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Many Men, Many Voices

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Many Men, Many Voices Many Men, Many Voices Target Population MSM gay/bisexual some non-gay identified Black African American, African, Caribbean, and Black Hispanic ... – PowerPoint PPT presentation

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Title: Many Men, Many Voices


1
Many Men, Many Voices
2
Many Men, Many Voices
  • Target Population
  • MSM
  • gay/bisexual
  • some non-gay identified
  • Black
  • African American, African, Caribbean, and Black
    Hispanic
  • Can be adapted for other populations

3
Many Men, Many Voices
  • Adapted through a partnership between
  • CHBT - Center for Health Behavioral Training,
    University of Rochester, NY a Part II STD/HIV
    Prevention Training Center (PTC)
  • POCC - People of Color in Crisis, Brooklyn, NY
  • MOCHA - Men of Color Health Awareness Project,
    Rochester, NY

4
Many Men, Many Voices
  • Behavioral Self-Management and Assertion Skills
    intervention by Jeffrey Kelly, PhD adapted for
    Black MSM
  • Cognitive-behavioral, skills building prevention
    intervention
  • Conducted in 7 group sessions of 6-12
    participants.
  • Integrates STD and HIV prevention

5
Core Elements
  • Educate clients about HIV and STD risk and
    sensitize to personal risk
  • Develop risk reduction strategies
  • Train in behavioral skills
  • Train in sexual assertiveness
  • Provide social support and relapse prevention
  • Based on CDCs Procedural Guidance found at
    www.effectiveinterventions.org

6
Key Characteristics
  • Foster positive identity development for gay men
    of color by
  • exploring the dual identity culture
  • addressing social and cultural norms within
    racial/ethnic communities
  • exploring positive and negative peer influences,
    setting self-standards and clarifying values
  • Based on CDCs Procedural Guidance found at
    www.effectiveinterventions.org

7
Key Characteristics
  • Discuss sexual roles and risks
  • addressing knowledge
  • exploring beliefs about the risks
  • Address perceived personal risk and
    susceptibility for HIV/STD and perceived benefits
    and outcomes of remaining HIV-negative.

8
Key Characteristics
  • Increase skills and self-efficacy for protective
    behaviors and intentions to engage in those
    behaviors.
  • Explore sexual relationship dynamics
  • Address the importance of peer support and social
    influence on maintaining healthy behaviors

9
Many Men, Many Voices
  • Seven Intervention Sessions

10
Intervention Sessions
  • Sessions are experiential (not lecture or
    teaching).
  • Each exercise or activity builds on the previous
    ones. Ex. Session 5. consists of the following
    exercises
  • 1 The man of my dreams
  • 2 Whos got the power?
  • 3 Why we choose the ones we choose -
  • are you a Top or a Bottom?

11
Session 1Dual Identity
  • Identify factors that influence behavior change
  • Discuss norms in the Black and gay communities
  • Explore the concept of dual identity being a
    Black gay man
  • Identify factors influencing Black MSM including
    internalizing racism and homophobia
  • Identify risk behaviors and STD/HIV infections of
    Black MSM

12
Session 2STD / HIV Prevention for Black MSM
  • Discuss the roles and risks of tops and
    bottoms
  • Provide an overview of HIV/AIDS and STDs for
    Black MSM
  • Identify risks associated with different types of
    sex
  • Make a connection between STDs and HIV
  • Explain the transmission puzzle and how to reduce
    risk of contracting/transmitting STDs including
    HIV

13
Session 3STD/HIV Risk Assessment Prevention
Options
  • STD/HIV prevention options based on transmission
    puzzle
  • Ranking of sexual risk behavior
  • Inventory of personal STD/HIV risk behaviors
  • (what would you do with whom)
  • Clients personal risk behaviors
  • (sexual, substance use and health care
    seeking)

14
Session 4 Intentions to Act and Capacity to
Change
  • Provide an overview of how behavior change occurs
  • Review menu of options for STD/HIV prevention
  • Work through ambivalence by identifying each
    clients personal ambivalence and barriers
  • Explore pros/cons of current behavior and making
    a change
  • Acquire skills - Safer sex , Substance use,
    Health care seeking

15
Session 5Relationship Issues Partner
Selection, Communication, Negotiation of Roles
for Black MSM
  • Discuss attitudes towards gender roles in Black
    communities, differences in perceived power
  • Help participants to recognize the relationship
    between sex position (top or bottom) and power
    and decision-making within ones sexual
    relationship(s)
  • Define stereotyping and sexism as it relates to
    Black MSM

16
Session 5 Relationship Issues Partner
Selection, Communication, Negotiation of Roles
for Black MSM
  • Discuss relationship dynamics Tops and Bottoms
    assigned relationship role may not
    fitconsequences for individual
  • Identify different types of power within sexual
    relationship(s)
  • Make a connection between relationship roles and
    safer sex negotiation.

17
Session 6 Social support problem solving to
maintain change
  • Review the chosen individual and relationship
    risk reduction options
  • Practice skills and problem solving with specific
    scenarios
  • Identify ways to avoid cues
  • Anticipate problems that may occur and use group
    problem-solving

18
Session 6 Continued.
  • Provide problem solving strategies
  • Reinforce change efforts
  • Identify supports for change
  • Offer rewards and substitutes

19
Session 7 Where Do We Go From Here
  • Linkage to other services offered by agency
  • Community resources for substance use,mental
    health, other services - Survival Handbook
  • Involvement in community building for Black gay
    men

20
Getting Started
  • Implementation needs and resources

21
Internal Agency Capacity-Staff
  • Staffing at a level to sustain implementation on
    the schedule of deliverables
  • Supervision, planning, recruitment, facilitation,
    and monitoring/reporting responsibilities
  • Staff training needs
  • Overview of HIV and STDs
  • Bridging theory and practice
  • Group facilitation skills
  • Many Men, Many Voices training Level I and Level
    II

22
Other Agency Capacity
  • Manual and related materials
  • Space (confidential, safe)
  • Commitment to implement entire intervention
    program
  • Sufficient funds- quality quantity of delivery
  • Implementation plan, including recruitment,
    referral, monitoring/evaluation, and QA
    procedures
  • Technical assistance

23
Technical Assistance to Support
Implementation Training, including relevant
supportive trainings (skill sets
needed). www.effectiveinterventions.org and
www.stdhivpreventiontraining.org
Published resources (manual). Intervention
Kit Web resources. CDC technical
assistance system.
24
Agency Planning Tool(www.effectiveinterventions.o
rg)
  • Should be completed by funded agency in
    collaboration with CDC project officer.
  • Running record of funded agencys progress in
    implementing the intervention

25
Many Men Many Voices
  • www.effectiveinterventions.org
  • Training is available in each of the four
    geographic quadrants of the United States,
    offered by the 4 CDC Part II STD/HIV Prevention
    Training Centers (PTCs). www.stdhivpreventiontrai
    ning.org
  • Rochester, NY
  • Denver, CO
  • Berkeley, CA
  • Dallas, Texas

26
Many Men Many Voices
  • Intervention Kit
  • Agencies will be sent 1 - 2 intervention kits
    after staff have completed the Level 1 and Level
    2 series.
  • Kits include the intervention curriculum and
    materials as well as planning tools and marketing
    and recruiting materials.

27
  • THANK YOU
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