1725 Blake St. ste.400 Denver, CO (303) HIV Prevention Behavioral Interventions Including CDC’s newly approved HIV prevention Effective Behavioral Interventions Presented by:

1725 Blake St. ste.400 Denver, CO (303) History of HIV Prevention Interventions

1725 Blake St. ste.400 Denver, CO (303) Tiers of Evidence

1725 Blake St. ste.400 Denver, CO (303) DEBI The DEBI Project The CDC compiled the top science and research-based interventions proven effective through positive behavioral and/or health outcomes and created the DEBI Project. DEBI Diffusion of Effective Behavioral Interventions

1725 Blake St. ste.400 Denver, CO (303) DEBI Goal of DEBI Project To disseminate evidence-based HIV prevention interventions into prevention practices. This goal is achieved by the development and coordination of a national-level strategy to provide training, technical assistance, and other capacity building activities to state and community level HIV prevention programs.

1725 Blake St. ste.400 Denver, CO (303) DEBI The DEBI Project DEBI Interventions included in the DEBI project: CLEARd-up: Defend Yourself! CLEARd-up: Defend Yourself! Focus on Youth + ImPACTHealthy Relationships Focus on Youth + ImPACTHealthy Relationships Holistic Health Recovery ProgramMany Men, Many Voices Holistic Health Recovery ProgramMany Men, Many Voices MIPMPowerment MIPMPowerment Partnership for HealthPopular Opinion Leader (POL) Partnership for HealthPopular Opinion Leader (POL) Project STARTCommunity PROMISE Project STARTCommunity PROMISE RAPPRESPECT RAPPRESPECT Safe in the CitySafety Counts Safe in the CitySafety Counts SISTAStreet Smart SISTAStreet Smart Together Learning ChoicesVOICES/VOCES Together Learning ChoicesVOICES/VOCES EBI Each EBI has a specific target population and level of approach.

1725 Blake St. ste.400 Denver, CO (303) CLEAR CLEAR: “Choosing Life: Empowerment! Action! Results!” It is a health promotion intervention for male and female youth (16 and older) who are living with HIV/AIDS or at high risk of HIV CLEAR It CLEAR is a 3-module intervention that is delivered in one-on-one sessions. It is an individual-level intervention. CLEAR CLEAR is a structured intervention that might be integrated into Comprehensive Risk Counseling and Services (CRCS) programs. CLEAR

1725 Blake St. ste.400 Denver, CO (303) d-UP! DEFEND YOURSELF Defend Yourself! d-up! d-up! Defend Yourself! is a community-level intervention for Black men who have sex with men (MSM). d-up! is designed to change social norms and perceptions of Black MSM regarding condom use. d-up! finds and enlists opinion leaders whose advice is respected and trusted by their peers. They are trained to change risky sexual norms in their own social networks. Opinion leaders participate in a four-session training and endorse condom use in conversations with their friends and acquaintances. d-up! d-up! helps increase awareness and HIV prevention education, and also promotes positive leadership among its community.

1725 Blake St. ste.400 Denver, CO (303) FOCUS ON YOUTH with IMPACT Focus on Youth Focus on Youth is a community-based intervention that provides youth of color with the skills and knowledge they need to protect themselves from HIV and other STDs. The curriculum uses fun, culturally interactive activities such as games, role plays, and discussions to convey prevention knowledge and skills. IMPACTFocus on Youth IMPACT IMPACT is a short component from Focus on Youth for parents; Informed Parents and Children Together (IMPACT) assists guardians in areas such as parental monitoring and effective communication with their adolescents.

1725 Blake St. ste.400 Denver, CO (303) PROJECT START Project START Project START is an individual-level approach intervention for young men soon to be released from prison and returning to the community. Project START Project START is a multi-session program focused on increasing clients’ awareness of their HIV, STI and Hepatitis risk behaviors after release. Project START Project START can be easily adapted for all populations providing them with the tools and resources to reduce their risk.

1725 Blake St. ste.400 Denver, CO (303) SAFE IN THE CITY Safe in the City Safe in the City is an HIV/STD prevention intervention that uses a video that contains three vignettes that model young couples of diverse racial and ethnic backgrounds and sexual orientations in various types of relationships negotiating safer sexual behaviors. This community-level approach is very effective among STD clinic patients. It can be easily integrated for all populations into the waiting room, requires no disruption to clinic flow, and no counseling or small-group facilitation. Safe in the City Safe in the City aims to increase condom use and other safer sex behaviors.

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC Healthy Relationships Healthy Relationships is a small-group intervention for men and women living with HIV/AIDS. It focuses on developing skills and building self-efficacy and positive expectations about new behaviors through modeling behaviors and practicing new skills. Holistic Health Recovery ProgramHHRP Holistic Health Recovery Program (HHRP) is a group- level intervention for HIV positive and HIV negative injection drug users. It focuses on promoting health and improving quality of life.

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC Many Men, Many Voices3MV Many Men, Many Voices (3MV) is a group-level STD/HIV prevention intervention for gay men of color. The intervention addresses behavioral influencing factors specific to gay men of color to develop risk-reduction strategies. Modelo de Intervencion PsicomédicaMIP Modelo de Intervencion Psicomédica (MIP) is based on the psycho-medical model. It is an individual-level intervention for injection drug users. It uses a Self- Assessment Readiness tool at each session to affirm and increase the participant's self-efficacy and gauge their readiness to take meaningful action. MIP

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC Mpowerment Mpowerment is a community-level intervention for young MSM. It combines informal and formal outreach, discussion groups, creation of safe spaces, social opportunities, and social marketing to reach a broad range of young gay men with HIV prevention, safer sex, and risk reduction messages. Partnership for HealthPfH Partnership for Health (PfH) is an individual level intervention that uses message framing, repetition, and reinforcement during patient visits to increase HIV positive individuals’ knowledge, skills, and motivations to practice safer sex. It is designed to improve patient-provider communication about safer sex, disclosure of HIV status, and HIV prevention.

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC Popular Opinion LeaderPOL Popular Opinion Leader (POL) is a community-level intervention designed to identify, enlist, and train opinion leaders among MSM to encourage safer sexual norms and behaviors within their social networks of friends and acquaintances through risk reduction conversations. Community PROMISE Community PROMISE is a community-level intervention that relies on peer advocates distributing role model stories of positive behavior change to members of any target population. It can be implemented with various populations including IDU, MSM, sex workers, and partners of high-risk individuals.

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC Real AIDS Prevention Project The Real AIDS Prevention Project (RAPP) is a community mobilization program that relies on peer- led outreach activities to reduce risk for HIV and unintended pregnancies among women in communities at high risk by increasing condom use. RESPECT The RESPECT intervention utilizes a client-focused, interactive HIV risk reduction individual counseling model. It is designed to support risk reduction behaviors in any population by increasing the client’s perception of his/her personal risks and by emphasizing incremental risk-reduction strategies.

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC Safety Counts Safety Counts is a client-centered intervention for users of illicit drugs that aims to reduce risk of becoming infected with or transmitting HIV and hepatitis viruses. It includes activities in group and individual settings for both HIV-negative and HIV- positive clients. SISTA SISTA is a group-level, gender and culturally relevant intervention, designed to increase condom use among heterosexually active African American women. It focuses on ethnic and gender pride, HIV knowledge, coping, and skills training around sexual risk reduction behaviors and decision making. It has been adapted for youth, Latinas & Native Americans.

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC Street Smart Street Smart is a skills-building program to help runaway and homeless youth practice safer sexual behaviors and reduce substance use. This group-level intervention addresses improving youth’s social skills, assertiveness and coping mechanisms through exercises on problem solving, identifying triggers, and decreasing harmful behaviors. Together Learning Choices Together Learning Choices helps youth living with HIV in a group-level setting to identify ways to increase use of health care, reduce risky sexual behavior and drug/alcohol use, and to improve quality of life. It emphasizes how contextual factors influence the ability to respond effectively to stressful situations, solve problems, and reach goals.

1725 Blake St. ste.400 Denver, CO (303) Other EBIs supported by the CDC VOICES/VOCES VOICES/VOCES is a group-level, single-session video- based intervention designed to increase condom use among heterosexual African American and Latino men and women who visit STD clinics. Participants, grouped by gender and ethnicity, view an English or Spanish video on HIV risk behaviors and condom negotiation, take part in a facilitated discussion on barriers to and negotiation of condom use, and receive samples of condoms. VOICES/VOCES has been successfully adapted for viewing in prisons and detention centers.

1725 Blake St. ste.400 Denver, CO (303) Other effective interventions Besides the effective behavioral interventions (EBIs) mentioned in this presentation, there are many other programs that are also effective for individual and community level behavioral change such as: STRIVE STRIVE a group-level intervention for IDU REAL Men REAL Men a group-level intervention for AA youth and parents Cuídate! Cuídate! a group-level intervention for Latino youth Hermanos de Luna y Sol Hermanos de Luna y Sol a group-level intervention for Latino MSM

1725 Blake St. ste.400 Denver, CO (303) Implementing interventions EBI Most likely the intervention was researched in an urban setting and with a particular ethnic group. Implementing any EBI in another setting entails facilitators to be trained in the intervention and, most of the time, receive technical assistance to ensure effective adaptation for the particular target population’s needs while retaining the Intervention’s core elements.

1725 Blake St. ste.400 Denver, CO (303) Updated on interventions For more information and updates of these interventions, go to:

1725 Blake St. ste.400 Denver, CO (303) For more information contact: Alexia Eslan - Phone: (303) Arman Lorz - Phone: (303)