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CDC HomeHIV/AIDS > Topics > Prevention Programs > Comprehensive Risk Counseling and Services > CRCS Resources > CRCS Implementation Manual

CRCS Implementation Manual
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Part 2: Screening, Enrolling, and Assessing Clients
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A. Prescreening

Some programs also find a prescreener is useful for helping to determine which programs in their agencies would be most useful for clients. Case managers, health care providers, and outreach workers as well as CRCS prevention counselors can prescreen potential clients and refer eligible clients to CRCS services. Prescreening is a type of triage, meaning you talk with potential clients enough to get a good idea of the kinds of services they might need. If you think a client might need an intensive HIV prevention intervention, then refer that client for a full CRCS screening.

Not all clients should be in CRCS, so prescreening can provide a first general assessment of a client’s eligibility rather than having all potential clients go through a more extensive screening.

Lessons from the field
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Caution -

  • Individuals who are doing the prescreening can sometimes “drift” in their understanding of screening requirements.
  • This is a point at which eligible clients could be lost.
  • To avoid this, your agency should communicate regularly with its prescreeners about CRCS eligibility criteria and prescreening requirements.
Also -
  • Persons who have just received a positive HIV diagnosis often reduce their transmission risk, at least for a time.
  • And it may take time for some newly-diagnosed individuals to be ready to be involved in any prevention intervention, especially one involving the level of commitment that CRCS requires.
  • Many individuals at high risk of HIV infection or transmission will be reluctant to disclose risk at first for many different reasons.
  • Therefore, prescreening – like much of the work in CRCS – is best done by individuals who know the population or client base, who are often from the same community and speak the same languages, and who are familiar with HIV-related risk issues in their community.

CRCS prescreening can be included as part of your agency’s standard client intake procedures.

A sample prescreener template is included in Appendix A.

Go to section 2 part 2B

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Last Modified: July 6, 2006
Last Reviewed: July 6, 2006
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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