trainer role play module 6 framing assessing prevention counseling debrief mod 6 (1 of 3)
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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)
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)
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)
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