Offer condoms, lube, dental dams, gloves, bleach, etc. Reinforce positive risk-related changes participant has already made. Emphasize where the glass is half full rather than half empty. Never dwell on past lapses. Focus on the future.
Problem solve and prioritize areas where risk reduction is needed.
Formulate a risk reduction plan focusing on small, realistic changes. Discuss preparedness to receive either positive or negative results and client's willingness to return. Offer referral sheet and mark appropriate referalls. Discuss client's needs and desires for further testing. Explain the blood draw.