Program Operations Guidelines for STD Prevention

1 Program Operations Guidelines for STD Prevention Partner Services

2 Table of Contents FOREWARD iii INTRODUCTION iv Program Operations Guidelines Workgroup Members vi Partner Services Subgroup Members vii Partner Services Internal/External Reviewers vii INTRODUCTION PS-1 Shared Principles PS-1 Overview PS-2 Legal Authority PS-3 Case Management PS-3 Resource Requirements PS-3 Safety PS-4 Confidentiality PS-4 PARTNER SERVICES PS-5 Patient Types PS-5 Volunteers and Index Patients PS-5 Partners to the Index Patient PS-6 Index Patients Referred by Other Providers PS-7 Presumptive Interviews PS-7 Pre-interview Activities PS-7 Setting Priorities PS-7

3 Interview Periods PS-8 The Interview Setting PS-8 Pre-interview Analysis (patient assessment) PS-9 Types of Interviews and Their Objectives PS-9 Original Interview PS-10 Reinterview PS-10 The Cluster Interview PS-11 Other Important Interview Concepts PS-11 Motivational Techniques to Encourage Voluntary Disclosure PS-11 Client-centered Approach to Risk Reduction PS-12 Referrals PS-12 Post-interview Activities PS-13 Documentation PS-13 Partner Services i

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6 Analysis of Case Information and Problem Solving PS-14 Prioritization of Partners, Suspects, and Associates PS-14 Obtaining Further Information PS-14 Using Information Obtained From the Interview to Identify Possible Outbreak Situations PS-15 Lot System: A Case Management Tool PS-15 Lot System Forms PS-15 Partner Notification Strategies PS-16 Provider Referral PS-16 Self (Patient) Referral PS-16 Contract Referral PS-17 Evidence Supporting Partner Notification PS-18 Other Important Concepts About Partner Notification PS-18 Encouraging the Partner to Seek Medical Treatment PS-18 Follow-up to Ensure Notification Is Received and Understood PS-18 Ensuring That the Partner Has Access to Health Care PS-18 Diagnostic Assessment of Partners in the Field PS-19 Case Closure PS-20 SPECIAL CONSIDERATIONS PS-20 Collaborating With Other Service Providers PS-20 Interstate Transmission of STD Intervention

7 Information PS-20 Suggested Strategies for Patients With Repeat Infections PS-20 EVALUATION AND QUALITY ASSURANCE PS-20 Case Management PS-20 Components of Case Management Quality Assurance PS-21 Using Information Gathered to Describe and ReachTarget Populations PS-21 Measures for Evaluating Program Effectiveness PS-22 COMMUNITY-BASED OUTREACH PS-23 Overview of Interventions PS-24 Social Network Analysis PS-24 Targeted Screening and Field Testing PS-26 Community Outreach PS-27 STD Clinic Outreach PS-28 Appendix PS-A Interview Periods by Disease PS-29 Appendix PS-B Original Interview Format PS-30 Appendix PS-C Reinterview Format PS-32 Appendix PS-D Cluster Interview Format PS-33 Appendix PS-E Lot System Forms PS-35 Appendix PS-F Field Investigations PS-46 Appendix PS-G Interstate Transmission of STD Intervention Information PS-49 Appendix PS-H Skills Inventory PS-53 Appendix PS-I Evaluation Tables PS-62 Appendix PS-J Glossary of Terms Associated With Partner Services PS-63 Appendix PS-K Tools for Network Analysis

8 PS-66 References PS-68 Program Operations Guidelines for STD Prevention ii Foreword The development of the comprehensive STD Prevention Systems (CSPS) Program announcement marked a major milestone in the efforts of CDC to implement the recommendations of the Institute of Medicine report, The Hidden Epidemic, Con fronting Sexually Transmitted Diseases, 1997. With the publication of these STD Program Operations Guidelines , CDC is providing STD programs with the guid ance to further develop the essential functions of the CSPS. Each chapter of the Guidelines corresponds to an essential function of the CSPS announcement.

9 This chapter on partner services is one of nine. With many STDs, such as syphilis, on a downward trend, now is the time to employ new strategies and new ways of looking at STD control. Included in these Guidelines are chapters that cover areas new to many STD programs , such as com munity and individual behavior change, and new initiatives, such as syphilis elimi nation. Each STD pro