HIV Counseling and Testing
The Tennessee Department of Health provides HIV testing in each of its 95 health departments across the state (visit our local health department website for locations).
In 2001 the Centers for Disease Control and Prevention (CDC) issued program guidance for implementing HIV testing in non-clinical settings. The purpose of which was to familiarize providers with issues and updates that are central in providing HIV testing in non-clinical settings.
The Tennessee Department of Health implemented this guidance with regard to its non-clinical testing contractors, specifically those partners who offered HIV Rapid Testing. The Rapid Testing Guidelines are based on the 2001 program guidance.
In 2016 new program guidance was issued by the CDC which includes several important updates to CDC’s 2001 Revised Guidelines for HIV Counseling, Testing, and Referral and complementing CDC’s 2012 Planning Implementing HIV Testing and Linkage Programs in Non-Clinical Settings: A Guide for Program Managers.
Addresses HIV diagnosis as the first step in the HIV care continuum
A key goal of HIV testing is to identify those individuals who were previously unaware of their
HIV diagnoses, link them to care, treatment and prevention services.
Emphasize strategies for targeting and recruiting specific high-risk populations for testing, including partners of people living with HIV and highlighting Couple or Partner testing
HIV testing sites should seriously consider offering partnered or couples testing, to identify
those individuals who are at high risk for HIV infections and to identify HIV-discordant couples.
Protocol cards for testing together – scripts
Provider flip card for testing together – protocol for testing couples
Separating the prevention counseling session from the HIV testing event
HIV testing in non-clinical settings should be simple and straight forward, the CDC no longer
supports extensive pre and posttest counseling. Testing sessions should be streamlined to
deliver key information, conduct the HIV test, complete a brief risk survey, provide results and
provide referrals based on the client’s needs and risks.
Protocol cards for individuals testing in non-clinical settings - scripts
Provider flip card for individuals testing in non-clinical settings – protocol for testing
Note: Since 2014 the CDC has not supported the RESPECT-based counseling session. A new
streamlined approach to HIV testing counseling training will be released in September/October
Prep in Tennessee – National PrEP Provider Guide
Although local health departments in Tennessee do not prescribe PrEP, residents may be linked to providers who are prescribing PrEP. Disease Intervention Specialists (DIS) at local health departments can also make PreP referrals to community providers.
PrEP Navigators in TN
- Cempa Community Care:
- Rachel Greene, firstname.lastname@example.org, 423-930-8337
- Positively Living/ Project ACT:
- Cherokee Health Services:
- Jonathan Johnson, 865-934-6625
- Cempa Community Care:
- Mario Forte, PrEP@chattanoogacares.org, 423-322-4900
- Choice Health Network:
- Nashville CARES/My House:
- Ronellis Tunstill and Ben Hurston, email@example.com, 615-499-7502
- Neighborhood Health:
- Rod Morris, Rmorrie@neighborhoodhealthtn.org, 615-227-3000 (appointment line)
- Columbia CARES:
- Children & Family Services:
- Contact: 800-379-9478
- Jessie Claudio, firstname.lastname@example.org, 901-278-6422
- The Haven (Friends for Life):
- PEAS (Partnership to Ends AIDS Status):
- Halenia Crews, email@example.com, 901-779-0922
- Cherokee Health Services:
Project PRIDE - “PrEP Implementation Data2CARE Evaluation”
The purpose of this 3-year demonstration project, specific to Memphis and Shelby County, is to support health departments in implementing two public health strategies to reduce new HIV infections in MSM, and transgender persons These include Pre-exposure Prophylaxis (PrEP), a daily pill to prevent getting HIV, and “Data to Care,” the use of HIV surveillance and other data to identify HIV-diagnosed persons not in care, and to link, engage, or re-engage them in HIV medical care.
This project supports the goals of the National HIV/AIDS Strategy (NHAS) by improving program planning and implementation to:
- Reduce new HIV infections,
- Increase access to care and improve health outcomes for persons living with HIV
- Reduce HIV-related disparities and health inequities.
To reach populations at high risk for HIV infection sites should employ strategic targeting and recruitment efforts to ensure targeted testing is achieving program goals
The six primary categories of recruitment strategies are the following:
1. Street-based and venue-based outreach – Engaging clients in their own environment.
2. Internet outreach – Reaching the targeted population through online venues.
3. Internal referrals – Reaching clients through other services offered at the agency.
4. External referrals – Referred to the agency by outside agencies.
5. Social networking – Peer driven recruitment
6. Social marketing – The use of media to attract clients into HIV testing services.
You might have HIV and still feel perfectly healthy. The only way to know accurately if you are infected or not is to be tested.
In all health departments, you will be able to talk with a knowledgeable healthcare provider or counselor both before and after you are tested.
- HIV counseling and testing is confidential
- All HIV tests are free
- Tests results take two weeks to process
In metro areas, the Tennessee Department of Health provides free rapid HIV testing to high-risk individuals. HIV rapid test results are available in 20 minutes. Those areas are Knoxville, Chattanooga, Nashville and Memphis.
HIV rapid testing is also available via the following Community Based Organizations.
HIV Rapid Testing Locations in TN
HIV Rapid testing is available at all regional, county, and metropolitan health departments in TN. For a full list, click here.
- Helen Ross McNabb: https://www.mcnabbcenter.org/
- Frontier Health: https://www.frontierhealth.org/
- Positively Living: https://positively-living.org/
- Samaritan Ministries: http://www.samaritancentral.org/
- CEMPA Community CARE: https://www.cempa.org/
- Channels of Love: http://colministry.org/
- Choice Health Network (Chattanooga): https://choicehealthnetwork.org/
- Columbia CARES: http://www.columbiacares.org/
- Street Works: http://streetworks.org/
- Nashville CARES: https://www.nashvillecares.org/
- Metropolitan Interdenominational Church: http://metropolitanfrc.com/
- Vanderbilt University Medical Center, Emergency Department: https://www.vanderbilthealth.com/er/
- Neighborhood Health: https://www.neighborhoodhealthtn.org/
- Matthew Walker Comprehensive Health Center: http://mwchc.org/
- Nashville General Hospital at Meharry, Emergency Department: https://nashvillegeneral.org/specialty/emergency-services
- Middle Tennessee State University, Student Health Services: https://www.mtsu.edu/healthservices/
- Siloam Family Health Center: https://siloamhealth.org/
- Friends for Life: https://www.fflmemphis.org/
- Methodist Le Bonheur Healthcare: https://www.lebonheur.org/our-services/le-bonheur-in-the-community/community-hiv-network/index.dot
- Planned Parenthood of Tennessee and North Mississippi: https://www.plannedparenthood.org/planned-parenthood-tennessee-and-north-mississippi
- South Memphis Alliance: https://www.smaweb.info/
- Life Choices: https://lifechoicesmemphis.org/
- Regional One Health: https://www.regionalonehealth.org/
- Christ Community Health Services: https://www.christcommunityhealth.org/
- OUTMemphis: https://www.outmemphis.org/
- Partnership to End AIDS Status: https://www.partnershiptoendaidsstatus.com/
- Children and Family Services: https://www.covington-tiptoncochamber.com/list/member/children-family-services-covington-42