High Impact Prevention

Anti-Retroviral Treatment and Access to Services (ARTAS) is an individual-level, multi-session, time-limited intervention with the goal of linking recently diagnosed persons with HIV to medical care soon after receiving their positive test result. ARTAS is based on the Strengths-based Case Management (SBCM) model, which is rooted in Social Cognitive Theory (particularly self-efficacy) and Humanistic Psychology. SBCM is a model that encourages the client to identify and use personal strengths; create goals for himself/herself; and establish an effective, working relationship with the Linkage Coordinator (LC). 

Target Population: The target population for ARTAS is any individual who is recently diagnosed with HIV, typically defined as within 6-12 months, and willing to participate in the intervention.


ARTAS Goals:
  • Help the client overcome barriers to being linked to medical care. 
  • Build a trusting, effective relationship between client and the Linkage Coordinator.
  • Facilitate the client's ability to create an action plan for being linked to medical care. 

ARTAS Training Information 


Target audience for the ARTAS classroom training: 
This training is intended for individuals who will be responsible for conducting the ARTAS sessions with clients, (i.e., Linkage Coordinator). Linkage Coordinators should have experience providing case management or social services. Ideally, participants should include experienced case managers, social workers, and/or HIV test counselors. 

ARTAS classroom trainings are typically conducted over a two day period. To apply for the classroom training after you have completed the ARTAS Pre-Course Online Module and ARTAS Strengths-Based Case Management Distance Learning Course, please visit the HIP Training Calendarand enter ARTAS in the search field. 

Pre-Course Module

The pre-course online module of the ARTAS Training of Linkage Coordinators will provide you with an overview of the ARTAS training agenda, objectives, and instructional methods of the course. 

Complete the ARTAS pre-course module
HIP eLearning Center Logo/Access to ARTAS pre-course module

This online module is a required activity that contains information that is necessary for the classroom training. The content of this module will provide you with background information on ARTAS, its theoretical basis and core elements, the logic model, key getting started and pre-implementation activities, and an overview of the client sessions and helpful tips. You will be expected to know this information and answer relevant questions about this material throughout the module; this information will not be repeated. Please print your certificate at the end of the module and bring it to the first day of the classroom training. 

By the end of this module, you should be able to:
  • Describe the core elements and key characteristics of the ARTAS intervention.
  • Identify strategies for integrating ARTAS into existing case management services.
  • Describe the key components of the five ARTAS client sessions.
  • Explain how to create SMART objectives. 

​Strengths-Based Case Management Distance Learning Course

ARTAS Strengths-Based Case Management Distance Learning Course is an online course that provides background and practice in applying the strengths-based approach in ARTAS. 

Complete the ARTAS Strengths-Based Case Management Distance Learning Course
 HIP eLearning Center Logo/Enter the ARTAS Strengths-Based Case Management eLearning Course

This eLearning course is a required activity that contains information that is necessary for the classroom training. The content of this course will provide you with background information on the strengths-based case management approach, how it is used in ARTAS, as well as, the opportunity to practice using strengths-based listening and questioning techniques during a session. You will be expected to know this information and answer relevant questions about this material throughout the course; this information will not be repeated. Please print your certificate at the end of the course and bring it to the first day of the classroom training. 

After you study this course, you should be able to:
  • Describe the difference between traditional case management and the strengths-based approach to case management. 
  • Describe strengths-based techniques.
  • Demonstrate using strengths-based techniques. 

ARTAS Podcast

Upon executing a successful ARTAS training in Birmingham, Alabama, ETR had the opportunity to not only interact with great training participants but learn of the progressive work Alabama is doing to implement ARTAS. ETR recorded this pod cast to share Alabama’s innovative strategies with other CDC grantees. The Division of HIV/AIDS Prevention (DHAP) and the Alabama Department of Public Health (ADPH) have funded two AIDS Service Organizations to implement ARTAS. ADPH also created a web based Application (App) to collect ARTAS and related data, and continuously engages Ryan White social workers to gain support for ARTAS and the App pilot program. In 2014, DHAP mobilized a statewide Linkage Coordination collective for training updates, peer support networking, and continuum of care opportunities. All of the mentioned efforts complement ADPH's “KNOW. MANAGE. LIVE.” social marketing strategy. To listen to the podcast, please visit ARTAS Podcast - Birmingham, Alabama

Research and Development

L.I. Gardner, L.R. Metsch, P. Anderson-Mahoney, A.M. Loughlin, C. del Rio, S. Strathdee, S.L. Sansom, H.A. Siegal, A.E. Greenberg, S.D. Holmberg, and the ARTAS Study Group, “Efficacy of a Brief Case Management Intervention to Link Recently Diagnosed HIV-Infected Persons to Care,” AIDS 19, no. 4 (2005): 423-431.

J.A. Craw, L.I. Gardner, G. Marks, R.C. Rapp, J. Bosshart, W.A. Duffus, A. Rossman, S.L. Coughlin, D. Gruber, L.A. Safford, J. Overton, and K. Schmitt, “Brief Strengths-Based Case Management Promotes Entry into HIV Medical Care: Results of the Antiretroviral Treatment Access Study-II,” Journal of Acquired Immunodeficiency Syndromes 47, no. 5 (2008): 597-606.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the ARTAS intervention to identify, or establish, and utilize a Program Review Panel and complete Form 0.113 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 website.

More Info

ARTAS Core Elements

  • Build an effective, working relationship between the Linkage Coordinator and each client
  • Focus on the client’s strengths by:
    a. Conducting a strengths-based assessment
    b. Encouraging each client to identify and use his/her strengths, abilities, and skills to link to medical care and accomplish other goals
  • Facilitate the client’s ability to:
    a. Identify and pursue his/her own goals
    b. Develop a step-by-step plan to accomplish those goals using the ARTAS Session Plan
  • Maintain a client-driven approach by:
    a. Conducting between one and five structured sessions with each client
    b. Conducting active, community-based case management by meeting each client in his/her environment and outside the office, whenever possible
    c. Coordinating and linking each client to available community resources, both formal (e.g., housing agencies, food banks) and informal (e.g., friends, support groups, spiritual groups) based on each client’s needs
    d. Advocating on each client’s behalf, as needed, to link him/her to medical care and/or other needed services

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.

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