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Clinical Practice Tools

Risk Assessment, Screening and Treatment

CDC’s Sexually Transmitted Infections (STI) Treatment Guidelines, 2021
Provides current evidence-based prevention, diagnostic and treatment recommendations. The recommendations are intended to be a source for clinical guidance. Healthcare providers should always assess patients based on their clinical circumstances and local burden.

Recommendations for Providing Quality STD Clinical Services (STD QCS)
The recommendations are designed to go hand-in-hand with the STD Treatment Guidelines—STD QCS can help guide clinical operations, while the Treatment Guidelines focus on the clinical management of patients. Healthcare professionals can use the recommendations to identify opportunities to build, maintain, or enhance the delivery of their services.

California STD Screening Recommendations and Brief Risk Assessment—2015
Guidelines for STD screening from the Centers for Disease Control and Prevention, United States Preventive Services Task Force, Infectious Disease Society of America, and the California Department of Public Health-STD Control Branch.

Evidence-Based Strategies for Increasing Chlamydia and Gonorrhea Screening in Title X Settings Webinar
This webinar from May 2019 begins with a brief review of CDC screening, treatment, and prevention recommendations for chlamydia and gonorrhea (CT/GC) and a discussion of the current prevalence and trends of CT/GC infections and screening. Several evidence-based strategies for increasing screening rates at Title X sites are offered.

ACOG Committee Opinion, Expedited Partner Therapy
Document from the American College of Obstetricians and Gynecologists that outlines its support of the use of expedited partner therapy as a method of preventing gonorrhea and chlamydial reinfection when a patient’s partners are unable or unwilling to seek medical care.

For Adolescents

Confidentiality in Adolescent Health Care
Recommendations from the American College of Obstetricians and Gynecologists on providing confidential care to adolescent patients.

Promoting Adolescent Reproductive Health Project: Basic Tenets of Caring for Teens
This document from the New York City STD & HIV Prevention Training Center provides guidance on how to code for confidential adolescent health care services and vignettes portraying an adolescent receiving reproductive health services to help practitioners practice using the CPT codes to protect adolescent confidentiality.

Health Survey for Adolescents—Trigger
An example of a brief tool addressing high priority adolescent risk behaviors. Available in English and Spanish from the New York State Department of Health, Office of Managed Care. For AAP members click here.

An Empowering Approach to Interviewing, Screening, Educating and Counseling Adolescents At-Risk for Sexually Transmitted Infections
This video for providers from the New York City STD & HIV Prevention Training Center describes a clinical encounter from a provider perspective; going through steps of where and how a provider can intervene to address the patient’s sexual health. An “Empowerment Approach” is used—identifying adolescents’ competencies and assets, helping to improve and increase adolescent decision-making skills, reinforcing health promoting behaviors, building self-efficacy and avoiding the tendency to blame problems on individual deficits. The video is available at the link above, and a workbook that accompanies the video is also available online.