Some of the issues addressed include anti-drug/AIDS education programs in schools, in-custody drug/AIDS education programs, needle exchange programs, and cooperation with other agencies and organizations that focus on the AIDS/IV drug use. The first component of the study defines past emerging, and future issues that relate to AIDS and IV drug use. Using a nominal group technique, trends and events were developed and their cross-impacts analyzed. Through the use of these trends and events, three varying futures scenarios were developed. The preferred scenario is the basis for the rest of the study. A strategic plan was developed to accommodate the implementation of the desired future state. The agency under study, the Sacramento County Sheriff's Department, was analyzed in terms of its external environment and its internal strengths and weaknesses. The agency's ability to accept change was analyzed. An effective model for the transition-management process was also developed. The study concludes that law enforcement must become involved with policies and programs aimed at reducing the risk of the spread of AIDS by and among the IV drug-use culture. This involvement will require the development of a new mindset that allows police to view IV drug use from a medical as well as a law enforcement perspective. 17 figures, 31 notes, and a 19-item bibliography