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Clinician Support Tools
Adolescent Care
Antiretroviral Treatment
Case Finding
Hepatitis
Legal Issues
Mental Health
Mother-to-Child Transmission of HIV
Postexposure Prevention
Primary Care
Sexually Transmitted Infections
Substance Use/Abuse
Testing
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Clinician Support Tools

This section includes pocket cards, books, and brief reference materials.

Adolescent Care

dot Adolescent Transition Workbook [MS Word 3.76M]
Date: 09/2006
Source: AETC National Resource Center; Delta Region AETC; Florida/Caribbean AETC; Francois/Xavier Bagnoud Center; HRSA HIV/AIDS Bureau; New England AETC; New York/New Jersey AETC and St. Jude Children's Research Hospital
Authors:  Patricia Robinson, PhD, ARNP-C, (Subgroup Leader; Marion Donohoe, RN, MSN, CPNP, (Workgroup Leader); Yolanda Cavalier, MPH; Carol Davison, RN, MSN, FNP-C; Margery Donovan, RN, ND, ARNP; Durrell Fox; Michelle Lyle, MPH and Megan Vanneman, MPH (Managing Editor)
Youth-friendly workbook for adolescent patients to assist with the transition from a pediatric care setting. Developed by the Life Skills Subgroup of the Adolescent HIV/AIDS Workgroup.
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dot Instructions for Clinicians [MS Word 40K]
Date: 09/2006
Instructions for use for the Adolescent Workbook.
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dot Transition Skills: Health Literacy Checklist [MS Excel]
Date: 09/2006
Source: AETC National Resource Center; Delta Region AETC; Florida/Caribbean AETC; Francois/Xavier Bagnoud Center; HRSA HIV/AIDS Bureau; New England AETC; New York/New Jersey AETC and St. Jude Children's Research Hospital
Authors:  Patricia Robinson, PhD, ARNP-C, (Subgroup Leader; Marion Donohoe, RN, MSN, CPNP, (Workgroup Leader); Yolanda Cavalier, MPH; Carol Davison, RN, MSN, FNP-C; Margery Donovan, RN, ND, ARNP; Durrell Fox; Michelle Lyle, MPH and Megan Vanneman, MPH (Managing Editor)
This checklist is designed to help HIV care providers to structure and monitor the progression of adolescent patients, ultimately leading to a successful transition into adult care.
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dot Adolescents, HIV, and Mental Health
Date: 09/2006
Source: AETC National Resource Center; Bickerstaff Pediatric Family Center; Delta Region AETC; Pennsylvania/MidAtlantic AETC; St. Jude Children's Research Hospital; Texas/Oklahoma AETC and The Children's Hospital, Denver
Authors:  Linda Frank, PhD, MSN, ACRN (Workgroup Leader); Ronald Wilcox, MD, FAAP (Workgroup Leader); Elizabeth Cabrera, MEd; Verita Ingram, MBA; Elise Johnson, MSW and Jennifer Scanlon, FNP
Materials developed by the Mental Health Subgroup of the AETC Adolescent HIV/AIDS Workgroup.
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dot Introduction: Special Issues for Adolescents with HIV [PDF 26K]
Date: 09/2006
Author:  Linda Frank, PhD, MSN, ACRN (Workgroup Leader)
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dot Anorexia Nervosa and Bulimia [PPT 85K]
Date: 09/2006
Tables with diagnostic criteria and clinical resource guide.
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dot Depression [PPT 55K]
Date: 09/2006
Tables with diagnostic criteria and clinical resource guide.
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dot Gender Identity Issues [PPT 69K]
Date: 09/2006
Tables with definitions of related terms and suggested clinical approaches to adolescents with gender identity issues.
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dot The HIV Perinatally-Infected Adolescent: Practitioner Checklist
Date: 12/2003
Source: New York/New Jersey AETC; Texas/Oklahoma AETC; Florida/Caribbean AETC and AETC National Resource Center
See also supporting slide set and reference list .
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Antiretroviral Treatment

dot Database of Antiretroviral Drug Interactions [Link]
Source: HIV InSite, UCSF Center for HIV Information
Authors:  Ian McNicholl, PharmD, BCPS, Editor and Laurence Peiperl, MD, Editor
Date: n.d.
Note: Online database containing drug interactions involving at least one antiretroviral drug. Searchable by antiretroviral drug, interacting drug, and drug class. Continuously updated
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dot Antiretroviral Reference Tables for Clinicians
Source: AETC National Resource Center and UCSF Center for HIV Information
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dot Dosage Adjustments for ARV-ARV Drug Interactions [Online]
Date: 04/2006
Authors:  Susa Coffey, MD and Ian R. McNicholl, PharmD
Adult Dosing. Also available as PDF [58K].
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dot Dosing for Ritonavir-Boosted Protease Inhibitors [Online]
Date: 04/2006
Author:  Susa Coffey, MD
Also available as PDF [43K].
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dot Options for Once-Daily Dosing of Antiretrovirals [Online]
Date: 04/2006
Author:  Susa Coffey, MD
Also available as PDF [85K].
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dot Dosing of Antiretroviral Drugs in Renal Insufficiency and Hemodialysis [Online]
Date: 04/2006
Authors:  Ian R. McNicholl, PharmD and Rudolph A. Rodriguez, MD
Also available as PDF [61K].
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dot Adverse Events of Antiretroviral Drugs [Online]
Date: 04/2006
Author:  Ian R. McNicholl, PharmD
Also available as PDF [84K].
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dot Medication Teaching Guide [PDF 2.2M]
Date: 10/2006
Source: Northwest AETC
Author:  Beth A. Hykes, PharmD
Note: Updated version of a 3-page medication teaching guide for use by health care professionals. Contains photos and descriptions of ARVs, as well as a graphic showing how the different drugs work.
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dot Antiretroviral Therapy in Adults and Adolescents [PDF 373K]
Date: 12/2006
Source: Florida/Caribbean AETC
Editors:  Joanne Orrick, PharmD, BCPS and Jeffrey Beal, MD
Note: Card details all currently approved antiretroviral medications for adult and adolescent use and highlight prescribing, side effect, and adherence information. Printable on 8 1/2" x 14" paper. Order printed copies at the Florida/Caribbean AETC Web site .
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dot Antiretroviral Agents - Pediatric Edition [PDF 334K]
Date: 02/2006
Source: Florida/Caribbean AETC
Editors:  William Harbilas, PharmD and Robert Lawrence, MD
Note: Cards detail all currently approved antiretroviral medications for pediatric use and highlight prescribing, side effect, and adherence information. Printable on 8 1/2" x 14" paper. Order printed copies at the Florida/Caribbean AETC Web site .
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dot HIV Medications Available in Liquid, IV, Capsule, and Tablet [PDF 48.2K]
Date: 09/29/2005
Source: U.S. Department of Health and Human Services/AIDSinfo
Note: Fact sheet with available formulations for each approved HIV drug.
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dot A Pharmacist's Guide to Antiretroviral Medications [PDF 1.4MB]
Date: 08/2005
Source: Mountain-Plains AETC
Note: Resource providing information on all the currently approved antiretroviral medications. Contains recommendations for antiretroviral regimens, laboratory tests, drug resistance, and the important role of the pharmacist in HIV patient care. Individual pull-out drug class tables include dosage forms, usual dosages, special dosing considerations, and common and adverse side effects. Approved for 1.0 CE contact hour for pharmacists through ACPE. Available for viewing and ordering from the MPAETC Web site: http://www.mpaetc.org .
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dot FDA-Approved Antiretrovirals for the Treatment of HIV Infection [PDF 48K]
Date: 08/2006
Source: Northwest AETC
Author:  Beth A. Hykes, PharmD
Note: Includes adult dosing and dosage forms, dose adjustment information, diet, special considerations, and adverse effects. Printable on three standard (8.5" x 11") pages.
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dot Recreational Drugs and HIV Antivirals: A Guide to Interactions for Clinicians [PDF 4.4MB]
Date: 06/2005
Source: New York/New Jersey AETC
Authors:  Christine Kubin, PharmD and Antonio Urbina, MD
Note: Pocket reference with interaction and patient education information.
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dot Pocket Guide to Adult HIV/AIDS Treatment [PDF 244K]
Date: 01/2006
Source: HIV Care Program, The Johns Hopkins University School of Medicine
Author:  John G. Bartlett, MD
Note: Full text of the Pocket Guide written by Dr. John G. Bartlett of the Johns Hopkins University Division of Infectious Diseases. The Pocket Guide is intended to be a quick reference for antiretroviral drugs, antiretroviral therapy, opportunistic infections, and related issues.
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dot Psychiatric Medications and HIV Antiretroviral: A Guide to Interactions for Clinicians [PDF 3.75MB]
Date: 10/2004
Source: New York/New Jersey AETC
Note: Download PDF or contact NY/NJ about ordering printed copies.
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dot Acute HIV Syndrome Wall Chart [PDF 507K]
Date: 10/2004
Source: New York/New Jersey AETC
Note: Also available in Spanish .
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dot U.S.-Mexico Antiretroviral Drug Chart [PDF 90K]
Date: 09/2006
Source: U.S.-Mexico Border AETC Steering Team (UMBAST); Texas/Oklahoma AETC; Mountain-Plains AETC, New Mexico AETC and Pacific AETC
Note: Reference table showing the U.S. and Mexican generic and brand names for all available antiretroviral drugs (ARVs). Mexico now provides universal free access to ARVs through the national health care system.
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Case Finding

dot Case Finding, Primary and Secondary Prevention for Adolescents: Clinical Risk Assessment and Screening Guide [PDF 360K]
Authors:  Linda Frank, PhD, MSN, ACRN and Avram Machtiger, MEd, MPH
Source: Pennsylvania/MidAtlantic AETC
8-page card with practical tips and scripts for busy clinicians.
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dot Case Finding and Secondary Prevention with the Incarcerated and Recently Released: Clinical Risk Assessment and Screening Guide [PDF 372K]
Authors:  Linda Frank, PhD, MSN, ACRN and Monica Fisher, BS
Source: Pennsylvania/MidAtlantic AETC
8-page card with practical tips and scripts for busy clinicians.
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dot Case Finding and Secondary Prevention for Substance Users: Clinical Risk Assessment and Screening Guide [PDF 350K]
Authors:  Linda Frank, PhD, MSN, ACRN and Monica Fisher, BS
Source: Pennsylvania/MidAtlantic AETC
8-page card with practical tips and scripts for busy clinicians.
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dot HIV Case Finding and Secondary Prevention for Women: Clinical Risk Assessment and Screening Guide [PDF 350K]
Authors:  Linda Frank, PhD, MSN, ACRN; Monica Fisher, BS; David Korman, JD and Anna Forbes
Source: Pennsylvania/MidAtlantic AETC
8-page card with practical tips and scripts for busy clinicians.
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Hepatitis

dot Hepatitis Toolkit for the Primary Care Provider [PDF 432K]
Date: 05/2006
Source: Florida/Caribbean AETC; Mountain-Plains AETC; Delta Region AETC and AETC National Resource Center
Authors:  Ronald Wilcox, MD; Suzanne Jed, RN and Susa Coffey, MD
Prepared by the AETC NRC Primary Care Management for the HIV/AIDS Provider Workgroup Includes algorithms for screening and management, and helpful advice for patients undergoing treatment.
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dot Clinician's Guide to HIV and Hepatitis [PDF 270K]
Date: 01/2007
Editor:  Suzanne L. Jed, MSN, APRN-BC
Source: Mountain Plains AETC
40-page pocket guide includes information related to screening, treatment, prevention and patient education, covering HIV and heptatitis A, B, and C co-infection.
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Legal Issues

dot Common Legal Issues and Concerns of Adolescents with HIV: A Guide for Clinicians [PDF 1.1M]
Date: 09/2006
Source: AETC National Resource Center; Francois-Xavier Bagnoud Center; New England AETC and Pennsylvania/MidAtlantic AETC
Authors:  David Korman, JD (Subgroup Leader); Vera Holmes, LCSW; Cathy Samples, MD, MPH and Megan Vanneman, MPH (Managing Editor)
Pocket guide for clinicians caring for adolescents with HIV. Developed by the Legal Rights and Entitlements Subgroup of the Adolescent HIV/AIDS Workgroup.
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dot Instructions for Use [PDF 730K]
Date: 09/2006
Companion piece for the Common Legal Issues and Concerns of Adolescents with HIV: A Guide for Clinicians .
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Mental Health

dot Depression Toolkit [PDF 369K]
Date: 05/2006
Source: AETC National Resource Center; Pacific AETC; New York/New Jersey AETC; Florida/Caribbean AETC; Mountain-Plains AETC and Pennsylvania/Mid-Atlantic AETC
Authors:  Jonathan Rodnick, MD; Milton Wainberg, MD; Tom Donohoe, MBA; Francisco Fernandez, MD and Rianna Stefanakis, BA
Contents include diagnostic algorithms, medication selection and interaction guidelines and other references. Prepared and selected by the AETC NRC Primary Care Management for the HIV/AIDS Provider Workgroup
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Mother-to-Child Transmission of HIV

dot Rapid HIV Testing in L & D: It Is Important! [PDF 1MB]
Rapid HIV Testing: It's Important! [PDF 500K]
Date: 01/2007
Source: François-Xavier Bagnoud Center
Note: Poster for labor and delivery hospital suites targeting clinicians and information sheet for patients in L &D settings. Developed for statewide program in New Jersey.
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dot Guidelines for Use of HIV Antiretroviral Therapy in Pregnancy (Pocket card) [PDF 155K]
Date: 01/2006
Source: François-Xavier Bagnoud Center
Note: Quick and easily accessible recommendations for antiretroviral therapy to prevent transmission during pregnancy and for infants exposed to HIV.
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dot HIV Counseling and Testing in the Delivery Setting: Provider Guide to Counseling [PDF 155K]
Date: 11/2003
Source: François-Xavier Bagnoud Center (FXB) at UMDNJ
Counseling guide and sample consent form for rapid testing in labor and delivery.
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Postexposure Prevention

dot Post Exposure Prophylaxis [PDF 295K]
Date: 02/2006
Source: Florida/Caribbean AETC
Editors:  Joanne J. Orrick, PharmD, BCPS and Jeffrey Beal, MD
Note: Card summarizes the guidelines for the management of occupational exposures to HIV, Hepatitis B, and Hepatitis C including recommendations for postexposure prophylaxis. Printable on 8 1/2" x 14" paper. Order printed copies at the Florida/Caribbean AETC Web site .
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dot PEP Steps: A Quick Guide to Postexposure Prophylaxis in the Health Care Setting
Date: 05/2006
Source: Mountain Plains AETC and National Clinician's Postexposure Prophylaxis (PEP) Hotline
Note: Download or order printed copies at the MPAETC Web site .
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dot nPEP Steps: Guide to Non-Occupational Exposure
Date: 05/2006
Source: Mountain Plains AETC and National Clinician's Postexposure Prophylaxis (PEP) Hotline
Note: Download or order printed copies at the MPAETC Web site .
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Primary Care

dot Chronic Pain Toolkit [PDF 265K]
Date: 05/2006
Source: Texas/Oklahoma AETC; National Minority AETC; New England AETC and AETC National Resource Center
Authors:  Debra Trimble, RN, BS, MS(c); James Oleske, MD, MPH; John Roberts, APRN; Gerard Shu Tangyie, MD; Zishan Samiuddin, MD; Rebecca Fry, FNP and Rianna Stefanakis, BA
Contents include: Algorithms, diagnostic and management of chronic pain in people with HIV. Prepared and selected by the AETC NRC Primary Care Management for the HIV/AIDS Provider Workgroup .
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dot Managing Dyslipidemia in HIV: A Comprehensive Tool for the Primary Care Clinician [PDF 602K]
Date: 02/2006
Source: New York/New Jersey AETC; Florida/Caribbean AETC; Pacific AETC; Texas/Oklahoma AETC; Pennsylvania/MidAtlantic AETC and AETC National Resource Center
Authors:  Marshall Glesby, MD; Daniel Lee, MD; Laura Armas, MD; Carl Fitchenbaum, MD and Rianna Stefanakis, BA
Note: Comprehensive clinician support tool intended to guide HIV/AIDS providers managing comorbid dyslipidemia in their patients. Includes patient assessment/management algorithms, Framingham Point Scores chart, and APLA patient education nutrition fact sheet on lowering cholesterol and triglycerides. Developed by Lipid Disorders subset of AETC NRC Primary Care Management for the HIV/AIDS Provider Workgroup .
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dot Parkland Pocket Guide to HIV Care, 3rd Edition
Date: 11/2004
Authors:  Naiel Nassar, MD, FACP; Philip Keiser, MD and Clark Gregg, MD
Source: Texas/Oklahoma AETC
Note: This 248-page resource is intended to be a guide to the treatment and the common manifestations of HIV and its related complications. To request copies: http://www.aidseducation.org/Conference/PPguide.pdf.
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dot First Visit Basics: Initiating Care for the HIV-Infected Patient [PDF 115K]
Date: 08/2004
Author:  Belinda Brown, ND, FNP
Source: Mountain Plains AETC
Note: A reference guide for primary care providers covering history and physical, labs, planning for care, and resources. Also includes 2 tear-out flow charts that can be used to help clinicians maintain records. Order printed copies from the MPAETC Web site .
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dot Primary Care for the HIV Specialist [PDF 115K]
Date: 2004
Source: Mountain Plains AETC
Note: Pocket cards and posters available for order from the MPAETC Web site .
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dot HIV Risk Assessment: A Quick Reference Guide [PDF 66K]
Date: n.d.
Source: Mountain Plains AETC
Note: Tri-fold pocket reference on HIV includes information on conducting drug use, sexual, and clinical risk assessments. Examples of questions and tips to obtaining a sexual and drug use history in a non-judgmental manner are provided. A must have for providers who are new to HIV/AIDS care, and an excellent tool to supplement history taking lectures and discussions. Order printed copies at the MPAETC Web site .
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Sexually Transmitted Infections

dot The Practitioner's Handbook for the Management of Sexually Transmitted Disease [Link]
Date: 2002
Source: Seattle STD/HIV Prevention Training Center
Note: Third edition. Designed to assist practitioners in primary health care, family medicine, emergency medicine and other specialties in the optimal management of patients with sexually transmitted diseases (STD) and their partners. The Web site provides access to PDF documents for each section of The Practitioner's Handbook. The sections are organized by disease syndrome, as this most closely approximates clinical practice, and illustrated with clinical and laboratory images, diagrams and management algorithms.
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dot STD/HIV Risk Assessment: A Quick Reference Guide [PDF 151K]
Source: Mountain Plains AETC
Note: Tri-fold pocket reference on STD and HIV risk assessment includes information on clinical, sexual, and drug use. Examples of questions and tips to obtaining a sexual and drug use history are provided. Order printed copies at the MPAETC Web site .
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Substance Use/Abuse

dot Meth in the Mouth [PDF 132K]
Date: 01/2007
Editor:  Elizabeth Rotach, MA
Source: Mountain Plains AETC
A guide for oral health care providers covering methamphetamine effects in the oral cavity, including drug side effects, signs of methamphetamine use and patient care. Printed copies available from Mountain-Plains AETC.
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dot Substance Abuse Toolkit [PDF 427K]
Date: 05/2006
Source: SEATEC; Florida/Caribbean AETC and AETC National Resource Center
Authors:  Dianne Weyer, CFNP; Jeffrey Beal, MD and Jonathan Blevins, ThD
Contents include: diagnostic algorithms, screening tests, behavior change models, and additional resources. Developed by the AETC NRC Primary Care Management for the HIV/AIDS Provider Workgroup .
Additional Tools:
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dot Cocktails and Party Favors [PDF 53K]
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dot Continuum of Use [PDF 41K]
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dot Stages of Change [PDF 40K]
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dot Stages of Change Influencing Factors [PDF 53K]
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dot Tips for HIV Clinicians Working with Methamphetamine Users [PDF 54K]
Date: 02/2007
Authors:  Tom Donohoe, MBA and Tom Freese, PhD
Source: Pacific AETC - University of California, Los Angeles and Pacific Southwest Addiction Technology Transfer Center
Note: 2-page fact sheet for clinicians working with methamphetamine users. Includes practical information on patient communications and drug interactions.
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dot Buprenorphine in the Context of HIV [PDF 92K]
Date: 08/2005
Source: AETC National Resource Center and New York/New Jersey AETC
Note: 3-page fact sheet on buprenorphine in the context of HIV. Includes information on opioid addiction, buprenorphine drug interactions, and a listing of resources for the clinician.
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dot STD/HIV Risk Assessment: A Quick Reference Guide [PDF 151K]
Source: Mountain Plains AETC
Note: Tri-fold pocket reference on STD and HIV risk assessment includes information on clinical, sexual, and drug use. Examples of questions and tips to obtaining a sexual and drug use history are provided. Order printed copies at the MPAETC Web site .
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Testing

dot HIV Testing Recommendations [PDF 80K]
Date: 11/2006
Editor:  Lucy Bradley-Springer, PhD, RN, ACRN, FAAN
Source: Mountain Plains AETC
Summary of 9/23/06 CDC recommendations
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dot Routine HIV Testing in Healthcare Settings: A Guide to Reconciliation of the CDC's Revised Testing Guidelines of September 2006 and State Law [PDF 700K]
Date: 11/2006
Authors:  David Korman, JD and Linda Frank, PhD, MSN
Source: Pennsylvania / MidAtlantic AETC
Note: Review of related laws by jurisdiction within the Pennsylvania/MidAtlantic regional service area (DE, DC, MD, OH, PA, VA, WV).
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dot Rapid HIV-1 Antibody Testing During Labor and Delivery for Women of Unknown HIV Status: A Practical Guide and Model Protocol [PDF 310K]
Date: 01/30/2004
Author: 
Source: U.S. Centers for Disease Control and Prevention
Note: Document offers guidance and practical tips to clinicians, laboratorians, hospital administrators, and policymakers who are planning and implementing a program for HIV rapid testing during labor and delivery for women of unknown HIV status and to provide the general structure of a model rapid HIV testing protocol that can be adapted by staff at facilities that seek to implement rapid testing during labor and delivery.
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dot What is the role of rapid testing for US-Mexico border and migrant populations?
¿Cuál es el papel de las pruebas rápidas para la frontera EE.UU.- México y las poblaciones migrantes?
Source: Pacific AETC
Fact sheets prepared by the Pacific AETC and published by the Center for AIDS Prevention Studies (CAPS).
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