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September 1997

Cover Page

Acknowledgements

Abbreviations and Acronyms

1.0 Introduction

1.1 History
1.2 Tenets of PCM
1.3 Standards and Guidance
1.4 Goals of PCM

2.0 Defining PCM

2.1 Working Definition of PCM
2.2 Differentiating PCM from Other HIV Risk-Reduction Activities
2.3 Differentiating PCM from Other Forms of Case Management

3.0 Developing and Planning a PCM Program

3.1 Organizational Context and Capacity
3.2 Developing an Organization's Program Plan for PCM

3.2.1 HIV Prevention Community Planning
3.2.2 Needs Assessment
3.2.3 Assessment of Community Resources
3.2.4 Goals and Objectives

4.0 Implementing a PCM Program

4.1 Client Eligibility
4.2 Essential Components of a PCM Program

4.2.1 Client Recruitment and Engagement
4.2.2 Screening and Assessment
4.2.3 Development of a Client-Centered Prevention Plan
4.2.4 HIV Risk-Reduction Counseling

4.2.4.1 Client-Centered Counseling
4.2.4.2 Partner Counseling
4.2.4.3 Secondary Prevention Counseling
4.2.4.4 Substance Abuse and Mental Health Counseling

4.2.5 Coordination of Services with Active Follow-Up
4.2.6 Monitoring and Reassessing Clients' Needs and Progress
4.2.7 Discharge from PCM Upon Attainment and Maintenance of Risk-Reduction Goals

4.3 Staff Qualifications
4.4 Caseload
4.5 Coordination of PCM with Ryan White CARE Act Case Management

5.0 Evaluation

5.1 Quality Assurance
5.2 Program Evaluation

6.0 Ethical and Legal Issues

7.0 Technical Assistance

References

Additional Information and Reading

Appendix A: Glossary

Appendix B: Standards for PCM Programs

Appendix C: Ryan CARE Act Programs

Figure 1: Relationship of PCM to Other Individual-Level HIV Prevention Activities

Table 1: Factors That Influence HIV Risk Behavior Change