AIDS and Behavior

, Volume 11, Supplement 1, pp 84–94 | Cite as

Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model

  • Christine Nollen
  • Mari-Lynn Drainoni
  • Victoria Sharp
Original Paper


This paper presents lessons learned from an intervention designed to provide HIV prevention counseling within a hospital-based, multidisciplinary HIV clinic. The model, Positive Prevention, used Master’s-level social workers (MSWs) as intervention specialists to minimize burden on primary care providers and to offer a replicable way to provide prevention in a similar setting. The intervention goal was to reduce risk behaviors through Motivational Interviewing, a patient-centered counseling approach with proven success impacting behavioral change.

Implementation experiences offer insight into the challenges of using MSWs as prevention specialists. Particular challenges were related to patient engagement and retention. Experiences early in the implementation process were informative and allowed for adaptations to facilitate a more viable program; however even after executing new strategies, many of the program issues remained. Thus, the Positive Prevention model is not recommended as a best HIV prevention model for replication in similar high-volume, hospital-based, multidisciplinary HIV clinic settings.


HIV prevention Specialist intervention Motivational Interviewing 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Christine Nollen
    • 1
  • Mari-Lynn Drainoni
    • 2
  • Victoria Sharp
    • 1
  1. 1.Center for Comprehensive CareSt. Luke’s Roosevelt Hospital CenterNew YorkUSA
  2. 2.School of Public HealthBoston UniversityBedfordUSA

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