Rikers Health Advocacy Program (RHAP) is designed to produce problem-solving skills for HIV/AIDS prevention among high-risk youth, particularly drug users and youth in correctional facilities. The program features a “Problem-Solving Therapy” approach, which focuses on problem orientation, defining and formulating a problem, generating alternative solutions, decision-making, and implementing a solution. The program was originally delivered to a small group of male participants in a correctional facility setting. The intervention consists of four one-hour sessions delivered by a male instructor, biweekly over two weeks. Participants are engaged through sharing and discussion of facts and beliefs about HIV. They identify particular attitudes or behaviors that require modification and suggest potential solutions, which are then evaluated by other participants. The program includes role-play and rehearsal exercises for implementation of the suggested solutions. Topics discussed include general HIV education information; factors related to drug initiation or drug use; the meaning and consequences of sexual activity; the relationship between drug use and sexual activity and HIV risk; and how to seek health care services, social services, and drug treatment.
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