- The Clinical Education Initiative
- HIV/STI/Viral Hepatitis Training Services
- People Living with HIV/AIDS Leadership Training Institute
- New York State STD/HIV Prevention Training Center
- STD Center for Execllence
The Clinical Education Initiative (CEI) is designed to meet the educational needs of community providers caring for patients with HIV, STI’s and Hepatitis C. The goal of the initiative is to increase access to quality HIV care in New York State by providing progressive education to clinicians and supporting the networks of care for patients with HIV, STIs and Hepatitis C. CEI collaborates with the NY/NJ AIDS Education and Training Center (AETC), Physicians Research Network (PRN) and other educational organizations in order to maximize local resources and reach providers throughout New York State with an emphasis on keeping pace with advances in science, policy, program development and emerging strategies to improve health outcomes.
CEI has six Centers of Excellence to focus on content areas that have been identified as public health priorities:
Post-Exposure Prophylaxis (PEP), Testing and Diagnosis
The PEP, Testing and Diagnosis Center targets emergency room and urgent care providers to increase screening for HIV, STI and Hep C, identify acute HIV infection, and implement post-exposure prophylaxis. This center also supports a 24-hour, toll-free provider hotline for consultation on PEP
Prevention and Substance Use
The Prevention and Substance Use Center offers trainings for primary care providers in addressing prevention for positives and substance use through increased screening, risk assessments, and behavioral counseling.
The Mental Health Center trains primary care providers in the identification and management of mental health issues most commonly encountered by providers.
Clinical Education for Upstate Providers
The Upstate Center provides general HIV clinical education, including STI and Hep C, for clinical providers in Upstate New York. The Center also operates the CEI-Line, a 24-hour toll-free consultative support phone line for practitioners to discuss case-based HIV clinical care with an HIV specialist (1.866.637.2342).
The Technology Center offers on-line clinical education materials, including webcasts, podcasts, self-assessment tools and clinical education activities at www.ceitraining.org.
Resource, Referral and Evaluation Center
The Resource, Referral and Evaluation Center has been designed to be the centralized resource for HIV education and training in NYS and to assist HIV programs to develop educational plans for their staff. This center is planned to conduct the CEI program evaluation and each Center’s educational activities.
Deputy Director, Clinical Education
Office of the Medical Director
Non-physician health and human services providers require ongoing training to provide effective HIV, sexually transmitted infection (STI) and viral hepatitis prevention, screening, care and support services. HIV Education and Training Programs, within the AIDS Institute's Office of the Medical Director, implements three distinct training initiatives to meet these needs. Overall, these initiatives offer approximately 450 training events annually in more than 30 different training courses. These programs reach approximately 8,000 health and human services providers each year. Emphasis is placed on keeping pace with advances in science, policy, program development and emerging strategies to improve health outcomes. A growing number of trainings are available via webinar and other on-line formats. The latest HIV/STI/viral hepatitis training information is always available at: www.hivtrainingny.org
Specific training initiatives include:
- Regional Training Centers;
- Centers of Expertise; and
- National Viral Hepatitis Technical Assistance Center
Regional Training Centers
Regional Training Centers in each area of the state offer a variety of trainings on HIV, STIs, and viral hepatitis that cover core prevention, testing and health care topics that include: HIV testing; integrated HIV/HCV rapid screening; HIV/HCV co-infection; case management; critical social issues related to HIV, STIs and viral hepatitis; harm reduction; cultural competency and informational updates. Based on regional demand and on-going needs assessments, training centers offer courses from a menu of more than 20 different trainings. Each training center regularly offers job-specific training for staff that serve as outreach workers, disease prevention specialists, case managers, social workers and other health and human service providers. Regional training centers are uniquely poised to provide training about new state regulations that affect HIV, STIs, and viral hepatitis services. New courses are continually being added to the menu. Some recent course additions include: "Introduction to HIV, STIs, and Viral Hepatitis" and "Integrated HIV/HCV Screening."
Centers of Expertise
In an effort to ensure the availability of advanced, state-of-the-art training in certain specialized topic areas, the AIDS Institute has established the following training Centers of Expertise:
- HIV/AIDS Case Management;
- Aging and HIV, STIs, and Viral Hepatitis;
- Managing Patients with Co-Occurring Disorders of Substance Use and Mental Health;
- Sexual Health and Gender Identity; and
- Legal Training and Technical Assistance
Each Center of Expertise is responsible for offering trainings across the state. Centers of Expertise possess demonstrated knowledge and experience in a specific topic area. They are charged with translating the latest findings in research and practice into skills-building trainings to further the capacity of health and human services providers to deliver prevention, screening, care and support services to persons living with or at risk for HIV, STIs, and/or viral hepatitis.
Centers of Expertise in HIV/AIDS Case Management
The Centers of Expertise in HIV/AIDS Case Management provide training to staff who come from a variety of different case management settings, including community based programs and Health Homes. These trainings are intended to assist providers with securing and coordinating services which address the psychosocial and health care needs of HIV-infected clients, with an emphasis on removing barriers that prevent receipt of regular HIV primary care and adherence to treatment. A large array of training topics are offered, including but not limited to: Advanced HIV Case Management Service Planning; Interdisciplinary Case Conferencing; Supervision and Leadership; Boundaries and Counter-transference; Managing Chronic Illness; and Navigating Services through Non-Traditional Streams.
Center of Expertise in Aging and HIV, STIs, and Viral Hepatitis
Medications have dramatically lengthened and improved the quality of life for people living with HIV. However, these individuals continue to face the challenge of lifelong antiretroviral therapy and other health issues associated with aging. In addition, lack of knowledge or the stigma still associated with HIV, STIs and viral hepatitis keeps many older adults from learning their status or seeking treatment. The Center of Expertise in Aging and HIV, STIs, and Viral Hepatitis ensures that non-clinical providers have increased capacity to deliver health promotion and maintenance interventions for sexually active but uninformed or misinformed seniors and for older adults living with HIV, STIs, and viral hepatitis.
Center of Expertise in Managing Pattients with Co-Occurring Disorders of Substance Use, Mental Health and Trauma
The Center of Expertise in Managing Patients with Co-Occurring Disorders works with the AIDS Institute to develop trainings that address the complex issues facing individuals with co-occurring substance use, mental health and trauma disorders. The National Development and Research Institutes is responsible for developing informative, skills building trainings to assist health and human service providers working in HIV, STIs, and viral hepatitis services in their efforts to deliver prevention, testing, referral to care, partner services, case management and related support services to individuals with these co-occurring disorders.
Center of Expertise in Sexual Health and Gender Identity
The Center of Expertise in Sexual Health and Gender Identity is responsible for designing and delivering trainings on sexual health throughout the human life cycle focused on the prevention of HIV, STIs, viral hepatitis and unplanned pregnancy. The Hetrick-Martin Institute works with the AIDS Institute to ensure that trainings address key social issues that affect sexual health, sexuality, and gender identity including cultural and gender-based norms, sexual trauma and violence, discrimination and stigmatization, racism, poverty and youth development.
Center of Expertise in Legal Training & Technical Assistance
Providers serving persons with HIV need to stay current with changes in regulations and interpretations relevant to HIV/AIDS laws and access to legal services. This Center of Expertise assists providers in navigating complex legal and practical issues raised by the HIV/AIDS epidemic. Legal Action Center is responsible for providing training and technical assistance on HIV confidentiality, agency confidentiality policies, discrimination and other legal issues.
National Viral Hepatitis Technical Assistance Center
The National Viral Hepatitis Technical Assistance (TA) Center is a comprehensive, multi-tiered initiative that provides CDC-funded Adult Viral Hepatitis Prevention Coordinators (AVHPCs) working in 49 states and seven large city jurisdictions with training, technical assistance and resources to accomplish viral hepatitis prevention services. The Viral Hepatitis TA Center coordinates a variety of activities including orientation and training of newly hired AVHPCs; monthly technical assistance calls on recent developments, strategies and new opportunities in the field of viral hepatitis; support in strategic planning, development of program protocols, and implementation of guidelines; identification of existing research, training and educational resources in the field of viral hepatitis; and development of new curricula around viral hepatitis for non-clinical providers in a variety of work settings.
Richard Cotroneo, MA
Director, HIV Education and Training Programs
Office of the Medical Director
The People Living with HIV/AIDS (PLWHA) Leadership Training Institute (LTI) provides training, skills-building, motivation, and education to Adult and Young Adult PLWHA in the areas of HIV health care and health care advocacy to support the development of involved and effective HIV-positive community leaders. The goal of this project is to deliver the LTI’s multi-level patient self management health education and empowerment program that utilizes training and peer mentorship to improve access to, utilization of and retention in health care for PLWHA and to improve their health outcomes.
LTI Adult and Young Adult Patient Self Management Trainings
The LTI training entitled, “Self-management: Becoming Your Own Health Care Advocate,” is for Adult and Young Adult PLWHA who want to address concerns they have with their health care. Topics include the importance of staying in care; understanding lab values; opportunistic infection management and prevention; HIV medications, treatment adherence and drug resistance; nutrition, substance use and mental health; improving communication with health care providers; New York State standards of HIV care; HIV/AIDS and other health conditions and behaviors; transitioning from adolescent to adult HIV care; prevention with positives; dating and disclosure; working with a mentor; and consumer involvement in HIV quality management programs and quality improvement activities.
The training provides knowledge, skills and motivation necessary for participants to improve their understanding and management of their own HIV health care. Each LTI self-management participant who completes the training is matched with a peer mentor and expected to participate in program follow-up activities with mentors for six-months following completion of the initial 3-day training. Mentors coach participants on utilizing their knowledge and skills to access health care services, build strong relationships with health care providers, advocate for their own care needs and maintain adherence to treatment regimens. At the conclusion of the six-month mentoring period, graduates are encouraged to join client or patient advisory bodies or quality improvement teams/committees where they receive health care and/or supportive services.
Overall satisfaction with the training has been extremely positive, with more than 90 percent of individuals stating they were glad they participated in the training and they would recommend the training to a friend or colleague.
Mary Beth Vannucci
LTI Contract Manager
Office of Planning and Policy
(877) 874-0776 (toll-free)
The New York State STD/HIV Prevention Training Center (NYS PTC) is one of three STD/HIV Prevention Training Centers funded nationally by the Centers for Disease Control and Prevention (CDC) to provide Partner Services and Program Support Training. As part of the National Network of STD/HIV Prevention Training Centers (which also includes clinical and behavioral training centers), NYS PTC is dedicated to increasing the knowledge and skills of health and human services providers in the areas of sexual and reproductive health with an emphasis on STD/HIV prevention. NYS PTC has served in this capacity since 1995, and provides the extensive core partner services training required for Partner Services specialists working in health departments in New York State.
In addition to New York, NYS PTC’s coverage area includes 20 other CDC funded states/jurisdictions: Alabama, Connecticut, Delaware, District of Columbia, Florida, Georgia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, North Carolina, Pennsylvania, Rhode Island, South Carolina, Vermont, Virginia, West Virginia, Puerto Rico, and the U.S. Virgin Islands. Additional training is provided nationally.
Partner Services and Program Support Training is designed for staff members involved in STD/HIV testing, counseling, partner notification, and referral services, as well as for STD/HIV program managers. This includes federal, state and local public health professionals, as well as staff from community based organizations and other health care settings. Each offering is skill-centered, with an emphasis on prevention, and is taught by a professional trainer. Examples of core course offerings include:
- Introduction to Sexually Transmitted Disease Intervention (ISTDI)
- Fundamentals of Sexually Transmitted Disease Intervention (Fund of ISTDI)
- HIV Partner Counseling and Referral Services (PCRS)
- Using Social Networks: A Recruitment Strategy for Counseling, Testing and Referral (SNS)
- STD Program Management Training
- Chlamydia Partner Management for Family Planning Providers
- Partner Services and Referral for Health Care Professionals
- Training Operations to Promote Safety Around Field Encounters (TOPSAFE)
Project areas may also request training tailored to their local needs. NYS PTC is moving many of its courses to a blended learning format, combining eLearning and instructor-led training methodologies. This key collaboration with CDC and the other Part III PTCs will result in a national training curriculum (Passport to Partner Services) with tailored tracks by job role, to launch in 2012.
Sue Anne Payette
New York State STD/HIV Prevention Training Center
Division of Epidemiology, Evaluation and Research
Under the direction of the Bureau of STD Prevention and Epidemiology, the STD Center for Excellence provides a state-of-the-art, hands-on, clinical training program for the diagnosis, management and treatment of sexually transmitted diseases (STD). Clinical training programs are designed for a diverse group of health care professionals including physicians, physician’s assistants, nurses, nurse practitioners, medical students, medical technicians, and armed services medics. These health professionals are identified from the following disciplines: STD/HIV clinics, family planning, adolescent health, migrant health, women’s health centers, TB, prison health centers, primary care, managed care, military and school based clinics.
Sexually transmitted infections are the most common infectious diseases reported in New York, as well as nationally. If unrecognized or improperly treated, these infections may lead to complications such as cancer, pelvic inflammatory disease, infertility, and ectopic pregnancy, as well as infant and adult mortality. STDs are also a major factor in the spread of HIV infection, enhancing transmission rates by a factor of 3 to 8 times higher than those observed among persons without STD. Therefore, not only do these infections have a tremendous impact on quality of life and years of life lost, but also economically in terms of lost productivity and in cost to the health care system (estimated at over 15 billion dollars nationally).
On an annual basis, the STD Center for Excellence provides approximately twelve, 3-day clinical training courses that include didactic and clinical skills-based training interacting with patients. Through this training, the STD Center for Excellence reaches over 80 health care professionals and also provides clinical services to over 1,300 patients annually. In addition to the 3-day intensive clinical training course, STD Center for Excellence staff delivers STD clinical education seminars to both public health and health care professionals throughout NYS. Finally, the STD Center for Excellence provides an essential resource that permits the Bureau of STD Prevention and Epidemiology to conduct an effective Quality Assurance Program for STD clinical services provided by local health departments.
Robert J. Reed
Director, Bureau of STD Prevention and Epidemiology
Division of Epidemiology, Evaluation and Research