Partner Services Implementation Update

1. Partner Services Implementation Update Rheta Barnes, MSN, MPH Cindy Getty Chief, Training Unit Team Leader, Training and Development Program and Training Branch Capacity Building Branch Division of STD Prevention Divisions of HIV/AIDS Prevention 404-639-1826 404-639-2920 rbarnes@cdc.gov cgetty@cdc.gov May 15, 2009

2. Presentation Outline • Update on CDC PS Implementation Activities • Technical Assistance • Current PS Training Efforts • Future Vision for PS Training • Questions & Discussion

3. CDC PS Implementation Highlights

4. PS Implementation Highlights • PS Mailbox (partnerservices@cdc.gov) • Website • Listserv (about to go live) • Quick-Guide and other companion pieces

5. PS Implementation Highlights • Multiple webinars and tele-briefings with key stakeholders • Federal Partners • HIV and STD Directors • Community Based Organizations • Sr. Public Health Advisors • CDC Field Staff • Surveillance Coordinators

6. PS Implementation Highlights • Internal Meetings • Prevention Program Branch (PPB) and Program and Training Branch (PTB) • PPB, PTB and HIV Incidence and Case Surveillance Branch (HISCB) • National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) Project Officers/Program Consultants • Other meetings as required

7. PS Technical Assistance

8. Current PS Technical Assistance for Partner Services • Subject Matter Experts at Headquarters (PO/PC) • General Consultation • Subject Matter Experts in the Field (Sr. PHAs and YOU) • Prevention Training Centers (PTCs)-Part III • ISTDI Training • PCRS Training

9. More Technical Assistance for Partner Services • Development of an Operations Guide and monitoring tools for Partner Services Providers (Contract Task Order) • Joint Conference Calls (under way) • Joint Site Visits (under way and when appropriate) • Funding Opportunity Announcement 09-9105

10. Joint PO/PC Conference Calls for Partner Services • E-mail notification past several weeks • Conference Calls with STD, HIV and Surveillance Program Consultants/Project Officers and local program HIV, STD and Surveillance Directors • Purpose: Begin a dialogue about Partner Services implementation

11. Joint PO/PC Conference Calls for Partner Services • Calls will begin in late May and run through the summer • Individualized agendas • Individualized follow up

12. FOA 09-9105 The purpose of this funding announcement is to implement a technical assistance/capacity building assistance system for health departments and other organizations funded to implement Partner Services programs according to the “2008 Recommendations”.

13. FOA 09-9105—Limited Eligibility • PTCs-Part III • National Organizations • National Council of STD Directors (NCSD) • National Alliance of State and Territorial AIDS Directors (NSTAD) • Urban Coalition for HIV/AIDS Prevention Services (UCHAPS) • Council of State and Territorial Epidemiologists (CSTE)

14. Categories for Funding • Individual • Focus on technical assistance (TA) to individuals and staff groups involved in Partner Services (PS) • Organizational • Focus on technical assistance to HIV and STD Prevention Programs as well as other organizations implementing PS.

15. PS Training

16. Current PS Training—National Level • Employee Development Guide (EDG) • Introduction to STD Intervention (ISTDI) • HIV Partner Counseling and Referral Services (HIV PCRS & PCRS Training-of-Trainers) • Advanced STD Intervention (ASTDI) • STD Intervention for Supervisors (STDIS) • Principles of Supervision

17. New Directions in PS Training--Goals • Combine current STD- & HIV-specific PS training materials • Integrate training content • Incorporate new content related to the “2008 PS Recommendations” • Ensure that all materials are compatible with one another • Provide a continuum of training focused on job function

18. Challenges • Multiple PS providers along the continuum • Multiple strategies available for implementing PS • Variation among jurisdictions • Centralized and decentralized training systems • Travel restrictions (policy, resources) • Less time, $, and staff

19. Solutions/Vision • Develop modular instructional units • Create distance and/or technology-based modules where possible • Use a “blended learning” approach where possible • Allow people to take only the modules that relate to their function in providing Partner Services

20. Partners in the Process • CDC Division of STD Prevention (including PHAs) • CDC Division of HIV Prevention • PTC-Part III • National Organizations (for example) • National Coalition of STD Directors (NCSD) • National Alliance of State and Territorial AIDS Directors (NASTAD) • Urban Coalition for HIV/AIDS Prevention Services (UCHAPS)

21. Funding for Partner Services Training • Internal CDC Staff • Division of STD Prevention • Division of HIV Prevention • PTC-Part III • Development of content (PA 07-771) • Delivery of courses (forthcoming FOA)

22. Proposed PS Training Modules • Introduction to Partner Services (for PS Providers) • Principles of Partner Services (for non-PS Providers) • Communication Skills • Interviewing Index Patients • Notification of Index Patients & Partners

23. Proposed PS Training Modules (continued) • Syphilis Case Management/Visual Case Analysis • Investigation Skills & Field Work • Behavior Change & Risk Reduction Counseling • Referrals & Linkage to Care

24. Module Content • Introduction to Partner Services/Principles of Partner Services • PS History • PS Purpose & Goals • PS Principles & Elements • PS Benefits & Challenges • Legal and Ethical Concerns • Communication Skills • Verbal & Non-verbal Communication • Rapport-building • Patient Comprehension • Cultural Competency • Problem Solving • Sexual Terms & Jargon

25. Module Content • Interviewing Index Patients/Partner Elicitation • Purpose • Types (OI, RI, Clustering) • Partner Elicitation Techniques • Interview Periods for HIV, Syphilis, GC, & Ct • Timing • Notification of Index Patients & Partners • Principles • Types • Priorities • Record-searching

26. Module Content • Investigation Skills & Field Work • Elements & Principles • Field Safety • Problem Solving • Documentation • Syphilis Case Management/Visual Case Analysis • Purpose • Case Management Steps • Interview & Critical Periods • VCA • Plotting Basic Facts • Ghosting

27. Module Content • Behavior Change & Risk Reduction Counseling • Factors Influencing Behavior • Levels of Intervention • Purpose & Principles of Risk Reduction Counseling • CDC Standards for Risk Reduction • Risk Reduction Strategies • Referrals & Linkage to Care • Purpose & Goals • Community Resources for Psychosocial & Other Services • Resources for HIV-infected Persons • Providing Referrals • Addressing Referrals through Linkage to Medical Care & HIV Case Management • Assessing & Documenting Success of High Priority Referrals

28. Timelines and Milestones • April 2009—Receive content drafts from PTCs for internal and external input • Spring/Summer 2009—Input from external partners • Fall/Winter 2009—Develop 1st draft of products • Spring 2010—Pilot products • Spring/Fall 2010—Finalize Products • Winter 2010—Provide Training

29. Local PS Training Responsibilities • Local Policies & Laws • Data Collection (PEMS, STD*MIS, Local Systems) • Completing Forms • Local Issues

30. Questions? Thank you!

31. Contact Information Rheta Barnes Unit Chief, Health Professions Training Program and Training Branch Division of STD Prevention 404-639-1826 rbarnes@cdc.gov Cindy Getty Team Leader, Training and Development Capacity Building Branch Divisions of HIV/AIDS Prevention 404-639-2920 cgetty@cdc.gov