Ask, Screen, Intervene (ASI)

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, or as a single day training.

The Ask, Screen, Intervene (ASI) Curriculum

MODULE 1:
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

MODULE 2:
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

MODULE 3:
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

MODULE 4:
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 patientÕs 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.

Links and Recommendations

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

Partnership for Health
http://effectiveinterventions.org/go/interventions/partnership-for-health

The Target Audience

Clinicians who provide care to HIV+ individuals.

For a printable brochure click here!