"Opt Out" HIV Screening

In September the CDC revised its HIV testing recommendations. They now recommend that all persons age 13 through 64 be screened for HIV. They also recommend annual screening for "high risk" people. An "Opt Out" model is proposed. I understand this to mean that when routine blood work is to be obtained an HIV test will also be done. The patient will be informed of this and consent for the HIV test will be included in the general consent to blood work. The patient may opt out of the HIV test. This is meant to apply in any medical facility including drug treatment facilities.
Here are my questions:
Are any of you doing this?
If so how are results disclosed and who handles the disclosure?
What measures are taken to avoid a positive result being inferred merely by triggering the disclosure system?
Counselors at my clinic have also raised concerns that patients enrolling in a methadone clinic are "too early" in their recovery to handle learning they have HIV.
Any thoughts?

A Harm Reductionist approach to buprenorphine

This won't be new to any of you who have EVER heard me speak on buprenorphine however my harm reduction based approach to buprenorphine therapy for opiate addiction in primary care is now officially published someplace you can cite! Click on the highlighted bit to see a PDF of the publication. Be patient it is slow to open. Some of my other slide sets are also available to view and canabalize at will.
Happy Harm Reducing and Hannukah!

NYS - DOH Substance Use and HIV Guidelines

I am resending my last post as I did not give it a title:

link to NYS - DOH Substance Use and HIV Guidelines
http://www.hivguidelines.org/Content.aspx?PageID=262
the chapter : Working with the Active User - just released 10/06

and thanks to Melinda/Ro for getting this going
nancy murphy