ARTAS LogoCourse Description

Anti-Retroviral Treatment and Access to Medication (ARTAS) is an individual-level, multi-session, time-limited intervention with the goal of linking recently diagnosed persons with HIV to medical care soon after receiving their respective test result. ARTAS is based on the Strengths-based Case Management (SBCM) model, which is rooted in Social Cognitive Theory) particularly self-efficacy) and Humanistic Psychology. SBCM is a model that encourages the client to identify and use personal strengths; create goals for himself/herself; and establish an effective, working relationship with the Linkage Coordinator (LC).

Course Objectives

  • Summarize the ARTAS strategy
  • Summarize the key components of the client session
  • Demonstrate skills necessary to complete the client session
  • Conduct a strengths assessment
  • Prepare a client for transition, regardless if linked to care or not
  • Debrief after a medical appointment 

Target Audience

This training is intended for individuals who will be responsible for conducting the ARTAS sessions with clients, (i.e., Linkage Coordinator). Linkage Coordinators should have experience providing case management or social services. Ideally, participants should include experienced case managers, social workers, and/or HIV test counselors.


CLEAR LogoCourse Description

CLEAR: Choosing Life: Empowerment! Action! Results! is an evidence-based, health promotion intervention for males and females ages 16 and older with HIV. CLEAR is a client-centered program delivered one-on-one using cognitive behavioral techniques to change behavior. CLEAR enables prevention counselors to individually tailor the intervention to address the unique needs of each client and provides clients with the skills necessary to be able to make healthy choices for their lives.

Course Objectives

  • Describe the goals of CLEAR
  • Describe and demonstrate the application of CLEAR core elements
  • Demonstrate specific skills, techniques and tips relevant to implementing CLEAR

Target Audience

The intended audience for this course includes staff from community-based organizations, health departments, clinics, and other agencies serving people living with HIV. Because CLEAR is an intensive one-on-one intervention, counselors who implement CLEAR must have excellent client-centered counseling skills. It is recommended that CLEAR be implemented by counselors with a clinical background (i.e. by counselors who receive structured training from licensed clinicians in counseling). At the very least, CLEAR counselors must have access to clinical supervision.


CONNECT HIP LogoCourse Description

ConnectHIP is a three-session, relationship-based intervention that teaches couples techniques and skills to enhance the quality of their relationship, communication, and shared commitment to safer behaviors. Testing for HIV/STDs and medication adherence within a continuum of care are part of the ConnectHIP intervention.

Course Objectives

By the end of the training, participants will be able to:

  • Describe the logical flow of ConnectHIP and its objectives.
  • Describe the six Core Elements of ConnectHIP and their connection to HIV/sexually transmitted infection (STI) prevention MSM – especially African-American MSM, transgender, heterosexual and HIV discordant couples.
  • Identify at least three techniques that are useful in facilitating a couples-based intervention particular to vulnerabilities of African-American MSM, transgender, and heterosexual couples.
  • Identify the importance of cultural competency in facilitating with African-American MSM, transgender, and heterosexual couples.
  • Demonstrate ability to facilitate the Speaker/Listener Technique.
  • Demonstrate ability to use instructional materials from the package to address bio-behavioral strategies (e.g., pre-exposure prophylaxis (PrEP), antiretroviral therapy (ART) adherence, and condom use) with diverse couples.
  • Identify strategies to recruit and retain participants, with an emphasis on African-American MSM couples.
  • Identify at least two ways in which ConnectHIP facilitators participate in ConnectHIP process monitoring and evaluation.

Target Audience

This training is intended for couples who had been in a relationship for at least 6 months and were committed to remaining in the relationship for the next year. The couples also met additional criteria for being at high risk for sexual transmission of HIV due to their own or their partner’s suspected risk behaviors (e.g., sex outside of the relationship, or injecting drug use).

Fundamentals of Motivational Interviewing for HIV

MI final 02Course Description

Motivational interviewing is an incredibly versatile skill set which can be used to assist clients throughout their challenges with behavioral change. This synchronous virtual course on Motivational Interviewing (MI) will introduce learners to the foundational content and skills of MI. During this multisession course we’ll describe Motivational Interviewing, explore its effectiveness, and review all the elements and skills necessary to utilize MI. This course will be divided into four 90-minute sessions, presented over two days, that will provide learners with the opportunity to practice the fundamental skills necessary for applying MI in their client interactions. 

This ZOOM based - live course will utilize a variety of adult learning methodologies inclusive of lectures, group discussions, video forum and role plays.

Course Objectives

At the end of this course participants will be able to:

  • Discuss how MI helps support your clients 
  • Describe at least two ways that MI’s effectiveness has been applied in HIV Prevention and care 
  • List the four elements of MI  
  • Demonstrate the ability to apply the four elements of MI  

Training Audience

The Fundamentals of Motivational Interviewing for HIV course is designed to provide foundational information and tools for providers new to MI who wish to develop their understanding of Motivational Interviewing to improve their client provider relationships. 

The recommended training audience includes staff from: 

  • Community-based organizations  
  • Health departments 
  • Health care organizations implementing HIV programs and services 

Healthy Relationships

Healthy Relationships LogoCourse Description

Healthy Relationships is a five-session, small group intervention for men and women living with HIV/AIDS. It is based on Social Cognitive Theory and focuses on developing skills and building self- efficacy and positive expectations about new behaviors through modeling behaviors and practicing new skills. Decision-making and problem-solving skills are developed to enable participants to make informed and safe decisions about disclosure and behavior. The sessions create a context where people can interact, examine their risks, develop skills to reduce their risks, and receive feedback from others.

Course Objectives

  • Describe the five Core Elements of Healthy Relationships
  • Identify at least five skills needed to successfully facilitate small group-level interventions
  • Identify the components of each of the five sessions and their purpose
  • Identify the process for selecting culturally appropriate movie clips and educational videos for use in Healthy Relationships' sessions 
  • Identify the Five Coping Skills used throughout Healthy Relationships
  • Demonstrate skills in performing the four-step process for facilitating the clips
  • Identify at least three data sources in conducting each of the following: Formative evaluation, process monitoring, and process evaluation 

Target Audience 

​This training is intended for skilled counselor/mental health professional facilitators from various backgrounds and education, and peer facilitators. 

HIV Navigation Services (HNS)

Course Descriptionfinal HNS 03 02

The HIV Navigation Services (HNS) course is designed to improve navigation skills for those delivering prevention services to people living with HIV and high-risk HIV-negative individuals. This comprehensive course package is for service providers who want to know more about navigation skills, how navigation fits in the overall field of HIV prevention, structural components of a navigation program, and professional conduct.

Course Objectives

By the end of this training, participants will be able to:

  • Explain how navigation services support at-risk populations (persons living with HIV and high-risk negative people) obtain better health outcomes
  • Name the component of the HIV navigation services protocol
  • Describe how navigators work as part of a professional team to support a client through the HIV Care continuum
  • Identify the required core competencies and knowledge of HNS
  • Apply the skills and knowledge of HNS
  • List key areas of need for professional development of navigators
  • Identify next steps to enhance organizational capacity
  • Describe how quality assurance components support clients, navigators and agencies

Target Audience 

The recommended training audience includes staff from:

  • Community-based organizations
  • Health Departments
  • Health care organizations implementing HIV programs and services
  • General navigation programs that seek to incorporate HIV navigation services as an additional component to their existing navigation services

HIV Testing in Non-Clinical Settings

HIV Nonclinical LogoCourse Description

HIV Testing in Nonclinical Settings is CDC’s latest HIV testing training for nonclinical settings. This training reflects scientific advances and evidence informed updates as expressed in CDC’s guidance: Implementing HIV Testing in Nonclinical Settings: A Guide For HIV Testing Providers (2016). Key influences on this curriculum have been shifts in HIV prevention, care, and treatment that have occurred since the Fundamentals of HIV Prevention Counseling training, and the policies that followed. This training has a streamlined Six-Step Protocol with greater emphasis on serostatus specific referrals and active linkage. A person’s current circumstances are explored, with less extensive pre- and post-test counseling.

Course Objectives

  • Utilize communication techniques to successfully build raport with clients
  • Understand the window period and communicate retesting messages
  • Deliver the HIV rapid testing Six-Step Protocol to individuals in nonclinical settings
  • Improve the ability to link clients who are living with, or at high risk for HIV, into care and prevention services 

Target Audience

This training is intended for who plan to provide HIV testing in nonclinical settings or program managers who will be overseeing HIV test providers. Participants should have a basic understanding of HIV transmission and individual HIV testing.

HIV Testing in Retail Pharmacies

HIV Testing Retail Pharm LogoCourse Description

CDC encourages HIV testing in pharmacies as a promising model to reach previously undiagnosed persons living with HIV. Through its partnership with Denver Prevention Training Center (PTC), CDC has developed a new curriculum to train pharmacists, pharmacy technicians, nurses, doctors, and pharmacy retail/clerical staff.

Course Objectives

  • Describe the National HIV/AIDS Strategy. 
  • List populations disproportionately impacted by HIV.
  • Summarize the importance of post- and pre-exposure prophylaxis as HIV prevention options.
  • Describe CDC’s HIV testing recommendations for adults and adolescents.
  • Apply the six steps of an HIV testing session.
  • List steps to perform, read, and interpret rapid HIV test results.
  • Describe implementation models and lessons learned from retail pharmacies providing rapid HIV testing. 

Target Audience

This training is intended for pharmacists, pharmacy technicians, nurses, doctors, and pharmacy retail/clerical staff.

Implementing PrEP in your Clinic: A Course for Decision Makers

Final Implementing PrEP final logo 01Course Description

This course provides information, key resources, implementation plan development activities, uses peer-support and learning methods to enhance the knowledge, intention, and sense of confidence, and abilities of clinic administrators to implement PrEP.  The information content of the course is centered around a PrEP Organizational Readiness Assessment Tool (Assessment Tool). The PrEP Organization Readiness Assessment Tool is based on PrEP best practices and implementation recommendations from several sources including the Department of Health and Human Services,6 the New York State Department of Health AIDS Institute,7 the Sexuality Information and Education Council of the United States (SIECUS),8 and others. The tool asks several key questions about the organization’s capacity to deliver key elements of PrEP services. The key questions are organized in sections asking about PrEP and Your Clinic; PrEP and the Community We Serve; Cultural Competence and PrEP services; PrEP-Related Policies; and Financial Considerations for PrEP Services.  

Course Objectives

By the end of this training, participants will be able to do the following:  

  • Identify the benefits and barriers to PrEP implementation  
  • Understand clinical or administrative structures or policies that will support successful implementation of PrEP services 
  • Identify how their PrEP services might affect HIV in their local community 
  • Understand the importance of cultural competence as part of PrEP Services 
  • Assess their organization’s readiness to implement PrEP services across several factors: community, cultural competence, prep-related policies, and financial considerations 
  • Identify challenges and solutions to PrEP implementation 
  • Utilize a readiness assessment tool to organize the planning, preparation, initiation, and evaluation of PrEP services 
  • Identify available resources that will support implementation of PrEP in clinical settings 
  • Demonstrate preparing a preliminary PrEP implementation plan that includes 3 implementation objectives with specific action steps, staff responsibilities, and timeframes 

Many Men Many Voices (3MV)

3MV LogoCourse Description

Many Men, Many Voices (3MV) is a 7-session, group level intervention program to prevent HIV and sexually transmitted diseases (STDs) among black men who have sex with men (MSM) who may or may not identify themselves as gay. The intervention addresses factors that influence the behavior of black MSM: cultural, social, and religious norms; interactions between HIV and other STDs; sexual relationship dynamics; and the social influences that racism and homophobia have on HIV risk behaviors.

Course Objectives

  • Enhance self-esteem related to racial identity and sexual behavior.
  • Educate clients about HIV risk and sensitize to personal risk.
  • Educate clients about interactions between HIV and other sexually transmitted diseases and sensitize to personal risk.
  • Develop risk-reduction strategies.
  • Build a menu of behavioral options for HIV and other STD risk reduction, including those that one can act on individually and those that require partner involvement.
  • Train in risk-reduction behavioral skills.
  • Enhance self-efficacy related to behavioral skills.
  • Train in partner communication and negotiation.
  • Provide social support and relapse prevention.

Target Audience

The 3MV intervention targets gay men of color. The intervention also targets men on the ‘down low’ with or without female partners (i.e., men of color who have sex with other men but do not identify as gay or bisexual).


Mpowerment LogoCourse Description

The Mpowerment Project was developed for young gay and bisexual men (YGBSMSM) of diverse backgrounds ages 18-29. It focuses on increasing HIV testing; decreasing sexual risk behavior among HIV-positive (i.e., prevention with positives), HIV-negative, and YGBMSM who do not know their HIV-status; and distributing condoms and lubricant.

Course Objectives

  • The intervention aims to reduce sexual risk taking.
  • The intervention encourages regular HIV testing.
  • The intervention builds positive social connections.
  • The intervention supports peers to have safer sex.

Target Audience

The Mpowerment project targets YGBMSM (ages 18-29).

Partnership for Health - Safer Sex

Course Description

Partnership for Health (PfH) uses message framing, repetition, and reinforcement during patient visits to increase HIV positive patients’ knowledge, skills, and motivations to practice safer sex. The program is designed to improve patientprovider communication about safer sex, disclosure of HIV serostatus, and HIV prevention. Implementation of PfH includes development of clinic and staff “buy-in” and training.

Course Objectives

  • Describe the purpose and goals of the Partnership for Health intervention.
  • Describe the 5 components of behavior change as presented in Partnership for Health.
  • Describe how patients and providers work together as a team to reduce risk behaviors.
  • List 3 characteristics of effective communication skills.
  • Explain the difference between consequence (loss) and advantage (gain) framed messages.
  • Initiate a discussion of HIV risk behaviors.
  • Elicit the patient’s perspective, using appropriate communication skills.
  • Construct loss and gain framed messages.
  • Deliver framed message appropriate for HIV+ patient’s risk behavior and disclosure status.
  • Facilitate setting the behavioral goal with your patient around reducing HIV/STD risks or disclosure.                                                                                                      

Personalized Cognitive Counseling (PCC)

PCC LogoCourse Description

Personalized Cognitive Counseling (PCC) is an intervention designed to reduce sexual risk behaviors among men who have sex with men (MSM) who are repeat testers for HIV. It encourages clients to identify thoughts & feelings during a recent episode of condomless anal intercourse (CAI) in order to reduce risk in future situations.

Course Objectives

  • Explain the background, rationale, and story behind PCC, including its recent adaptation for episodic substance use.
  • List the steps and core components of PCC and explain how each one is tied to intervention outcomes.
  • Define terminology used in PCC, e.g., self-justification, online thinking, offline thinking.
  • Learn how to determine a client’s eligibility for PCC.
  • Help a client draw out a recent episode of condomless anal intercourse (CAI) and, using the Checklist of Thoughts, identify self-justifications used during this episode.
  • Support clients in their plans for handling future situations and make appropriate referrals for PrEP and substance abuse treatment.
  • Understand how to implement PCC in clinical settings including integrating alongside existing HIV testing protocols.

Target Audience

The primary intended audience for this course is individuals experienced in HIV counseling and testing from community-based organizations, HIV/AIDS service agencies, and health departments with existing HIV testing programs. Prerequisites for participation in the training include at least one year of experience conducting HIV-related testing and education.

Popular Opinion Leader (POL)

POL LogoCourse Description

Popular Opinion Leader (POL) is a community-level intervention that involves identifying, enlisting, and training key opinion leaders to encourage safer sexual norms and behaviors within their social networks through risk-reduction conversations.

Course Objectives

  • Explain the POL background
  • Explain the components of formative work for POL
  • State the POL intervention planning stages
  • Demonstrate the skills required to conduct the POL facilitation sessions
  • Identify sources of technical assistance for POL implementation

Target Audience

This course is designed for people who are preparing (or considering) to implement the POL intervention in their own communities, or those individuals who might be tasked with overseeing, evaluating, or providing guidance or assistance to any such implementation.

Project START+

Project START LogoCourse Description

Project START is an individual-level, multisession intervention for people being released from a correctional facility and returning to the community. It is based on the conceptual framework of Incremental Risk Reduction, and focuses on increasing clients' awareness of their HIV, STI, and Hepatitis risk behaviors after release and providing them with tools and resources to reduce their risk.

Course Objectives

  • List the nine core elements of Project START+ (PS+).
  • Describe the flow of PS+ activities and its objectives.
  • Identify the components of each of the six program sessions and their purpose.
  • Describe the challenges of working within a correctional setting and identify strategies for addressing challenges.
  • Identify strategies to recruit and retain participants.
  • Identify and demonstrate critical skill areas needed to successfully facilitate PS+ sessions.

Target Audience

Project START is for any individual who is being released from a correctional facility back into the community.


PROMISE LogoCourse Description

Community PROMISE is an effective, community-level HIV/STD prevention intervention that relies on role model stories and peer advocates from social networks (e.g. peers from clinic or community) to reduce HIV risk behaviors and increase engagement related to the HIV continuum of care. The intervention is based on behavioral theories including Stages of Change. PROMISE begins with a community identification process to collect and analyze information about the risk networks, sex and drug risk behaviors, indicators related to the HIV continuum of care, and identification of determinants of risk. This helps agencies identify and intervene with the intervention populations and appropriately tailor the intervention to specific network needs. Members of the intervention population who have made positive behavior change and/or engage in HIV care including adherence to medication are interviewed and role models stories are written based upon the interviews. The stories are personal accounts about how and why they took steps to reduce risk and engage in HIV care and being adherent to medication and the resulting positive effects on their lives. Peer advocates from the intervention population are recruited and trained to distribute the role model stories and prevention materials within their social networks. New role model stories are written based on continuous formative research that reflects behavior change within the target population.

Course Objectives

  • Describe the four core elements of Community PROMISE.
  • Apply the knowledge and skills to conduct a community identification (CID) process.
  • Explain how to write a CID report.
  • Use stages of change data from the intervention population interview to plan appropriate role model interviews and stories.
  • Explain the origin, purpose, and components of role model stories.
  • Conduct a role model story interview.
  • Write a role model story.
  • Describe the process for designing a role model story publication.
  • Plan for the recruitment, training, and retention of peer advocates.
  • Describe how to engage in the ongoing evaluation of Community PROMISE.
  • Describe how PROMISE is High-Impact Prevention (HIP)-compliant.
  • Demonstrate knowledge about implementing PROMISE with people living with HIV (PLWH) in a clinical setting, and implementing pre-exposure prophylaxis (PrEP) with high-risk negatives (HRN).

Sin Buscar Excusas/No Excuses (SBE)

Sin Buscar LogoCourse Description

Sin Buscar Excusas/No Excuses is a singlesession, small-group, video-based behavioral intervention that aims to increase sexual safety and HIV testing and care among Hispanic/Latino gay, bisexual, and other men who have sex with men (MSM). Sexual safety includes having fewer partners, using condoms consistently, engaging in less risky sexual behaviors, using pre-exposure prophylaxis (PREP) or postexposure prophylaxis (PEP) as needed, and communicating with one’s partner about monogamy or HIV status. Sin Buscar Excusas/No Excuses can be implemented in various settings, including clinics and community agencies. Group sessions last approximately 60 minutes and include three core elements.

Course Objectives

  • Describe the Sin Buscar Excusas/No Excuses intervention.
  • Describe the definition of “Sexual Safety.”
  • Describe the core elements of Sin Buscar Excusas/No Excuses.
  • Describe the key characteristics of Sin Buscar Excusas/No Excuses.
  • Describe the theory behind Sin Buscar Excusas/No Excuses.
  • Define the HIP approach that is integrated into Sin Buscar Excusas/No Excuses.
  • Describe the program’s effectiveness and benefits of using the program.

Target Audience

The Sin Buscar Excusas/No Excuses intervention targets Hispanic/Latino gay and bisexual men and other MSM who are 18 years and older.

Sister to Sister

Sister to Sister LogoCourse Description

Sister to Sister is a brief (30-45 minute), one-on-one, skills-based HIV and sexually transmitted disease (STD) risk-reduction behavioral intervention that is delivered during the course of a routine medical visit by a female health care provider. The purpose of Sister to Sister is to:

  • provide intensive, culturally sensitive health information to empower and educate women

  • help women understand the various behaviors that put them at risk for HIV and other STDs

  • enhance women’s knowledge, beliefs, confidence and skills to help reduce their risk for STDs, especially HIV

The intervention is highly structured and implemented in a primary health care setting by nurses, health educators, or other professional clinic staff using a scripted teaching guide. It is educational, engaging, and gender-appropriate and uses videos, brainstorming, demonstrations, and skills-building activities. It is designed to be easily integrated into the health care provider’s standard clinical practice. As such, Sister to Sister is an effective tool for addressing the needs of both patients and providers in primary health care settings.

Course Objectives

  • Explain the theoretical framework of the curriculum and how it is applied to the intervention activities
  • Describe the science behind the curriculum
  • Describe the teaching methods used in the curriculum
  • Effectively model skills and confidence to teach the curriculum with fidelity in a caring and non-judgmental manner
  • Help women make proud and responsible decisions to respect and protect themselves because they feel they are worth it

Target Audience

Originally designed for African American women, Sister to Sister is for high-risk sexually active women 18-45 years old who have male partners and are attending primary health care clinics.

Social Network Strategy (SNS)

SNS LogoCourse Description

Social Network Strategy (SNS) for HIV Testing Recruitment is an evidence supported approach to engaging and motivating a person to accept a service. SNS is particularly useful to recruit persons at risk for HIV into testing.

Course Objectives

  • Describe the Social Network Strategy
  • Describe the four phrases of the Social Network Strategy
  • Draw a Social Network diagram 
  • Demonstrate the use of program data for program monitoring
  • Describe the steps to develop a plan for integrating Social Network Strategy into an existing program 

Target Audience 

This 2-day training is designed for participants considering using Social Network Strategy for HIV Testing Recruitment at their agency or organization. 

Stay Connected

Stay Connected LogoCourse Description

The Stay Connected intervention is a comprehensive evidence-based behavioral intervention designed to increase retention in care for people with HIV (PWH). Retention in HIV medical care is defined as having two or more visits at least 3 months apart during a given year. This intervention requires all members of the healthcare team to deliver brief, positive, welcoming messages to all patients at the clinic. Clinical care staff (primary care providers and clinical support staff) deliver encouraging health messages to patients about the importance of staying in care. The intervention also designates a Retention Specialist to meet with patients experiencing barriers to keeping their appointments. The Retention Specialist focuses on establishing a relationship with patients through three (3) face-to-face sessions at the clinic and phone calls in between appointments and serving as a bridge between the patients and the healthcare providers. The intervention has designated an Administrator/Champion, Clinical Supervisor/Champion, and Intervention Coordinator to support the implementation of Stay Connected.

The Stay Connected intervention supports the National HIV/AIDS Strategy (NHAS), which is an ambitious plan to reduce new HIV infections, increase access to care, improve the lives of those with HIV, and reduce HIV-related health disparities. Stay Connected increases the likelihood that patients will engage in care and we know that once engaged in care, 93% of patients are prescribed antiretroviral therapy (ART). ART can help people with HIV live healthier, longer lives, and has been shown to reduce sexual transmission of HIV by 96%. Eighty-one percent of patients prescribed ART become virally suppressed, which helps patients live healthy, longer lives and greatly reduces their chances of passing HIV on to others.

Course Objectives

By the end of the training, Clinic Staff will be able to:
  •  Identify the goals of Stay Connected
  • Describe the findings of the Stay Connected study and its impact on patient retention
  • Explain the roles that clinic staff have in retaining patients in care
  • Identify role-specific Stay Connected messages

By the end of the training, the Retention Specialist will be able to:
  • Explain the importance of retaining PWH in care 
  • Describe components of the Stay Connected intervention 
  • Explain the role of the Retention Specialist  
  • Apply MI and strengths-based communication to build a trusting relationship with patients 
  • Utilize change talk and sustain talk communication to address ambivalence in behavior change 
  • Discuss key implementation aspects of Stay Connected which involve Retention Specialists 

Testing Together

Testing Together LogoCourse Description

Testing Together (TT) occurs when two or more persons who are in—or are planning to be in—a sexual relationship receive all elements of HIV testing and counseling together. This includes HIV prevention counseling, receipt of test results, and linkage to follow-up services. TT has been used as an HIV testing strategy in Africa for more than 20 years and has improved HIV prevention outcomes on the continent. This approach is aligned with the goals of the National HIV/AIDS Strategy and High Impact Prevention, and has the potential to contribute to reduced HIV incidence in the United States.

Course Objectives

  • Deliver test results to concordant HIV-negative couples
  • Provide key HIV prevention messages to concordant HIV-negative couples
  • Link concordant HIV-negative couples with appropriate follow-up services

Target Audience

TT services may be offered to any two or more persons in a sexual relationship—or planning to have a sexual relationship—who wish to be tested together. Because TT will have greater impact in geographic areas and among populations with high HIV prevalence, it may be most appropriate in high burden areas and urban centers, and specifically for men who have sex with men (MSM) and other high-risk couples.


TWIST LogoCourse Description

Transgender Women Involved in Strategies for Transformation (TWIST) is a peer-led small group-level intervention for transgender women living with HIV aged 18–and older of any race or ethnicity. The intervention reflects the lived experiences of transgender women, and includes their resilience and reclamation in the face of social marginalization. As an adaptation of the WILLOW (Women Involved in Life Learning from Other Women) intervention, TWIST is delivered in four 4-hour sessions to groups of 8–10 transgender women. The intervention emphasizes gender affirmation, informs transgender women how to identify and maintain supportive social networks, teaches coping strategies to reduce life stressors, enhances awareness of HIV transmission risk behaviors, teaches communication skills for negotiating safer sex, reinforces proper and consistent condom use, distinguishes between healthy and unhealthy relationships, and defines types of abusive relationships and their effect on a transgender woman’s ability to negotiate safer sex practices. The TWIST intervention is not designed to be a “counseling” or “service provision” program for transgender women living with HIV. Rather, it is designed to provide transgender women with information, skills, and strategies to encourage a lifelong commitment to HIV care, treatment, medication adherence, and living well with HIV.

Course Objectives

  • Use the TWIST HIP intervention package to implement the TWIST HIP intervention with fidelity
  • Use effective communication skills, facilitation skills, and teaching strategies during implementation
  • Enhance knowledge about cultural competency and cultural humility to support the of TWIST implementation with TWLWH
  • Ensure readiness to implement TWIST upon return to the home agency


WILLOW LogoCourse Description

The WILLOW intervention is a small group, socialskills building, and educational intervention for adult women living with HIV. It consists of four 4-hour sessions which are delivered by two trained adult female facilitators, one of whom is a woman living with HIV. The groups consist of 8-10 HIVpositive women and are conducted in a communitybased setting. An adaptation of the SISTA intervention, the goal of WILLOW is to reduce sexually transmitted diseases (STDs) and HIV transmission risk behaviors among women living with HIV and AIDS by fostering self and gender pride, social support, increased HIV and STD knowledge and self-efficacy for relationship management, safer sex practices and attitudes, and stress management and reduction. WILLOW has been expanded with the HIP goal to encourage a lifelong commitment for HIV care, treatment, medication adherence, and living well with the disease.

Course Objectives

  • Describe the TOF course goals, objectives and expectations.
  • Convey the contents of the WILLOW HIP intervention package.
  • Identify the TOF course and intervention materials.
  • Explain the purpose, core elements, and key characteristics of the WILLOW HIP intervention
  • Use the instructional terms in the WILLOW HIP Facilitator’s Guide to follow the steps and procedures for delivering the intervention.

Target Audience

WILLOW is designed for heterosexual women of any race or ethnicity living with HIV or AIDS, who are 18 years or older and who have known their HIV serostatus for at least six months.

This publication was made possible by cooperative agreement PS19-1904 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.