion topic.' Also comment on at least one other posting made by your peers in a respectful and professional manner. If a peer comments on your posting, please reply back. Click on the particular discussion, then click on 'reply'.

    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

    • Additional Learning Options
    • This guide titled "Recreational Drugs and HIV Antiretrovirals" contains tables that indicate interactions between HIV medications and many other psychoactive substances. Use it as a review if you treat patients taking HIV medications.

    • Read this entire resource by clicking on the tabs on the left of the web page.  The resource provides information on counseling.

    • Read the "Conclusions" section of this article titled "The Association Between HIV Infection and Alcohol Use." If you are interested, read the whole article.

    • This article titled "Substance Use, Sexual Risk, and Violence" provides an overview of issues faced by female sex workers in relation to violence, substance abuse, and HIV, as well as an intervention to prevent the transmission of HIV that seemed promising in Pretoria, South Africa.