Name of the Procedure:

High-Intensity Behavioral Counseling (HIBC) to Prevent Sexually Transmitted Infection (STI)

Summary

High-Intensity Behavioral Counseling (HIBC) is a one-on-one, face-to-face counseling session aimed at educating individuals about sexually transmitted infections (STIs), teaching skills to modify sexual behavior, and providing guidance to reduce the risk of infections.

Purpose

HIBC is designed to:

• Prevent the spread of sexually transmitted infections (STIs).
• Educate individuals about safe sexual practices.
• Change risky sexual behaviors to reduce STI incidence.

Indications

This procedure is particularly indicated for individuals who:

• Are sexually active and have a higher risk of STIs.
• Exhibit risky sexual behaviors such as having multiple partners or inconsistent condom use.
• Have been previously diagnosed with an STI.

Preparation

No special preparation is required prior to HIBC sessions. However, individuals may be asked to:

• Reflect on their sexual behaviors and practices.
• Be prepared to discuss personal sexual history openly and honestly.

Procedure Description

1. Introduction and Rapport Building: The counselor establishes a non-judgmental environment to build trust.
2. Education: Detailed information about STIs, their transmission, and preventive methods is provided.
3. Skills Training: Practical skills, such as correct condom use and negotiating safe sex, are taught.
4. Behavioral Guidance: Strategies to change and maintain safer sexual behaviors are discussed and personalized plans are developed.

The counselor may use visual aids, informational leaflets, and role-playing exercises.

Duration

Each session typically lasts 30 minutes and is performed semi-annually.

Setting

HIBC is usually conducted in:

• Outpatient clinics.
• Community health centers.
• Sexual health clinics.

Personnel

The counseling is performed by trained healthcare professionals such as:

• Clinical psychologists.
• Licensed counselors.
• Healthcare providers specializing in sexual health.

Risks and Complications

HIBC is a low-risk intervention, but potential challenges include:

• Emotional discomfort when discussing sensitive topics.
• Resistance to behavioral change. These can be managed through supportive counseling techniques.

Benefits

Participants benefit by:

• Gaining accurate knowledge about STIs.
• Developing skills to prevent STI transmission.
• Achieving more responsible and safer sexual behaviors. Results are typically seen over time with reduced incidence of STIs.

Recovery

No physical recovery is necessary; however, patients are encouraged to:

• Implement the behavioral changes discussed.
• Attend any recommended follow-up sessions for further support.

Alternatives

Alternative options may include:

• Group counseling sessions.
  • Pros: Peer support and shared experiences.
  • Cons: Less personalized attention.
• Online educational programs.
  • Pros: Accessibility and convenience.
  • Cons: Lack of face-to-face interaction.

Patient Experience

Patients might initially feel awkward discussing personal sexual behaviors but typically gain confidence as the session progresses. The counselor will prioritize patient comfort and confidentiality, ensuring a supportive and non-judgmental environment.