Effective Interventions

Effective Interventions

High Impact Prevention

Together Learning Choices (TLC) is an effective intervention for young people, aged 13 to 29, living with HIV, and it is delivered in small groups.

This program helps young people living with HIV identify ways to increase use of health care, decrease risky sexual behavior and drug and alcohol use, and improve quality of life. It emphasizes how contextual factors influence ability to respond effectively to stressful situations, solve problems, and act effectively to reach goals.

TLC targets young people, aged 13 to 29, living with HIV.

TLC trainings are not offered through this website. However, TLC training materials may be downloaded for free for use by your agency. Download the TLC training materials here.

Research and Development

Rotheram-Borus, M.J., Lee, M.B., Murphy, D.A., Futterman, D., Duan, N., Birnbaum, J., Teens Linked to Care Consortium. (2001). Efficacy of a preventive intervention for youth living with HIV. American Journal of Public Health, 91, 400-405.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the Together Learning Choices intervention to identify, or establish, and utilize a Program Review Panel and complete Form 0.1113 to document this activity. The intervention researchers and developers are not involved in this activity. This is a CDC requirement for their grantees, and all questions in this regard should be directed to your agency's CDC Project Officer or to the health department funding your agency's implementation of the intervention.

The Program Review Panel guidelines, instructions for completion of Form 0.113, and the form itself are available under the Related Links section of this web site.

CDC Policy on Youth Peer Outreach Workers

CDC funded (directly or indirectly) agencies using youth (either paid or volunteer) in program outreach activities need to use caution and judgment in the venues/situations where youth workers are placed. Agencies should give careful consideration to the "age appropriateness" of the activity or venue. Additionally, agencies should comply with all relevant laws and regulations regarding entrance into adult establishments/environments. Laws and curfews should be clearly outlined in required safety protocols developed and implemented by agencies directly and indirectly funded by CDC.

If you have specific questions, please contact your CDC project officer.

More Info

TLC Core Elements

  • Help clients develop awareness and identify feelings, thoughts and actions
  • Teach, model, and practice 4 core skills (emotional regulation, SMART problem solving, goal setting, and assertiveness)
  • Reinforce positive client behavior through the use of thanks tokens
  • Help clients identify their ideal self to help motivate and personalize behavior change
  • Deliver sessions in highly participatory, interactive small groups

The materials on this site are designed for HIV/AIDS prevention with persons at risk for acquiring or transmitting HIV. They are meant to be resources used by HIV prevention providers such as health departments and community-based organizations so as to provide the best evidence-based HIV prevention services. These materials are not meant for the general public. They are not meant for children. They are not school-based HIV prevention strategies.