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PEER COMPETENCY TRAINING

PEER COMPETENCY TRAINING. Training program was developed for a peer intervention at 3 sites Implemented and evaluated in Miami FL, Brooklyn NY and San Juan Puerto Rico Peers met with participants for 8 educational sessions

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PEER COMPETENCY TRAINING

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  1. PEER COMPETENCY TRAINING

  2. Training program was developed for a peer intervention at 3 sites • Implemented and evaluated in Miami FL, Brooklyn NY and San Juan Puerto Rico • Peers met with participants for 8 educational sessions • Maintained a relationship through regular checks-ins, assistance and support PREP Project Overview

  3. Number and percentage of HIV-infected persons engaged in selected stages of the continuum of HIV care – United States Source: Cohen et al., MMRW, 2011

  4. LOGISTICS • Breakfast and lunch • Breaks • Rest rooms • Parking • Room temperature • Electronics

  5. AGREEMENTS • Silence cell phones • Arrive on time • Return from breaks on time • Be respectful • Maintain confidentiality • Avoid side conversations • Engage fully • Others?

  6. PARTICIPANT INTRODUCTIONS

  7. SESSION I: PEER ROLE

  8. WHAT IS A PEER? HIV+ people helping other HIV+ people

  9. INFORMATIONAL SUPPORT PEER ROLES EMOTIONAL SUPPORT INSTRUMENTAL SUPPORT AFFILIATIONAL SUPPORT

  10. READINGS

  11. WHAT MAKES PEERS UNIQUE?

  12. WHAT DOES IT TAKE TO BE A PEER?

  13. SESSION II: PEER COMMUNICATION SKILLS

  14. ELEMENTS OF COMMUNICATION

  15. ASKING QUESTIONS • Open questions invite dialogue and conversation • Closed questions invite only a “yes” or “no” answer Examples • Closed: “Is it going to rain today?” • Open: “What will the weather be like today?” • Closed: “Are you feeling well?” • Open: “How are you feeling?”

  16. CONVERTING QUESTIONS EXERCISE

  17. NAME THAT CELEBRITY

  18. SESSION III: HIV BASICS

  19. H=Human I=Immunodeficiency V=Virus A=Acquired I=Immunodeficiency D=Deficiency S=Syndrome

  20. HIV Transmission Transmit HIV Don’t Transmit HIV Saliva Urine Tears Perspiration Vomit • Blood • Semen • Vaginal secretions • Pre-cum • Breast milk

  21. ROUTES OF TRANSMISSION

  22. THE STAGES OF HIV INFECTION

  23. THE HIV TRAIN CD4: indicates how far the train has traveled AIDS 400 600 200 CD4 1000 100 50 Viral load: indicates how fast the train is going 100,000 1,000,000 10,000 VL 50 500,000 30,000 Meds can: stop the train, slow down the train, or push back the train

  24. BURDEN BASKET ICEBREAKER WELCOME BACK!

  25. SESSION IV: THE IMMUNE SYSTEM AND THE HIV LIFE CYCLE

  26. WHAT IS THE IMMUNE SYSTEM?  Scouts or lookout

  27. DEFINITIONS

  28. DEFINITIONS

  29. DEFINITIONS • Retrovirus: a type of virus that has RNA instead of DNA in its genetic material. • It uses an enzyme called reverse transcriptase to become part of the host cell’s DNA which has 2 strands. • This allows many copies of the virus to be made in the host cell.

  30. SEVERAL STEPS MUST OCCUR FOR HIV TO SURVIVE

  31. SESSION V: HIV MEDICATIONS

  32. HIGHLY ACTIVE ANTIRETROVIRAL THERAPY(HAART)

  33. GOALS OF HIV MEDS

  34. Initiating ART Guidelines Feb. 2013 • Antiretroviral therapy (ART) is recommended for all HIV-infected individuals. The strength of this recommendation varies based on pretreatment CD4 cell count. • CD4 cell count <350 cells/mm3 (AI) • CD4 cell count 350-500 cells/mm3 (AII) • CD4 cell count >500 cells/mm3 (BIII) • Regardless of CD4 count initiation of ART is recommended for individuals with the following conditions: • Pregnancy (AI) (see perinatal guidelines for more detailed discussion) • History of an AIDS defining illness (AI) • HIV- associated nephropathy (HIVAN) (AII) • HIV/ HBV (Hepatitis B Virus) coinfection (AI)

  35. Initiating ART Guidelines Feb. 2013 • Effective ART has been shown to prevent transmission of HIV from an infected individual to a sexual partner; therefore, ART should be offered to patients who are at risk of transmitting HIV to sexual partners (AI [heterosexuals] or AIII [other transmission risk groups]; see text for discussion) • Patients starting ART should be willing and able to commit to treatment and should understand the benefits and risks of therapy and the importance of adherence (AIII). Patients may choose to postpone therapy, and providers, on a case-by-case basis, may elect to defer therapy on the basis of clinical and/or psychological factors.

  36. ADHERENCE TO HAART

  37. MEDICATIONS AT WORK IN THE HIV LIFE CYCLE

  38. SESSION VI: PEER COMMUNICATION SKILLS (cont.)

  39. ATTENTIVE LISTENING

  40. REFLECTIVE LISTENING

  41. SUMMARIZING

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