While every sexually active teenager is at risk for contracting the Human Immunodeficiency Virus (HIV), some have been found to be at higher risk because of behavioral, socioeconomic, or environmental factors. These youth include: runaway and homeless youth, detained or incarcerated teens, alcohol- and other drug-using youth and their sexual partners, out-of-school youth, adolescents in rural communities, gay youth, immigrant youth, survivors of childhood sexual abuse, and African-American and Hispanic youth. A analysis of successful prevention programs yielded 11 program components that should be part of effective HIV/AIDS programs. The two most widely applicable are intensive, individualized attention and community-wide, multi-agency approaches; others include early identification and intervention, social skills training, and parental involvement. Six major considerations for prevention programs are: (1) no single program component can alter the outcomes for all children at risk; (2) high-risk behaviors are interrelated and prevention programs should have holistic goals; (3) a package of services is required within each community; (4) interventions should be aimed at changing institutions; (5) early intervention is crucial; and (6) one-shot programs have no effect. Three model HIV/AIDS prevention programs for high risk young people are highlighted and six policy recommendations for establishing effective programs are offered. (Contains 36 references.) (ND)
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