 Program Operations Guidelines for STD Prevention
Partner Services
Appendix
PS-C
REINTERVIEW FORMAT
Introduction, Professional Role, and Purpose
- Introduce (or reintroduce) yourself and anyone else present.
- Explain your role if different from the original interviewer.
- Review confidentiality (if different DIS, emphasize that confidentiality
is maintained).
- Define the purpose of the session:
- to discuss problems with commitments made in the original interview,
- to discuss new information learned about the patient's infection.
Patient Assessment
Patient Concerns
- Inquire about and resolve any of the patient's concerns during
the interim period (possible reactions to the medication, compliance issues,
etc.)
Socio-sexual Information
- Describe the importance of having accurate personal and medical
information in resolving the patient's disease problems.
- Address any conflicting locating or demographic information
provided by the patient.
Medical History and Disease Comprehension
- Review what the patient knows about the disease.
- Emphasize the infectiousness of the disease, the asymptomatic
nature of the disease, and the severity of the disease.
- Confirm that the patient kept referrals made in the original
interview.
- Pursue S-1's based on the responsiveness of the patient.
Disease Intervention Behaviors
Assure the Examination of All Partners
- Stress the importance of all partners getting examined.
- Pursue a specific agenda based on the analysis of the original
interview and the interim period.
- Analysis of the original interview:
- Problem-solving analysis to motivate the patient effectively
- Identification of potential source candidates
- Identification of potential spread candidates
- Dispositions of previously identified partners or suspects
- Analysis of areas unexplored in the original interview
- Analysis of the interim period:
- Locating problems
- Partner and locating information validity.
- Results of cluster interview(s)
- Other incidental intelligence
- Pursue S-2's and S-3's
Risk-Reduction Plan
- Review the patient's plan for preventing future STD/HIV exposures, as discussed in the original interview.
- Engage the patient in a discussion on how their behavior change plan has worked to date.
- Support any positive changes that have occurred.
- Discuss any barriers to behavior change that occurred, and how to work around those barriers in the future.
- Review test results that have returned, and reinforce the necessity to return for future test results.
Conclusion
- Evaluate remaining patient needs or potential compliance problems.
- Analyze case information for any inconsistencies, gaps, or
missing information.
- Confront any inconsistencies, and apply problem-solving approaches
needed to resolve problems.
- Reinforce any commitments made by the patient.
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