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H H S Department of Health and Human Services
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The Options Project: A Physician-Delivered Intervention for HIV-Positive Patients in Clinical Care

About this initiative...
Journal Articles

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Download SPNS technical assistance publications (government- and grantee-produced) from the TARGET Center Library Exit Disclaimer keyword: SPNS


In its Advancing HIV Prevention for Positives Initiative, CDC set prevention among people living with HIV as a priority. HRSA also determined that prevention with positives is a priority, and developed the SPNS OPTIONS demonstration project initiative to address this concern. HIV care providers recognize the need for reduction of risk behaviors among their HIV-infected patients, and that their unique relationships with patients affords them an opportunity to reduce HIV transmission. Given their limited time and resources, they also need effective and feasible clinical interventions to reduce risk of transmission of HIV. The OPTIONS project successfully demonstrated that provider-directed HIV prevention interventions can be conducted successfully across a variety of HIV clinical settings.



Arizona Board of Regents, The University of Arizona, Tucson, AZ

Chase Brexton Health Services, Baltimore, MD

County of Sonoma Department of Health Services, Santa Rosa, CA

Jacobi Medical Center, Bronx, NY

Louisiana State University Health Sciences Center, New Orleans, LA

Multnomah County Health Department, Portland, OR

Rush University Medical Center, Chicago, IL

University Hospitals of Cleveland, Cleveland, OH

University of Iowa Hospitals and Clinics, Iowa City, IA

University of Kentucky Research Foundation, Lexington, KY

University of Massachusetts Medical School, Worcester, MA

University of Mississippi Medical Center, Jackson, MS

University of Pittsburgh, Pittsburgh, PA

Valley AIDS Council, Harlingen, TX

Wake Forest University Health Sciences, Winston Salem, NC


Journal Articles 

Fisher JD, Fisher WA, Cornman DH, Amico RK, Bryan A, & Friedland GH. Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes, January 2006; 41(1): 44-52.  PubMed Abstract

Fisher JD, Cornman DH, Osborn CY, Amico KR, Fisher WA, & Friedland GA. Clinician-initiated HIV risk reduction intervention for HIV-positive persons: Formative Research, Acceptability, and Fidelity of the Options Project. Journal of Acquired Immune Deficiency Syndromes, October 1, 2004; 37 (Supplement 2): S78-S87. PubMed Abstract


Part F - SPNS Resources

A Living History: Get the Back Story Image.

The SPNS program began with some of the first Federal grants to target adolescents and women living with HIV, and over the years, initiatives have been developed to reflect the evolution of the epidemic and the health care arena.

Part F - SPNS Products and Publications

iHiP Exit Disclaimer

SPNS Funding Opportunities
- No current funding opportunities.
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