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What is good HIV prevention ?

What is good HIV prevention ?. Ross Boseley Health promotion Coordinator Terrence Higgins Trust Brighton. HIV, MSM, Brighton & Hove. So what's good about Brighton's HIV prevention program ? Well attended community clinics which identify infection

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What is good HIV prevention ?

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  1. What is good HIV prevention? Ross Boseley Health promotion Coordinator Terrence Higgins Trust Brighton

  2. HIV, MSM, Brighton & Hove

  3. So what's good about Brighton's HIV prevention program? • Well attended community clinics which identify infection • (THT Brighton Centre Positivity rate of 2.81% sauna positivity rate of 4.5 %) • Engagement with local stake holders, service users and community • Use of web and phone based social / dating sites, for promotion and interventions • Integration of health promotion in to outreach, local GUM, substance misuse, social care and counselling services • Local research and collaboration with Universities • Targeted information and services based on need and insight

  4. Partnership and collaboration

  5. Consultation and DevelopmentWhat do people want ? ‘On BBRT, it's specific bareback site. If you say anything, “You should use a condom” you’re blocked. They're not there for condoms. Otherwise why are they on BBRT? … You want bareback fuck, you go to BBRT. If you tell me I must be using a condom. I’m a bad boy. Fuck off. … What I'm saying is don't contradict the site you’re in. You gotta work with within the site.’ ’ As long as it's safe, discrete and confidential, I'd be more likely to accept a test in a sauna than schlepping all the way up to a busy clinic with long waiting times Both younger and older participants felt that messaging needed to be more ‘current’ and ‘localised

  6. Community Engagement & Outreach

  7. Integrating services

  8. Integrated Services 45 Minutes

  9. Community HIV / STI testing • HIV: • Scheduled Community clinics (office based & Sauna based evenings) • 5 Day Walk in PoCT • Weekend sauna based clinics • STI: • Offered to all MSM in sauna • Self taken STI swabs • Offered with HIV PoCT

  10. Face2Face • Four new programmes have been developed where a presenting issue would require more than one initial Face2Face consultation. Fresh Start Programme (Addictions) Choices (Sexual addiction/compulsion) Sex and Relationships Programme Newly Diagnosed Programme • The programmes all use MI techniques and aim for the client to explore their feelings and presenting issues with the view that they then can identify and benefit from the programmes.

  11. Counselling • The more complex clients then work with a counsellor for up to twelve sessions and here themes may include: • Learning how to be with their uncomfortable emotions without always choosing avoidance techniques • Further help with where their risky sexual behaviour links with alcohol and drug use.

  12. Looking forward • Expanded community testing • Increase substance misuse and sexual health interventions • Bringing up to date clinical and cultural knowledge together to develop targeted local approaches. (e.g. VL, PrEP, Harm reduction in the ‘chem sex party’) • Expansion of digital approaches and online outreach

  13. Thank you

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