1. National Network of STD/HIV Prevention Training Centers
Rheta Barnes Cindy Getty
Chief, Training Unit Sr. Advisor for Partner Services
Program and Training Branch Office of the Director
Division of STD Prevention Division of HIV/AIDS Prevention
National Center for HIV, Viral Hepatitis, STD and TB Prevention
Centers for Disease Control and Prevention

2. Dedicated to increasing and maintaining the skills and knowledge of health professionals in the areas of sexual and reproductive health

3. NNPTC History Clinical Training Centers first funded in 1979
Behavioral Interventions Training Centers & Partner Services Training Centers established in 1995

4. NNPTC Goals
Address the STD/HIV prevention training needs of public & private sector health professionals throughout the US
Develop, deliver, & evaluate training activities on the diagnosis, treatment, and prevention of STDs & HIV

5. NNPTC Structure Clinical & Laboratory Training
10 centers
Behavioral Interventions Training
4 centers
Partner Services Training

6. NNPTC Programs 2006-2011 Central Eastern Western Southern Seattle
Includes HHS
Regions IX, X
Oakland
Seattle
Central
Includes HHS
Regions V, VII, VIII
Denver
St. Louis
Cincinnati
Eastern
Regions I, II, III
Rochester
Boston
Albany
Baltimore
New York City
Includes HHS
Tampa
Dallas
Austin
Birmingham
Southern
STD Clinical Training
Includes HHS
Behavioral & Social Intervention Training
Regions V, VI
Partner Services & Program Support Training

7. NNPTC Training Activities April 1, 2006 – March 31, 2007
32,414 students
12,895 course hours provided
5,789 didactic hours (45%)
7,106 experiential hours (55%)
1,010 training events

8. Types Of Students 8,769 registered students*
67% devoted the majority of their time to STD/HIV diagnosis, counseling and care
58% from CBOs, publicly-funded health programs, corrections facilities, Migrant health clinics and Indian Health Service
*does not include online participants

9. Clinical & Laboratory Training
2-3 Centers in each geographic quadrant
Eastern Quadrant: MA, NY, & MD
Southern Quadrant: AL & FL
Central Quadrant: OH, MO, & CO
Western Quadrant: CA & WA
Provide didactic & experiential training in STD diagnostics, treatment & management
Focus on clinicians in public & private practice

10. Clinical & Laboratory Training

11. Behavioral Interventions Training
1 Center in each geographic quadrant
Eastern Quadrant: New York
Southern Quadrant: Texas
Central Quadrant: Colorado
Western Quadrant: California
Provide training in effective behavioral interventions to decrease STD/HIV risk
Focus on STD/HIV prevention specialists & prevention programs

12. Behavioral Interventions Training

13. Partner Services Training
1 Center in each geographic quadrant
Eastern Quadrant: New York
Southern Quadrant: Texas
Central Quadrant: Colorado
Western Quadrant: California
Provide training in STD/HIV interviewing, counseling & referral for patients & partners
Focus on public health workers in STD/HIV programs

14. Partner Services Training

15. NNPTC National Level Collaborations

16. Ask Screen Intervene (ASI) Curriculum
Supports the CDC/HRSA/IDSA Recommendations for Incorporating HIV Prevention into the Medical Care of Persons Living with HIV
Developed by the NNPTC in collaboration with the AETCs & the AETC National Resource Center
Targeted to clinicians caring for HIV-positive patients
A collaboration between the National Network of STD/HIV Prevention Training Centers (NNPTC) and AETCs to develop a curriculum (training, other materials) for CDC
Collaborate with minority professional associations to reach providers of care to populations disproportionately affected by HIV

17. Ask, Screen, Intervene Curriculum
Module 1: Risk Screening for Behavioral Risks and STDs
Module 2: Universal Prevention Messages & Addressing Misconceptions
Module 3: Tailored Behavioral Interventions
Module 4: Partner Services
Module 1 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
Module 2 addresses:
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
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
Module 4 addresses:
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.

18. Partnership for Health Curriculum
Based on research study conducted by Keck School of Medicine, USC
Developed by the Behavioral Interventions PTCs in collaboration with the AETCs
Designed to improve patient-provider communication about safer sex, disclosure of HIV serostatus, and HIV prevention

19. Partnership for Health The Action of One, The Partnership of Two, The Power of Many
Intervention:
Initiate a three-five minute interaction with patients that emphasizes the importance of
Self Protection
Partner Protection
Disclosure
Reinforcement at return clinic visits
Course targeted to:
health care providers who work with HIV + patients in clinical settings
HIV clinics, STD clinics, substance use treatment center clinics, criminal justice clinics

20. Capacity Assessment
Purpose: Determine current capacity of HIV Programs to provide Partner Counseling and Referral Services (PCRS)
Methods:
Key Informant Interviews
Survey
Deliverables: Draft report to CDC to be used in determining future TA and training needs

21. Future Partner Services Activities
Integrate current STD (ISTDI) and HIV (PCRS) training
Modular format
Flexible delivery depending on discipline
STD Program Management course in development
Provide training and technical assistance

22. Where to Find STD/HIV Training Information
NNPTC Course Information
NNPTC On-Line Continuing Education Activities
Other STD/HIV Training Resources
CDC STD Prevention Training Resources
Diffusion of Effective Interventions Training

23. Collaboration Contacts:
Many Thanks!
Collaboration Contacts:
Rheta Barnes, Training Unit Chief,
Lumbé Davis, PTC Project Officer,
Cindy Getty, T&D Team Leader,
LaShaun Polk, PTC Project Officer,