Trainer Role PlayModule 6

Framing

Assessing

Prevention counseling

Debrief

Mod 6 (1 of 3)

Trainers 1st Role Play

Welcome Frame the session (Consent, skip) (Sample collection, skip) Assessment and Prevention Counseling

Mod 6 (2 of 3)

Debrief Trainers Role Plays

What is clients context?

What stage of change was the client in? (Any stage appropriate interventions?)

What counseling skills (tools, tips) did you see?

What could have been done differently?

Mod 6 (3 of 3)

Participants 1st Role Play Module 7

Your Client Character We will be observing you Ask for help Relax Do not be challenging clients!!!

Mod 7 (1 of 5)

Goals of Assessing and Prevention Counseling

Identify client’s level of risk

Client realizes the risk, uncomfortable with risk

Support client in making a realistic plan to reduce risk

Mod 7 (2 of 5)

Participants 1st Role Play Check in about the following: What does the client know about HIV and the

window period?

Ask These Questions: Who do you have sex with? What kind of sex do you have? Do you top, bottom, or both? What if any drugs do you use? Do you use needles?

(See next slide)Mod 7

(3 of 5)

Participants 1st Role Play

Welcome Frame the session (Consent, skip) (Sample collection, skip) Assessment and Prevention Counseling Dyad role play 12-15 minutes

Mod 7 (4 of 5)

Debrief

What went well? Give examples

What was challenging?

What could have been done differently? Give examples

Mod 7 (5 of 5)

Negative ResultsModule 8

Using Multiple Rapid Tests

Meaning of Negative Results

Components of a Negative Result Session

Mod 8 (1 of 7)

Welcome,Informed Consent

Sample Collection

Assessing and

Prevention CounselingYes? No?

Results and

Counseling Referral

s, Close

Testing Timeline

Mod 8 (2 of 7)

Rapid Testing Process

1st Test, Stat-Pak

Negative 2nd Test OraQuick

Lab Testing 2 Reactives

Mod 8 (3 of 7)

Defining Results

Reactive or Preliminary Positive – the finding of a rapid HIV test

Positive - a laboratory confirmed reactive result.

Negative – the finding of a rapid HIV test

Mod 8 (4 of 7)

Negative Result

A negative result is: The finding of a laboratory test Important health information

A negative result means: Antibodies to HIV were not detected Does NOT necessarily mean a person does not

have HIV

Results and

Counseling

Mod 8 (5 of 7)

Negative Results Components

Let clients know their HIV test result Help clients make sense of their result Continue prevention counseling Give HIV prevention referrals Explore re-testing

Results and Counseling

Referrals, Close

Mod 8 (6 of 7)

Negative ResultsGuide

Give the result Follow the client’s lead Explore feelings Review behavior change plan Provide referrals/ When to test again

Results and

Counseling

Referrals, Close

Mod 8 (7 of 7)

Trainer Role PlayModule 9

Set Up Role Play

Trainers model negative results

Debrief

Mod 9 (1 of 3)

Set Up Trainer Role Play

Notice how the counselor uses tools

Look for what stands out for you

Look for things you would do differently

Mod 9 (2 of 3)

Debrief Trainer Role Play

What stood out?

What went well?

What could have been done differently?

Mod 9 (3 of 3)

Participant Role PlayNegative Results

Module 10

Instructions

Negative Results Guide

Debrief

Mod 10 (1 of 4)

Participant Role Play Instructions

Negative Results

12 minutes – assessing and prevention counseling

2 minutes – leave the room to retrieve results

5 minutes – negative results/counseling session

When finished, switch roles and repeat Mod 10 (2 of 4)

Participant Role PlayNegative Results

Give the result Follow the client’s lead Explore feelings Review behavior change plan Provide referrals

Mod 10 (3 of 4)

Debrief Participant Role Play

What stood out?

What went well?

What could have been done differently?

Mod 10 (4 of 4)

Reactive ResultsModule 11

Meaning of Reactive Results

Components of a Reactive Result Session

Mod 11 (1 of 4)

Reactive Result

A reactive result is: The finding of a laboratory test Important health information

A reactive result means: Antibodies to HIV were detected The person is highly likely living with HIV, and if

so, can pass HIV on to others

Results and Counseling

Mod 11 (2 of 4)

Reactive Results Components

Let clients know their HIV test result Help clients make sense of their result Help clients identify a plan for the rest of the

day Provide linkage to medical care Discuss partner services (telling others)

Results and Counseling

Referrals, Close

Mod 11 (3 of 4)

Reactive ResultsGuide

Give the result Follow the client’s lead Explore feelings Review sources of support & coping

strategies Link to medical care & partner services Summarize next steps

Results and

Counseling

Referrals, Close

Mod 11 (4 of 4)

Trainer Role PlayModule 12

Set Up Role Play

Trainers model reactive results

Debrief

Mod 12 (1 of 3)

Set Up Trainer Role Play

Notice how the counselor uses tools

Look for what stands out for you

Look for things you would do differently

Mod 12 (2 of 3)

Debrief Trainer Role Play

What stood out?

What went well?

What could have been done differently?

Mod 12 (3 of 3)

Participant Role PlayReactive Results

Module 13

Instructions

Reactive Results Guide

Debrief

Mod 13 (1 of 4)

Participant Role Play Instructions

Reactive Results

12 minutes – assessing and prevention counseling

2 minutes – leave the room to retrieve results

5 minutes – reactive results/counseling session

When finished, switch roles and repeat Mod 13 (2 of 4)

Participant Role PlayReactive Results

Give the result Follow the client’s lead Explore feelings Review sources of support & coping strategies Link to medical care & partner services Summarize next steps

Mod 13 (3 of 4)

Debrief Participant Role Play

How did it feel giving a reactive HIV result? What went well? What could have been done differently? Which of the following was covered:

- Linkage to medical care?

- Client’s next steps and sources of support?

- Linkage to Partner Services? (telling others)

Mod 13 (4 of 4)

Final Role PlaysModule 14

Assessing, Prevention Counseling, and Results

What Trainers are Looking For

Instructions

Mod 14 (1 of 3)

Counseling Session Flow

Welcome, frame, consent Sample collection Find out why the client is testing Assess HIV knowledge, sexual/drug use

behaviors, comfort level with behavior Explore pros and cons of behavior Support a harm reduction step Problem solve obstacles to achieving their plan Provide results and counseling Provide referrals as appropriate

Final Role Plays

Not looking for perfection, but for good beginner counselor skills

We are looking for use of client-centered counseling skills, use of do’s and don’ts, and incorporation of our feedback

Observations are cumulative

Mod 14 (2 of 3)

Instructions

Begin session after sample has been taken, “So, what brings you in for testing today?”, or

“How’s your finger?” Counsel for 12 minutes (listen for trainer

prompts) Leave the room for 2 minutes for results Give results and counsel - 5 minutes (listen for

trainer prompts) Client roles – be an EASY client!

Mod 14 (3 of 3)

Written Final ExamModule 15

The passing score for the quiz is 80%

Be sure to write your name on the quiz

Mod 15 (1 of 1)