1. Trainer Role Play Module 6 Framing Assessing Prevention counseling Debrief Mod 6 (1 of 3)

2. Trainers 1st Role Play Mod 6 (2 of 3)

3. Debrief Trainers Role Plays  What is clients context?  What stage of change was the client in? (Any stage appropriate interventions?)  What counseling skills (tools, tips) did you see?  What could have been done differently? Mod 6 (3 of 3)

4. Participants 1st Role Play Module 7  Your Client Character  We will be observing you  Ask for help  Relax  Do not be challenging clients!!! Mod 7 (1 of 5)

5. Goals of Assessing and Prevention Counseling  Identify client’s level of risk  Client realizes the risk, uncomfortable with risk  Support client in making a realistic plan to reduce risk Mod 7 (2 of 5)

6. Participants 1st Role Play Check in about the following:  What does the client know about HIV and the window period? Ask These Questions:  Who do you have sex with?  What kind of sex do you have?  Do you top, bottom, or both?  What if any drugs do you use?  Do you use needles? (See next slide) Mod 7 (3 of 5)

7. Participants 1st Role Play Mod 7 (4 of 5)

8. Debrief  What went well? Give examples  What was challenging?  What could have been done differently? Give examples Mod 7 (5 of 5)

9. Negative Results Module 8 Using Multiple Rapid Tests Meaning of Negative Results Components of a Negative Result Session Mod 8 (1 of 7)

10. Welcome, Informed Consent Sample Collection Assessing and Prevention Counseling Yes? No? Results and Counseling Referrals, Close Testing Timeline Mod 8 (2 of 7)

11. Rapid Testing Process Negative 2 nd Test OraQuick Lab Testing2 Reactives Mod 8 (3 of 7)

12. Defining Results  Reactive or Preliminary Positive – the finding of a rapid HIV test  Positive - a laboratory confirmed reactive result.  Negative – the finding of a rapid HIV test Mod 8 (4 of 7)

13. Negative Result A negative result is:  The finding of a laboratory test  Important health information A negative result means:  Antibodies to HIV were not detected  Does NOT necessarily mean a person does not have HIV Results and Counseling Mod 8 (5 of 7)

14. Negative Results Components  Let clients know their HIV test result  Help clients make sense of their result  Continue prevention counseling  Give HIV prevention referrals  Explore re-testing Results and Counseling Referrals, Close Mod 8 (6 of 7)

15. Negative Results Guide  Give the result  Follow the client’s lead  Explore feelings  Review behavior change plan  Provide referrals/ When to test again Results and Counseling Referrals, Close Mod 8 (7 of 7)

16. Trainer Role Play Module 9 Set Up Role Play Trainers model negative results Debrief Mod 9 (1 of 3)

17. Set Up Trainer Role Play  Notice how the counselor uses tools  Look for what stands out for you  Look for things you would do differently Mod 9 (2 of 3)

18. Debrief Trainer Role Play  What stood out?  What went well?  What could have been done differently? Mod 9 (3 of 3)

19. Participant Role Play Negative Results Module 10 Instructions Negative Results Guide Debrief Mod 10 (1 of 4)

20. Participant Role Play Instructions Negative Results  12 minutes – assessing and prevention counseling  2 minutes – leave the room to retrieve results  5 minutes – negative results/counseling session  When finished, switch roles and repeat Mod 10 (2 of 4)

21. Participant Role Play Negative Results  Give the result  Follow the client’s lead  Explore feelings  Review behavior change plan  Provide referrals Mod 10 (3 of 4)

22. Debrief Participant Role Play  What stood out?  What went well?  What could have been done differently? Mod 10 (4 of 4)

23. Reactive Results Module 11 Meaning of Reactive Results Components of a Reactive Result Session Mod 11 (1 of 4)

24. Reactive Result A reactive result is:  The finding of a laboratory test  Important health information A reactive result means:  Antibodies to HIV were detected  The person is highly likely living with HIV, and if so, can pass HIV on to others Results and Counseling Mod 11 (2 of 4)

25. Reactive Results Components  Let clients know their HIV test result  Help clients make sense of their result  Help clients identify a plan for the rest of the day  Provide linkage to medical care  Discuss partner services (telling others) Results and Counseling Referrals, Close Mod 11 (3 of 4)

26. Reactive Results Guide  Give the result  Follow the client’s lead  Explore feelings  Review sources of support & coping strategies  Link to medical care & partner services  Summarize next steps Results and Counseling Referrals, Close Mod 11 (4 of 4)

27. Trainer Role Play Module 12 Set Up Role Play Trainers model reactive results Debrief Mod 12 (1 of 3)

28. Set Up Trainer Role Play  Notice how the counselor uses tools  Look for what stands out for you  Look for things you would do differently Mod 12 (2 of 3)

29. Debrief Trainer Role Play  What stood out?  What went well?  What could have been done differently? Mod 12 (3 of 3)

30. Participant Role Play Reactive Results Module 13 Instructions Reactive Results Guide Debrief Mod 13 (1 of 4)

31. Participant Role Play Instructions Reactive Results  12 minutes – assessing and prevention counseling  2 minutes – leave the room to retrieve results  5 minutes – reactive results/counseling session  When finished, switch roles and repeat Mod 13 (2 of 4)

32. Participant Role Play Reactive Results  Give the result  Follow the client’s lead  Explore feelings  Review sources of support & coping strategies  Link to medical care & partner services  Summarize next steps Mod 13 (3 of 4)

33. Debrief Participant Role Play  How did it feel giving a reactive HIV result?  What went well?  What could have been done differently?  Which of the following was covered: - Linkage to medical care? - Client’s next steps and sources of support? - Linkage to Partner Services? (telling others) Mod 13 (4 of 4)

34. Final Role Plays Module 14 Assessing, Prevention Counseling, and Results What Trainers are Looking For Instructions Mod 14 (1 of 3)

35. Counseling Session Flow  Welcome, frame, consent  Sample collection  Find out why the client is testing  Assess HIV knowledge, sexual/drug use behaviors, comfort level with behavior  Explore pros and cons of behavior  Support a harm reduction step  Problem solve obstacles to achieving their plan  Provide results and counseling  Provide referrals as appropriate

36. Final Role Plays  Not looking for perfection, but for good beginner counselor skills  We are looking for use of client-centered counseling skills, use of do’s and don’ts, and incorporation of our feedback  Observations are cumulative Mod 14 (2 of 3)

37. Instructions  Begin session after sample has been taken,  “So, what brings you in for testing today?”, or “How’s your finger?”  Counsel for 12 minutes (listen for trainer prompts)  Leave the room for 2 minutes for results  Give results and counsel - 5 minutes (listen for trainer prompts)  Client roles – be an EASY client! Mod 14 (3 of 3)

38. Written Final Exam Module 15  The passing score for the quiz is 80%  Be sure to write your name on the quiz Mod 15 (1 of 1)