Substance Abuse and HIV at the Crossroads

Some studies indicate that approximately 30% of the lesbian and gay population are chemically dependent (Lesbian & Gay Substance Abuse Planning Group, 1991). Abusing substances increases the risk of HIV infection in at least three ways. First, persons who are intoxicated have a greater propensity to engage in unsafe sex practices. Secondly, IV drug users may unknowingly share drug paraphernalia with HIV+ individuals. And finally, some chemical substances have direct immunosuppressive properties (Shernoff, 1995).

Research continues to support biological and biochemical aspects of substance abuse, meaning that some people may be genetically predisposed to greater risk of chemical dependency. Additionally, gays and lesbians face certain familial, cultural, and psychological stressors that increase their risk; homophobia, legal prohibitions, and society's failure to accept or even recognize homosexuals can lead to limited social outlets, like bars and clubs where alcohol and other drugs are pervasive. Some lesbians and gays seek refuge in mind-altering chemicals in order to relieve distress or find comfort and acceptance. Others had their first gay sexual experience while drinking or being drunk.

HIV-infected, gay substance abusers often find it quite difficult to get the help they so desperately need. When they do reach out for help, they often find treatment professionals and other clients in the programs that harbor a great deal of internalized homophobia. In such an environment, they experience feelings of isolation, alienation, inferiority, and misunderstanding. Not surprisingly, they often relapse soon after completing these treatment programs because they weren't able to talk openly and honestly about their lives.

Waterloo Counseling Center, Austin's primary provider of mental health services to the lesbian, gay, bisexual, and HIV+ community, is proud to announce the opening of the Crossroads Chemical Dependency Programs. These programs offer recovery and relapse prevention services in a safe, gay-affirmative environment. For a free, confidential assessment, call Waterloo at 329-9922.

Jeff Lutes, M.S., L.P.C.

Clinical Director

Waterloo Counseling Center