File 2 of 2 from Prescribing PrEP With Your Organization: A Guide to Starting PrEP in a Clinical Setting- Parts I & II (webinar slides)
Prescribing PrEP With Your Organization: A Guide to Starting PrEP in a Clinical Setting- Part 2
Part II - Prescribing PrEP with your organization A guide to starting PrEP in a clinical settingPrEParing For P.L.E.A.S.U.R.E
Damon L. Jacobs, Licensed Marriage and Family Therapist
Conflict of Interest Disclosure Statement
Speaker has no financial conflicts of interest to disclose.
Increase understanding, acceptability, and adoption of PrEP and nPEP among local clinical service providers.
Increase understanding of how to incorporate screening to individuals to assess risk of acquiring HIV in their setting.
Increase understanding on how to incorporate risk reduction when prescribing PrEP to promote combination prevention.
Overview of HIV Prevention
As a result of this training, participants will be able to:
Trace the history of how PrEP information has been disseminated into communities at risk, as well as role of stigma.
Discuss the efficacy of PrEP in terms that clients can understand
Understand the role of social media in peer-to-peer support.
Integrate messages about PrEP into U=U messaging for greater outreach and building unity.
Understand why consumers use PrEP for P.L.E.A.S.U.R.E.
Understand considerations for "stages of change" and helping clients learn at their own pace
In the early days, "condoms only" was the only accepted approach to HIV education & prevention
Despite our best prevention efforts, new HIV diagnoses have remained stagnant for over a decade in the U.S.
Toward the end of 2010, we learned of this important breakthrough:
Following the FDA approval of Truvada for PrEP on July 16, 2012, came the stigma associated with use of this prevention regimen.
On July 1, 2013, I started the first international group in social media using FaceBook, titled "PrEP Facts: Rethinking HIV Prevention and Sex" This is an opportunity for people anywhere in the world to receive science, facts, conversation, and more.
Bruce Richman started the U=U campaign to help consumers understand the science, facts, and medical data related to being undetectable
Data released on June 20, 2016 revealed wide racial disparities between risk and uptake
On February 14, 2017, the CDC made a major announcement:
People use PrEP to ExperienceP.L.E.A.S.U.R.E.
Peace of mind
Locus of control
Expectations of staying HIV negative
Efficacy for bottoms
Considerations For Screening
PEP and STI treatments are opportune moments to discuss PrEP IF the patient is not traumatized
Many patients are intimidated and ashamed to discuss sex and pleasure with an authority figure
PrEP calls upon providers to engage in a collaborative conversation versus prescriptive decisions
A "no thank you" today does not automatically mean "no" next time.
PrEP might challenge you to explore your moral system. But the more you can normalize sexual pleasure, the more your patients will trust you.
The CDC recommends the Clinician Consultation Center when in doubt : 855-HIV-PrEP ( https://nccc.ucsf.edu/clinician-consultation/prep-pre-exposure-prophylaxis/)
FaceBook Group - "PrEP Facts: Rethinking
HIV Prevention and Sex"
HIV PrEP References