The STD/HIV Prevention Training Center Network Centers for Disease Control and Prevention

Ask, Screen, Intervene: Incorporating HIV Prevention into the Medical Care of Persons Living with HIV

Supported by a CDC grant, this course was developed by the National Network of STD/HIV Prevention Training Centers in collaboration with the AIDS Education Training Centers (AETC) and the AETC National Resource Center. This course is designed for clinical providers who care for HIV+ patients and is based on recommendations from the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America. The course can be provided in a modular format, as a single day training, or as a half-day training.

Curriculum | Links & Recommendations | Target Audience | Training Sites | Continuing Education


The Ask, Screen, Intervene (ASI) Curriculum

MODULE 1: Risk Screening - Behavioral Risks and STDs
As care providers, our response to the changing HIV epidemic must evolve as well. By providing you with the most up-to-date information on the whats, whens, and hows of periodic STD screening as well as treatment, this session will facilitate your implementation of this effective biomedical approach to HIV.

The first Module of the Ask, Screen, Intervene curriculum 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
  • Overcoming barriers to the use of tailored prevention strategies with individual patients

Click here to download the Module 1 curriculum (PDF)

MODULE 2: Universal Prevention Messages and Addressing Misconceptions
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 Module Two of Ask, Screen, Intervene, you will learn:

  • Strategies for addressing increasingly prevalent misconceptions about HIV transmission risk
  • How the most up-to-date knowledge of viral load, strategic positioning, and post-exposure chemoprophylaxis can affect transmission risk
  • Information your patients need to help keep their partners safe
  • Relevant prevention messages that can be delivered to all of your HIV-positive patients

Click here to download the Module 2 curriculum (PDF)

MODULE 3: Tailored Behavioral Interventions
Individual patients require individual attention, and often individualized interventions. In Module Three, you will learn about the creation of such tailored interventions.

Module 3 addresses:

  • Strategies for creating a brief yet individualized intervention, incorporating a patient-driven risk reduction plan
  • Appropriate use of targeted referrals for patients who need more in-depth services to assist with challenges or barriers to reducing high-risk behaviors
  • Organizations and individuals to whom you can refer your patients for further care

Click here to download the Module 3 curriculum (PDF)

MODULE 4: 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 health department-administered 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 Module Four of the Ask, Screen, Intervene curriculum, you will learn about:

  • Various Partner Services options available to patients; 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
  • A presentation by a liaison from the health department, who will be available to discuss locally relevant laws, regulations, and practices

Click here to download the Module 4 curriculum (PDF)

Links and Recommendations

•Printable ASI brochure for distribution

•CDC MMWR, July 18 2003, Vol. 52, No. RR-12 -
"Incorporating HIV Prevention into the Medical Care of Persons Living with HIV"
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5212a1.htm

•CDC Guidelines for STD Treatment in HIV Infected Adults (from 2006 STD Treatment Guidelines)

•Partnership for Health
http://www.cdc.gov/hiv/topics/prev_prog/rep/packages/partnershipforhealth.htm



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•Prevention IS Care: If you are a provider treating patients living with HIV, click here to order materials for you and your patients. You'll find practical tools including exam room posters, patient education brochures, intervention tools, continuing education opportunities and more; all materiials are FREE and offered in English and Spanish.


The Target Audience

Clinicians who provide care to HIV+ individuals.


Training Sites

Please contact the Sylvie Ratelle STD/HIV Prevention Training Center of NE for information on training in the following states/territories:
CT, FL, GA, MA, ME, NH, RI, VT

Please contact the Region II STD/HIV Prevention Training Center for information on training in the following states/territories:
NJ, NY, PR, VI

Please contact the Region III STD/HIV Prevention Training Center for information on training in the following states/territories:
DE, MD, MS, NC, PA, SC, VA, WV

Please contact the California STD/HIV Prevention Training Center for information on training in the following states/territories:
AZ, CA, HI, NV, TX and the Pacific Jurisdictions (AS, FM, GU, MH, MP, PW)

Please contact the Denver STD/HIV Prevention Training Center for information on training in the following states/territories:
CO, IA, IN, KS, MI, MN, MO, MT, ND, NE, NM, OH, SD, UT, WI, WY

Please contact the Seattle STD/HIV Prevention Training Center for information on training in the following states/territories:
AK, AR, AL, ID, KY, LA, OK, OR, WA


Continuing Education

For Continuing Medical Education for Physicians (CME):

The Centers for Disease Control and Prevention is accredited by the Accreditation Council for Continuing Medical Education (ACCME®) to provide continuing medical education for physicians.

The Centers for Disease Control and Prevention designates this educational activity for a maximum of 1.25 AMA PRA Category 1 Credits™ per Module, for a full day training this activity provides 6 contact hours.

Physicians should only claim credit commensurate with the extent of their participation in the activity.

Non-physicians will receive a certificate of participation.

For Continuing Nursing Education for Nurses (CNE):

The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity provides 1.25 contact hours per Module, for a full day training this activity provides 6 contact hours.

IACET Continuing Education Units (CEU):

The CDC has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA 22102. The CDC is authorized by IACET to offer 0.1 IACET CEU's for this program.

CEUs are 0.1 per Module, for a full day training this activity provides 0.6 CEUs.

http://depts.washington.edu/nnptc/online_training/asi/

Note to ASI trainers - if you need more information, or CE statements for multiple Modules being trained at once, please contact Jeanne Hoover.