Addiction plays an important role in the lives of people living with HIV/AIDS (PLWHA), negatively impacting their ability to engage in care, and to adhere to complex medication regimens.  The purpose of this proposed project is to further integrate substance abuse services into three HIV clinics in central NC.  These sites, well-established providers of HIV care, have collaborated successfully to integrate medical and substance abuse treatment for HIV+ patients since 2002. 20121120122643

From 2007-2012, we enrolled 203 patients with HIV and substance abuse. The participants were 85% African-American and 15% White. Men composed 62%. We have targeted services to increase access to integrated treatment to women and men who have sex with men (MSM).  We provide services through our empirically validated modified intensive outpatient program (mIOP). In addition, we conducted therapy groups for PLWHA who experienced childhood sexual trauma. The overall purpose of CADET is to integrate a comprehensive continuum of addiction services into the delivery of HIV-primary care of minority populations living with HIV-infection in a southern and primarily rural area so as to address the negative impacts of substance use on health outcomes, treatment adherence, service access and service utilization.

Our primary aims are to:

    • To develop, integrate, and implement an empirically validated culturally sensitive addiction treatment program, with both short and long term treatment components, into HIV primary care clinics.
    • Determine the effect of integrated substance abuse services on individual HIV-related and substance abuse outcomes, treatment adherence, and access and utilization of needed services;
    • Identify additional needs for services and types of services needed by minority individuals living with HIV-infection and mental health problems. 20121120122739


  • Funder: Substance Abuse and Mental Health Services Administration.
  • Grant number: TI18825
  • Dates: September 29, 2007 – March 31, 2013

CADET funding ends on March 31, 2013, but we are pleased that SAMHSA has awarded Susan Reif and Sara LeGrand a new grant to continue services in Durham and to expand them to Charlotte.

CADET Publications

Adaptations of an Integrated Model HIV-substance abuse treatment model

Integrated HIV substance use treatment model outcomes

CADET Training Manual

Integrated HIV Substance Use Treatment

Healthcare Training for Church Congregations

HIV/AIDS touches of the lives of many, not just those who have the virus.

In order to access the tool kit, which provides resources for congregations and communities seeking to engage  various health issues like HIV, use this link: Health Talk: HIV Resource Tool (January 2013)