They suggest creating comprehensive sexuality programs that include the management of sexual arousal and the promotion of healthy and responsible sexual choices. They also suggest that effective interventions should be peer driven, focus on getting gay and bisexual men to care more about themselves, and include mentor programs for YMSM. Interventions should also incorporate decision-making between partners and should shift the focus from a binding intervention to one that enhances freedom and responsibility (Gerhart, 1999). Moreover, some individuals would benefit from longer-term therapy approaches that address long-standing personality factors that may also contribute to continued risk behavior (Suarez and Kauth, in press).