An HIV/STD Prevention Program
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Your Call
An HIV/STD Prevention Program
Intervention Leader’s Manual
2010
Session Details:
A. Session length: 120 minutes
B. Provider: Masters or PhD level therapist
What You Will Need For This Session:
1. Poster
2. Laptops
3. Confidential room
4. Intervention movie
5. Albuquerque area resource sheets
6. Characteristics of successful adolescent sheets
7. White board & markers
8. Safer sex sequence cards
9. HIV flashcards
10. Condoms
11. Scissors
12. Wooden penis models
13. Paper towels
Session Components
A. Introduction: 10 minutes
B. Definitions: 10 minutes
C. Why are we talking about condom use: 10 minutes
D. Provision of norms: 15 minutes
E. Break: 10-15 minutes
F. Self-affirmation exercises: 10 minutes
G. High risk situations: 20 minutes
H. How one might change (if one wanted to): 25 minutes
I. Ending the group: 5 minutes
A. Introduction (10 MINUTES)
· Thank you so much for participating in our group today! Your thoughts and opinions are extremely important to us. For that reason, it is important for us to have a safe and private environment for you guys to share your thoughts. We are running these groups so that we can find out more about the lives of young people like you and your friends, and so we can develop better programs to help people like you stay healthy. This is why we need your expert advice.
Generate rules: It is important to have the adolescents generate as much of these rules as possible. Please list these rules on a piece of white board or on the chalkboard (if one is present in the room).
B. DEFINITIONS (10 MINUTES)
Prior to discussions about risk behavior, it is critical to be sure that everyone is on the same page. Often times, adolescents think that they know what a certain word means, but are operating under a very different understanding.
· Before we get started today, I’d like to go through some vocabulary with you. I like to think it’s a bit more fun than your regular vocabulary review! I’m going to write a word on the board, and I’d like you to let me know what it means for you and your friends.
VOCABULARY REVIEW (AND THEIR DEFINITIONS)
1. Sexually Transmitted Disease (STD): A viral or bacterial infection that is passed from one person to another during sexual activity. Examples are chlamydia, gonorrhea, genital warts, and HIV.2. Vaginal Sex: When a man puts his penis inside a woman’s vagina.
3. Oral Sex: Oral sex is when a man puts his penis inside a person’s mouth, or when a person puts their mouth on a woman’s vagina.
4. Anal Sex: Anal sex is when a man puts his penis inside a person’s anus (rear end).
5. Abstinence: Abstinence is not having vaginal sex, oral sex, or anal sex. It doesn’t necessarily mean that a person is a virgin; it just means that they are not having sex right now.
6. Semen: Fluid that comes out of the penis before and during ejaculation.
7. Vaginal Secretions: Fluids that are naturally present in a woman’s vagina.
8. Condom: A covering made of latex or other materials that fits over a man’s erect penis.
9. Lubricants: Liquids that make condoms more slippery, like KY jelly. Only water-based lubricants (ones that have no oil in them) should be used with condoms.
10. Safer Sex: Sexual practices that involve no exchange of blood, semen, or vaginal fluid and that reduce the risk of STD and HIV infection as well as pregnancy.
11. BAC: the amount (percentage) of alcohol that is in your bloodstream after you drink.
12. Binge drinking episode: the amount of drinking that brings your blood alcohol level to 0.08 percent or above. For females, this would be 3 or more drinks during a drinking episode; and for males, it is 5 or more drinks/episode.
13. Legal limit: Under the age of 21, any BAC is over the legal limit. But for those 21 and older, it is 0.08.
14. Marijuana: The active ingredient in marijuana is THC, which is short for delta-9-tetrahydrocannabinol.
**Some definitions taken from webmd and the CDC.
C. Why are we talking about condom use: Hearing their stories (10 minutes)
It is important to provide the group with a context for why we are talking about the topics that we will be addressing today.
· It’s flashcards – but not like the ones that you get in math class. So, I am going to hand out each of these flashcards (don’t look at yours before we get to you!), and I’d like for you to let me know what your thoughts and opinions are about each. Are you ready?
Flashcard 1: “What are the three ways in which HIV can be transmitted from one person to another?”
Flashcard 2: “Who has the highest rate of sexually transmitted diseases of any age group?”
Flashcard 3: “What are the benefits of using condoms?”
Flashcard 4: “How can you tell if a person is infected with HIV?”
Flashcard 5: “What are the high risk, low risk, and no risk sexual behaviors for transmitting HIV?”
D. Provision of NORMS (15 minutes)
As adolescents think risky behavior is more common than it is, we believe that this is a useful strategy for investigating group perceptions of risk behavior. To compare members’ ideas about the prevalence of risk behaviors, we like to explore the behaviors of other adolescents in a non-confrontational, genuinely curious manner. With health risk behaviors, we start broadly, openly exploring the local rates of substance use and sexual behaviors. Investigate the group members’ guesses about how many people may be engaged in the target behavior.
PHYSICAL READINESS RULERS: This exercise gives the adolescents a chance to get out of their seats and move around a little. The goal of this is to see where they are at in terms of their thoughts about change.
· Okay, we’ve been talking a lot about some potential reasons for change. Let’s see where you all are. Here at this end of the room is a “0.”Here is where a “5” would be. Walk to the other end of the room. And over HERE, is a “10.”On a scale of 0 to 10, how important/able/ready is it for you to change (list specific behavior)?
E. BREAK (10-15 minutes)
F. SELF –AFFIRMATION EXERCISES (10 minutes)
Before moving onto the action phase of an MI group, it is important to bolster participants’ sense of self-efficacy. The first approach is the characteristics of successful adolescents sheet. This activity can be introduced in the following manner:
· I am going to hand out a sheet of paper. I’d like for each of you to take a moment and circle all of the adjectives on this sheet that describe you.
G. HIGH RISK SITUATIONS (20 minutes)
Play Intervention Movie – shows typical experiences for adolescents and how they navigate through different tough decisions.
H. HOW ONE MIGHT CHANGE IF THEY WANTED TO - Putting the pieces together (25 MINUTES)
Condom and dental dam demonstration:
· What to look for in a condom/dental dam to make sure it will work right
· The steps to correctly putting on a condom/dental dam
· The steps to correctly taking off a condom/dental dam
ARRANGING SAFER SEX SEQUENCE CARDS ACTIVITY
In Safer Sex Sequence Cards activity, the group is given a number of cards. Each one has one essential step in the sequence from deciding whether or not to have intercourse, to effectively practicing safer sex, if the decision is made to have intercourse. The goal is for the group to work together to arrange their cards in the correct order (on the chalkboard ledge, the table or wherever they will fit), from the first step to last step.
I. ENDING THE GROUP: WHAT NEXT? (5 MINUTES)
This is the last opportunity to work with these adolescents. Therefore, it is important to evaluate where they are in terms of their decisions around their sexual behavior. It is completely okay for them to be anywhere in the change process.
Summary:
1. Summarize what has transpired during this session. Summarize the information you discussed.
2. End by restating the adolescents’ strengths and ability to meet whatever goal they set for themselves.
Thank:
· Boy, guys, I appreciate all of your feedback and hard work today. I’d like to thank you all for coming in today.
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