1. Overview of Project Worth (Women on the Road to Health) Beverly W. Holmes, MSW Beatrice Koon, MSW Candidate

2.  To help women change behaviors that put them at risk of becoming infected with HIV/STD and to help them live healthy lifestyles.

3.  Social Cognitive Learning Theory: ◦ Behavior is learned through the social processes of observation, modeling, skill rehersal, and feedback, especially with one’s peer group  Empowerment Theory: ◦ Individuals are empowered to action by the processes of: skill mastery; peer support; and ability to impact on one’s world

4.  Information, Instruction, Discussion  Modeling  Rehearsal with Feedback and Coaching  Role-playing  Problem Solving

5.  Increase knowledge about HIV risk, STD and other risk behaviors for health  Increased perceived vulnerability for HIV. STD and unhealthy behavior  Enhance self-efficacy: safer sex, take care of health and help seeking  Learning to set personal goals  Condom use  Skills development  Enhance social support  Prepare for slips

6.  WORTH (Women on the Road to Health) Introduction: Purpose; (Counselor & Participant roles)  Warm-Up: Why I Want to Take Care of Myself  HIV Information  STD Information  HIV Testing and Counseling  Living with HIV (including HIV Treatment Information)  Closing: Homework; Worth Affirmaton

7.  I am __________and I will stay healthy  I am __________and I will protect myself  I am __________and I will find support for my health  I am __________and I am WORTH IT! WORTH IT! WORTH IT!

8.  Check-in  HIV in Our Lives  HIV Risk Rationalizations  Challenging Rationalizations: Story  Challenging Rationalizations: Own  Triggers for HIV/STD Risk Behavior: People, Places, things  Identifying Our Supports for Taking Care of Ourselves  Closing: Homework; Worth Affirmation

9.  Check in  Getting Smart About HIV/STD Risk, Yellow & Green Light Behaviors  Condom Use Practice and Feedback-Male  Condom Use Practice and Feedback-Female  Eroticizing safer sex  Self-Talk in Tough Risk Situations  Problem-Solving the SODAS Way  Closing: Homework; Worth Affirmation

10.  Check-in  Identifying Barriers to Safer Sex  Safer Sex Negotiation and Refusal: The Basics  Safer Sex Negotiation: Demonstration and Discussion  Safer Sex Negotiation: Pairing Up  Assessing Risk of Partner Abuse and Making Safety Plans  Closing: Homework; Worth Affirmation

11.  Check-in  Where we’ve been together: Review  Getting Ready: Common Slip Situations (Especially involving drugs & alcohol)  Slip Plans: The SODAS Way  Program Evaluation and Feedback  Graduation

12. 1. To help participants assess their risk of getting HIV and STDs 2. To help participants identify the people, places and things which trigger their HIV/STD risky behavior 3. To help participants identify the people in their lives who can support them in staying safe and healthy

13. One day Vanessa and Mariah are talking about a man that Mariah was hanging out with the night before. Vanessa is trying to find out if Mariah was being safe. Mariah explains that she is not in danger of getting HIV. Vanessa: Hey Girl, who's that man you were hanging with last night? I haven't seen him before. He looks better than most of the men we’ve got around here. I know you said you’ve been taking care of yourself lately, so how’d last night go? You made him wrap it up, right? Mariah: What do you mean…make him use a condom? He doesn't need to! He isn't shooting drugs or anything. Besides, he isn't like that...he hangs out with nice people. He goes to church every Sunday, and he's clean, and eats good too. You know he works out...goes and lifts weights. He’s like the perfect man…how am I gonna get HIV from someone like him?

14.  What are Mariah’s rationalizations?  What would you say to challenge her rationalizations?

15. 1. To discuss in detail what behaviors put people at risk for HIV/STDs 2. To practice correct male and female condom Use 3. To identify ways of making safer sex sexy 4. To demonstrate the use of self-talk in identifying options for actions 5. To teach the participants a problem solving model that can help keep them from risky sexual and drug use behaviors

16.  Objectives: To teach participants how to use a male condom and female condom correctly.  Modeling, Rehearsal and Feedback

17. 1. To help participants identify barriers to safer sex happening 2. To help participants identify and practice safer sex negotiation and refusal skills 3. To help participants assess risk of partner abuse from safer sex behaviors and make safety plans for their protection.

18.  Bianca just met a man named Donte at a party. She has seen him around before, and during the night, they end up going back to his place. Bianca feels a little uncomfortable with the situation, but on the other hand, she thinks Donte is sexy, and he definitely knows how to turn her on. She wants to have sex with him, but she also wants to be safe, because she doesn’t want to get anything.

19.  What is Bianca’s problem?  What are Bianca’s options?  What are the consequences or outcomes of each option?

20.  Direct Ways of Refusing  Indirect Ways of Refusing  What are the possible consequences of each of these ways of refusing?

22.  Manual and other materials for this intervention can be downloaded from:  http://ctndisseminationlibrary.org/display/398.htm http://ctndisseminationlibrary.org/display/398.htm