Principal Investigator: Carolina E. Yahne, Ph.D.
Co-Investigators: William R. Miller, Ph.D. and Lilly Irvin-Vitela, M.C.R.P.
Funding Agency: National Institute on Drug Abuse


This project reached out to substance using women street sex workers who had not presented for treatment.  It was a supplement to the MIDAS Project that investigated Motivational Interviewing (MI) with inpatients and outpatients.  The Magdalena participants were non-patients at risk for HIV/AIDS because of trading sex for money or drugs.  They were recruited with the help of staff at Health Care for the Homeless in Albuquerque.  Twenty-seven adult women consented to participate in the trial and 25 of them returned for a follow-up interview four months later.  All were interviewed in the MI style for this initial uncontrolled trial.  Most were using heroin or crack cocaine.  At follow-up, most reported significant reductions in drug use and prostitution, and increased lawful employment.  Their top priorities included basic needs such as decent housing, second, mental health care for depression and PTSD, and thirdly, treatment for substance use disorders.  The women emphasized that ending drug use and other health risk behavior, and thus, regaining custody of their children, was extremely difficult without a safe, stable place to live.

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