1. Sister to Sister Program an Evidence Based Intervention Adult Health Services Division Tarrant County Public Health Department Tarrant County, Texas

2. Tarrant County Morbidity 117 HIV & AIDS Cases 2,095 Cases of Chlamydia 870 Cases of Gonorrhea 68 cases of Early Syphilis (Reported cases January – May 2005)

3. Sister to Sister Evidence Based Intervention Project Developed in 2004 to reach minority women. Small group (8 to 15). 4 sessions each lasting 90 minutes. Define and enhance knowledge, skills, attitudes (KSA’s) of the participants.

4. Initial and Second Sessions Initial focus African Americans Target population in corrections Pre course assessment Information on Disease trends Watch a video Discussion on Risk Avoidance Decision Balancing Exercises Personal discussions & Experience

5. Third & Fourth Sessions Develop Personal Action Plan Condom Skill Building Condom Negotiations Peer Feedback Role Playing Barriers to Success Post Course Assessment Final Wrap-up

6. Implementation Problems No Condoms Allowed in Corrections! Equal opportunity for Inmates. Keeping the “group” for all sessions.