Welcome to CEU By Net. In many states and communities, the Harm Reduction model of HIV prevention for people who inject drugs and engage in unprotected sex is controversial and poorly understood. The controversy extends to State Legislatures and the campaign trail.

Does the Harm Reduction approach 'enable' such high-risk behaviors? Is it ethical as a medical approach to prevention of HIV and Hepatitis C, both of which are transmitted through unprotected sex and sharing of needles and syringes?

As a licensed mental health or addiction counselor, LMFT, social worker or other behavioral health professional, do you have the current information you need to answer these questions? Do you know the 'what, how, and why' of the Harm Reduction approach? Know how to set up effective Harm Reduction interventions in your substance abuse or mental health treatment program? Or how to improve the program you currently operate for persons living with co-occurring SUD, Mental Disorders, and HIV?

We invite you to take our Harm Reduction training courses 8K or 1K, which are approved for CE credit by NAADAC, NBCC, IC&RC, and most state licensing boards for behavioral health. EACC-EAPA approval for PDHs is pending. This course material extracts four of five chapters written and currently published in the public domain by the Substance Abuse and Mental Health Services Administration (SAMHSA). The goals of Course 8K are seen here.

These two courses are sponsored by CEU By Net and earn 8 and 1.75 CEUs respectively. They address the significant challenges and strategies in development of programs for clients who are diagnosed with SUD and/or Mental Illness and who have or are at risk for HIV.

In the currently published, validated research which is the basis of our two Harm Reduction courses, SAMHSA presents the design and outcome data forthcoming from three successful community-based prevention and treatment programs serving clients with co-occurring SUD, Mental Disorder, and HIV, including those at high risk for HIV.

Go to the HIV Course Catalog to enroll in these Harm Reduction courses.

Read a brief overview of all our HIV treatment and prevention courses.

Take Unlimited CE Courses for one year at no additional charge with our Annual Subscription, for only $49.

In these two courses you will find practical Harm Reduction designs to consider.

- Program designs address the HIV prevention and treatment needs of your clients who use and inject drugs and those who engage in unsafe sexual practices.

- The three model programs feature client training techniques and psychosocial approaches which you can use in your program or practice. These validated approaches encourage your clients' adherence to the medication protocols which prevent, treat, and halt the progression of HIV once it's contracted.

- Of major importance are program practices to increase adherence and uptake of viral suppression and preventative drugs. These include pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), syringe exchange programs (SEP), Contingency Management (CM), Peer Health Navigation (PHN) and Contingency Management (CM), and Patient Navigation linkage and retention.

The Goals of Course 8K, 'Harm Reduction Strategies & Challenges with Co-Occurring HIV, SUD, & Mental Disorders'

1. Learn the details of three research-validated service delivery models in diverse settings in which HIV can be effectively prevented and treated in persons living with HIV and concurrent SUD and/ or Mental Illness.

2. Learn effective approaches with various populations to encourage uptake and consistent compliance with

(a) Pre-Exposure Prophylaxis (PrEP - prevention of HIV when exposed to the virus), and

(b) Post-Exposure Prophylaxis (PEP), and

(c) suppression of the HIV virus in those who have contracted HIV (ART - Antiretroviral Therapy).

3. Understand the roles of both Biomedical Intervention and Psychosocial Intervention in the prevention and treatment of HIV in people with concurrent behavioral health disorders (SUD and mental illness).

4. Learn how Syringe Exchange programs are successfully integrated within communities and the most effective approach to implementation with people with concurrent behavioral health disorders.

5. Learn the role of Peer Health Navigation (PHN) and Contingency Management (CM) in achieving behavioral and biomedical targets, including transgender women of color who are at risk for or have HIV and concurrent behavioral health disorders.

6. Know why it is critical that programs primarily serving people with serious mental illness and SUD

(a) assess their clients for HIV risk, (b) conduct HIV testing, and (c) provide medically and behaviorally integrated HIV prevention and treatment services to address their complex needs.

7. Understand the errors in the design of HIV programs which result in unsuccessful or reduced HIV viral suppression—particularly with those living with a concurrent diagnosis of SUD and/or Mental Illness.

8. Understand that the model HIV treatment and prevention programs presented in this course must be modified as needed, to meet the needs and living circumstances of the local population.

Source of the Course Content

Course 8K contains 4 of the 5 chapters in the current document published by SAMHSA entitled 'Prevention and Treatment of HIV Among People Living with Substance Use and/or Mental Disorders.' This validated research was originally published by SAMHSA in 2020 and contains a forward written in 2021 by the U.S. Department of Health and Human Services and an extensive active-link references and resource section.

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