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High Impact Prevention

ASI Implementation Materials

Ask, Screen, Intervene 3-part Curriculum

*Note: When viewing Modules 1 - 3, to access the trainer notes, citations and directions, please view the PowerPoint version of the first file listed in the Module. The file should open in Notes Page. If it does not, please select the View tab menu option and choose Notes Page as your Presentation View.

Module 1: Behavioral Risk Assessment and STD Screening
The HIV epidemic is changing. As care providers, our responses to it must evolve as well. “Prevention fatigue,” increased longevity related to antiretroviral therapy, and the role of drug use in communities at risk have affected changes in HIV transmission patterns. Yet many providers do not routinely ask HIV-positive patients about behaviors related to transmission of HIV to others. The first module of the ASI addresses: emerging trends in the HIV epidemic, the increasingly recognized role of other STDs in the transmission and acquisition of HIV, recommendations for enhancing STD/HIV risk screening and assessment techniques, and overcoming barriers to the use of tailored prevention strategies with individual patients. By providing you the most up-to-date information on the what’s, when’s, and how’s of periodic STD screening and treatment, this session will facilitate your implementation of this effective biomedical approach to HIV prevention.

At the end of module 1, participants will be able to:
  • Explain why HIV prevention in clinical settings is recommended 
  • List the elements of effective screening for behavioral risk factors
  • Ask all of your HIV-positive patients about behaviors that would place them at risk for transmitting HIV or acquiring a new STD
  • Explain when to order an STD screening test for your HIV-positive patients
  • Describe which STD screening test to order for your HIV-positive patients
Module 1: Behavorial Risk Assessment and STD Screening [PowerPoint] | PDF
Module 1: Skills Practice Exercise [Word]
Module 1: Handouts [PDF]

Module 2: Prevention Strategies
Clinician-delivered prevention messages have been shown time and again to be feasible and effective in reducing patients’ risk of transmitting HIV to partners. In this module of ASI you will learn: strategies for addressing prevalent misconceptions about HIV transmission risk; the most up-to-date knowledge of how viral load, strategic positioning, and post-exposure chemoprophylaxis can affect transmission risk; information your patients need to help them keep their partners safe; and relevant prevention messages that can be delivered to all of your HIV-positive patients. Through interactive exercises, you will practice delivering messages that can motivate patients to both assess and reduce their risk for HIV transmission. Limited time and resources mean many patients require referrals for additional services. As a health care provider, you are afforded a great opportunity to give your patients the necessary tools to help them remain healthy and safe. This module will reinforce use of those tools.

At the end of module 2, participants will be able to:
  • Deliver prevention messages
  • Address misconceptions 
  • Use behavioral counseling to assess patient readiness for behavior change and develop a risk reduction plan
  • Refer for more intensive prevention interventions and other support services
Module 2: Prevention Interventions [PowerPoint] | PDF 
Module 2: Skills Practice Exercises [Word]
Module 2: Skills Practice Exercises Demo [Word]
Module 2: Handouts [PDF]

Module 3: Partner Services
In the United States, persons living with HIV have access to a service few know about or understand. Partner Services is a voluntary, no-fee public health program that helps HIV-positive individuals disclose their status to their sex or needle-sharing partners. Partner Services has been shown to be effective in identifying previously undiagnosed cases of HIV. In this module of ASI, you will learn about: various Partner Services program options available to patients by disease investigation specialist; for those who wish to remain anonymous, the service will inform partners of their exposure to HIV without revealing the initiating patient’s identity; information about your referral options and legal responsibilities with respect to Partner Services; and a presentation by a disease investigation specialist, who will be available to discuss locally relevant laws regulations, and practices.

By the end of module 3, participants will be able to:
  • Define Partner Services
  • Explain the providers role in Partner Services 
  • Describe how to refer patients for Partner Services provided by the state and local health department
Module 3: Partner Services [PowerPoint] | PDF 
Module 3: Skills Practice Exercises [Word]
Module 3: Handouts [PDF]

Ask, Screen, Intervene - Module 3 Videos
To preview the videos, click on the screen captures:
Knock Video Screen Capture
Table Video Screen Capture

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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