5-16-051 many men, many voices. 5-16-05 2 many men, many voices n target population –msm...
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Many Men, Many Voices
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Many Men, Many Voices
Target Population
– MSM• gay/bisexual• some non-gay identified
– Black
• African American, African, Caribbean, and Black Hispanic
Can be adapted for other populations
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Many Men, Many Voices Adapted through a partnership between:
– CHBT - Center for Health & Behavioral Training, University of Rochester, NY a Part II STD/HIV Prevention Training Center (PTC)
– POCC - People of Color in Crisis, Brooklyn, NY
– MOCHA - Men of Color Health Awareness Project, Rochester, NY
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Many Men, Many Voices
Behavioral Self-Management and Assertion Skills intervention by Jeffrey Kelly, PhD adapted for Black MSM
Cognitive-behavioral, skills building prevention intervention Conducted in 7 group sessions of 6-12 participants.– Integrates STD and HIV prevention
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Core Elements Educate clients about HIV and STD risk and
sensitize to personal risk
Develop risk reduction strategies
Train in behavioral skills
Train in sexual assertiveness
Provide social support and relapse prevention Based on CDC’s Procedural Guidance found at
www.effectiveinterventions.org
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Key Characteristics
Foster positive identity development for gay men of color by– exploring the dual identity culture– addressing social and cultural norms
within racial/ethnic communities– exploring positive and negative peer
influences, setting self-standards and clarifying values
Based on CDC’s Procedural Guidance found at www.effectiveinterventions.org
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Key Characteristics
Discuss sexual roles and risks– addressing knowledge – exploring beliefs about the risks
Address perceived personal risk and susceptibility for HIV/STD and perceived benefits and outcomes of remaining HIV-negative.
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Key Characteristics
Increase skills and self-efficacy for protective behaviors and intentions to engage in those behaviors.
Explore sexual relationship dynamics
Address the importance of peer support and social influence on maintaining healthy behaviors
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Many Men, Many Voices
Seven Intervention Sessions
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Intervention Sessions Sessions are experiential (not lecture or
teaching). Each exercise or activity builds on the
previous ones. Ex. Session 5. consists of the following exercises:– #1 The man of my dreams
– #2 Who’s got the power?
– #3 Why we choose the ones we choose -
are you a Top or a Bottom?
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Session 1:Dual Identity
Identify factors that influence behavior change
Discuss norms in the Black and gay communities
Explore the concept of dual identity; being a Black gay man
Identify factors influencing Black MSM including internalizing racism and homophobia
Identify risk behaviors and STD/HIV infections of Black MSM
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Session 2:STD / HIV Prevention for Black MSM
Discuss the roles and risks of “tops” and “bottoms”
Provide an overview of HIV/AIDS and STDs for Black MSM
Identify risks associated with different types of sex
Make a connection between STDs and HIV
Explain the transmission puzzle and how to reduce risk of contracting/transmitting STDs including HIV
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Session 3:STD/HIV Risk Assessment & Prevention Options
STD/HIV prevention options based on transmission puzzle
Ranking of sexual risk behavior
Inventory of personal STD/HIV risk behaviors
(what would you do with whom)
Clients personal risk behaviors
(sexual, substance use and health care seeking)
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Session 4: Intentions to Act and Capacity to Change
Provide an overview of how behavior change occurs
Review menu of options for STD/HIV prevention
Work through ambivalence by identifying each clients personal ambivalence and barriers
Explore pros/cons of current behavior and making a change
Acquire skills - Safer sex , Substance use, Health care seeking
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Session 5:Relationship Issues: Partner Selection, Communication, Negotiation of Roles
for Black MSM
Discuss attitudes towards gender roles in Black communities, differences in perceived power
Help participants to recognize the relationship between sex position (top or bottom) and power and decision-making within one’s sexual relationship(s)
Define stereotyping and sexism as it relates to Black MSM
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Session 5: Relationship Issues: Partner Selection,
Communication, Negotiation of Roles for Black MSM
Discuss relationship dynamics: Tops and Bottoms assigned relationship role may not fit—consequences for individual
Identify different types of power within sexual relationship(s)
Make a connection between relationship roles and safer sex negotiation.
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Session 6: Social support & problem solving to
maintain change
Review the chosen individual and relationship risk reduction options
Practice skills and problem solving with specific scenarios
Identify ways to avoid cues
Anticipate problems that may occur and use group problem-solving
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Session 6: Continued….
Provide problem solving strategies
Reinforce change efforts
Identify supports for change
Offer rewards and substitutes
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Session 7: Where Do We Go From Here
Linkage to other services offered by agency
Community resources for substance use,mental health, other services - Survival Handbook
Involvement in community building for Black gay men
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Getting Started
Implementation needs and resources
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Internal Agency Capacity-Staff Staffing at a level to sustain implementation
on the schedule of deliverables Supervision, planning, recruitment,
facilitation, and monitoring/reporting responsibilities
Staff training needs– Overview of HIV and STDs– Bridging theory and practice– Group facilitation skills– Many Men, Many Voices training: Level I and
Level II
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Other Agency Capacity Manual and related materials Space (confidential, safe) Commitment to implement entire intervention
program Sufficient funds- quality & quantity of delivery Implementation plan, including recruitment,
referral, monitoring/evaluation, and QA procedures
Technical assistance
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Technical Assistance to Support Implementation
Training, including relevant supportive trainings (skill sets needed).www.effectiveinterventions.org and
www.stdhivpreventiontraining.org ■ Published resources (manual). Intervention Kit ■ Web resources. ■ CDC technical assistance system.
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Agency Planning Tool(www.effectiveinterventions.org)
Should be completed by funded agency in collaboration with CDC project officer.
Running record of funded agency’s progress in implementing the intervention
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Many Men Many VoicesMany Men Many Voices
www.effectiveinterventions.org Training is available in each of the four
geographic quadrants of the United States, offered by the 4 CDC Part II STD/HIV Prevention Training Centers (PTCs). www.stdhivpreventiontraining.org:– Rochester, NY– Denver, CO– Berkeley, CA– Dallas, Texas
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Many Men Many VoicesMany Men Many Voices
Intervention Kit Agencies will be sent 1 - 2 intervention
kits after staff have completed the Level 1 and Level 2 series.
Kits include the intervention curriculum and materials as well as planning tools and marketing and recruiting materials.
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THANK YOU