Information regarding the history of HIV in America; Ending the HIV Epidemic; the lifecycle of HIV; syndemic of HIV; the progression of HIV disease, including viral suppression (U=U); routes of transmission and risk factors for acquiring HIV; common co-morbidity conditions such as STIs, viral hepatitis and TB; diagnostic algorithms for HIV, including conventional blood draws; Opt-Out testing; Rapid Start; availability and effectiveness of treatment for HIV; special populations (women, incarcerated, transgender, adolescence/youth, persons who inject drugs, etc.); Treatment as Prevention (TasP); and Pre-Exposure Prophylaxis (PrEP) information.

Providing HIV test results and delivery of reactive test results; assessing HIV/STI risk; risk reduction counseling, including motivational interviewing and trauma-informed care; Status Neutral Prevention; PrEP and referral for negative individuals at risk; PEP; continuum of care with linkage to HIV medical support, including re-engagement; blood borne pathogens; medication adherence training to increase retention in care and antiretroviral medication adherence among HIV positive people; and on-line resources, including local specific to the region.

Education training and observation sign-off to all participants - including an algorithm for testing; preparing/breaking down the HIV test station; conducting finger stick HIV testing (Insti, Determine, Home tests, and any other rapid test technology as identified by VDH); running external quality controls; conducting quality assurance activities and observation of technique, along with HIPAA expectations; reporting for HIV tests to VDH, including partner notification.

Treatment as Prevention (TasP) and Prevention training – including the importance of Antiviral Therapy (ART) medication adherence and what it takes to achieve undetectable status, and prevention with the spread of HIV.

In-depth discussion of HIV disease progression; CD4 and viral load as predictors and treatment management markers, including viral suppression. HIV’s intersection with STIs/HEP, including epidemiology, risk assessment, specimen collection, identification/diagnosis, adherence and management of co-morbidities, and Partner Services for HIV/STIs.

Training for HIV service providers on enrolling positive clients and those at high risk for HIV into insurance plans (ACA/VMAP) and training for providers in assisting their clients in utilizing insurance. This shall also include SSI, SSDI, housing, food, and pharmaceutical assistance programs.