Adults 18+Adult health literacy; CDC PrEP and doxy-PEP guidance (confirm current editions before each cohort)
Formal definition
PrEP, PEP, Doxy-PEP, ART, vaccines (HPV Gardasil 9, Hep B, Mpox JYNNEOS two-dose), contraception where relevant, Hep C curable no vaccine
Materials
- PrEP format card
- PEP emergency card
- Doxy-PEP corrected table
- Vaccine tracker
- Hep C ask script
PrEP formats
- Daily shield: Truvada / Descovy — one pill daily, with kidney function monitoring.
- Long-distance shot: Apretude (cabotegravir) injection every 2 months, at a clinic.
- Twice-yearly: Yeztugo (lenacapavir) injection twice a year, where available.
- Which option fits depends on your body, your sex practices, and your lab results. A clinician decides with you.
- No clinically significant interaction with estrogen or testosterone — you don’t have to choose between them. Take PrEP as prescribed.
PEP — 72-hour protocol
- 0–2 hrBestGo now
- 2–24 hrHighly effective
- 24–72 hrClosingStill go
- 72+ hrWindow passedStill get tested and ask a clinician about next steps
Any ER can and should provide PEP. US locator: locator.hiv.gov
Houston: Ben Taub ER 24/7, Legacy daytime
28-day course — finish every pill.
Doxy-PEP — what it covers, and the gap
- 80–87%Syphilis
- 87–88%Chlamydia
- 50–55%Gonorrhea — THE GAP
HIV: 0% — antibiotic, not antiviralHerpes: 0%HPV: 0%
“I’ve heard about Doxy-PEP as backup. Is it right for me, and can we get a prescription on file?”
Trial estimates. Doxy-PEP is backup, not frontline.
Who it is recommended for: CDC (2024) recommends offering doxy-PEP to gay and bisexual men and transgender women who had a bacterial STI in the past 12 months. For other people the evidence is insufficient to recommend it — talk with a clinician.
One 200 mg dose within 72 hours after sex. Test for STIs at baseline and every 3–6 months.
Vaccines + Hep C
- HPV: Gardasil 9 — routine through age 26; ages 27–45 by shared decision with a clinician.
- Hep B: vaccine series — highly effective.
- Mpox: JYNNEOS, two doses, 28 days apart.
- Hep C: no vaccine, but curable — 8–12 weeks of antivirals.
- CDC recommends every adult be screened for Hep C at least once. It is often not on an STI panel, so ask by name: “Can you include a hep C screen?”
Facilitator script
“Own the one layer nobody else can remove. Today we own the MEDICATIONS puzzle piece. If this piece fails, which other piece still holds? No single layer has to be perfect.”
Pivot question: “Which letter is still available?” Every stress test ends with this question. No single right answer — redundancy is the point.
50-minute run order
- 5 minLandinghook + norm
- 10 minBuilddefinition + data
- 15 minPracticeskill drill
- 10 minField Notespersonal map
- 10 minHandofftakeaway
5 activities
Choose Your Gear
Match routine to PrEP format (daily / shot / twice-yearly). Which fits your schedule, not your identity? Daily = phone alarm. Shot = calendar every 8 weeks. Twice-yearly = clinic twice a year.
Facilitator: “Which one would you actually keep doing at 1 a.m.?”
72-Hour Protocol — Emergency Card
Walk the four moves: 0-2 best, 2-24 highly effective, 24-72 closing, 72+ window passed. Fill ER plan now, not in crisis.
Drill: “It’s Saturday 11pm. Where do you go? Say it out loud.”
Doxy-PEP Gap Drill
Name what it covers and doesn’t, state gonorrhea gap without checking. Doxy-PEP is backup, not frontline. Trial estimates: syphilis about 80–87%, chlamydia about 87–88%, gonorrhea only about 50–55% — THIS IS THE GAP.
Quickfire: Cover? Not cover? Where’s the gap?
Vaccine + Hep C Tracker
Check HPV / Hep B / Mpox status. Circle unknown. Hep C screen ask script: “Can you include hep C screen?” CDC recommends every adult be screened at least once, and it is often not on an STI panel — so ask by name.
Tracker: Done / Due / Don’t know → Next step date
The Ask — Rehearse
Rehearse: “I’d like to talk about starting PrEP... I take [estrogen/testosterone], I want something that works with it.” Practice once with correct script.
Status-neutral, no stigma tax
Facilitator layer · Lesson M
Big idea: Protection that works regardless of a partner’s actions or words.
Setup
- Print the PrEP Format card, PEP 72-Hour card, Doxy-PEP table, and Vaccine + Hep C tracker.
- Fill the local ER and PrEP provider lines on the PEP card before class.
50-minute lesson plan
- 0:00 · 5 min Landing hook: “If one piece fails, which piece still holds?” Norms.
- 0:05 · 10 min Choose Your Gear, then the 72-Hour Protocol.
- 0:15 · 15 min Core: Doxy-PEP Gap Drill.
- 0:30 · 10 min Vaccine + Hep C tracker.
- 0:40 · 10 min The Ask — rehearse, then check for understanding.
Task cards + facilitator cards
Activity 1 · MATCH-UP · Pairs · 5 min
Choose Your Gear
Task card
- Match each routine to a PrEP format: daily pill (Truvada / Descovy) · injection every two months after starting doses (Apretude) · twice-yearly injection (Yeztugo, where available).
- Pick which you would actually keep at 1 a.m. — your schedule, not your identity.
Facilitator card
Say this: “The best PrEP is the one you’ll actually keep taking.”
Watch for: Assumptions about who PrEP is for. It’s for anyone who could benefit.
If–then: Questions about hormones: no clinically significant interaction with estrogen or testosterone; both providers should know.
Debrief: What would make each format harder or easier for you?
Activity 2 · EMERGENCY CARD · Solo · 5 min
72-Hour Protocol
Task card
- Walk the four moves: 0–2 h best · 2–24 h highly effective · 24–72 h closing, still go · 72+ h window passed, still test and ask.
- Fill your ER plan: name, address, how you’d get there.
- Say it out loud: “It’s Saturday 11 p.m. I go to ___.”
Facilitator card
Say this: “Any ER can and should provide PEP. It’s a 28-day course — finish every pill.”
Watch for: Anyone writing the PEPline as ‘who to call.’ It’s clinician-only.
If–then: If someone says an exposure happened this week: privately, today, ER. Pause the room if needed.
Debrief: What would slow you down at 11 p.m.? Fix it now.
Activity 3 · QUICKFIRE · CORE · Groups of 3 · 15 min
Doxy-PEP Gap Drill
Task card
- From memory, state what doxy-PEP covers: syphilis ~80–87% · chlamydia ~87–88% · gonorrhea only ~50–55% (the gap).
- State what it doesn’t: HIV, herpes, HPV — 0%.
- Draw a claim card and answer: true, false, or “it depends” — and why.
Facilitator card
Say this: “Doxy-PEP is backup, not frontline. Name the gap without checking.”
Watch for: “So I don’t need condoms.” Run the redundancy check.
If–then: Who it’s for: CDC (2024) recommends offering it to gay and bisexual men and transgender women with a bacterial STI in the past 12 months; others should talk with a clinician.
Debrief: If a partner says “doxy has it handled,” what’s your line?
Card set + answer key
- “Doxy-PEP prevents HIV.” → False. It’s an antibiotic.
- “One 200 mg dose within 72 hours after sex.” → True.
- “Doxy-PEP covers gonorrhea as well as syphilis.” → False. About half.
- “You still test every 3–6 months.” → True.
Activity 4 · TRACKER · Solo · 10 min
Vaccine + Hep C Tracker
Task card
- Mark Done / Due / Don’t know for: HPV (Gardasil 9; routine through 26, 27–45 by shared decision) · Hep B · Mpox (JYNNEOS, two doses 28 days apart).
- Hep C has no vaccine but is curable in 8–12 weeks. CDC: every adult screened at least once. Write the ask: “Can you include a hep C screen?”
Facilitator card
Say this: “Don’t know is a next step, not a failure.”
Watch for: Shame about not knowing. Normalise it.
If–then: Tracker stays private. Never collect it.
Debrief: Which line has a next-step date now?
Activity 5 · REHEARSE · Pairs · 10 min
The Ask
Task card
- Rehearse once: “I’d like to talk about starting PrEP. Which format fits me?”
- Add a line if it applies to you: “I take [estrogen/testosterone] and want something that works with it.”
- Partner plays a rushed clinician. Say it anyway.
Facilitator card
Say this: “Practiced words beat nerves.”
Watch for: Mumbling. Have them say it again, slower.
If–then: If someone has had a bad clinic experience: validate, then rehearse a second-try line.
Debrief: What made it easier the second time?
Check for understanding · exit ticket
- Name the three PrEP formats.
Answer key
Daily pill; injection every two months after starting doses (cabotegravir/Apretude); twice-yearly injection (lenacapavir/Yeztugo).
- PEP must start within how many hours, and for how long?
Answer key
72 hours; 28-day course. Sooner is better. Go to an ER.
- Where is the doxy-PEP gap?
Answer key
Gonorrhea — only about 50–55%. It also does nothing for HIV, herpes, or HPV.
Success looks like: Every participant leaves with a filled PEP card and can state the doxy-PEP gap without notes.
Differentiation note
| Support | Pre-filled format cards; read claim cards aloud; allow pointing to answers. |
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| Extend | Build a one-page plan comparing two PrEP formats against your real week. |
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| Language learners | Glossary card (PrEP, PEP, ER, prescription); scripts in the home language. |
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| Access / IEP | Large-print cards; audio of the 72-hour protocol; extra time. |
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| Trauma-informed | Never ask about exposures, status, or history. Status-neutral language throughout. |
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If a participant discloses harm: pause calmly, move the group to the buffer activity, talk privately, and follow the Stop-the-Room script in the Kit & safety tab of the facilitator dashboard below.
Adults 18+Adult health literacy, window period literacy, U=U science
Formal definition
Your status, partners’ status, window periods, reading the room, U=U as fact
Materials
- Window periods table
- Three-site testing script
- U=U fact card
- Anxiety Audit worksheet
Window periods — confirm with your clinic
Three-site testing
Throat, rectal, urine. Say: “I’d like three-site testing please.” Urine-only testing misses infections where they most often sit silently.
ThroatRectalUrine / genital
U=U — a proven prevention principle
A sustained undetectable viral load (under 200 copies/mL, confirmed by regular testing) on ongoing treatment means effectively no risk of sexual transmission. Status-neutral care. This is science, not reassurance — and it depends on staying on treatment and keeping up viral-load checks.
Facilitator script
“Turn fear into data. Today we own the AWARENESS puzzle piece. If this piece fails, which other piece still holds? No single layer has to be perfect.”
Pivot question: “Which letter is still available?” Every stress test ends with this question. No single right answer — redundancy is the point.
50-minute run order
- 5 minLandinghook + norm
- 10 minBuilddefinition + data
- 15 minPracticeskill drill
- 10 minField Notespersonal map
- 10 minHandofftakeaway
5 activities
Anxiety Audit
Write ghost exactly as it sounds, what you’d actually do if true, cross out not health. Turn vague dread into specific data points.
“I’m anxious that ___” → “If true I would ___” → health or not health?
Ghost Hunt → Data
Map ghost to MATCH letter it attacks. Cost → M, Rejection → C, “I won’t remember” → H. Name the attack, name the shield.
Ghost: “They’ll judge me for asking” → Attacks C → Shield: script
Window Period Calculator
Given last exposure [date], is it too early? Practice calculator: If exposure was 10 days ago, HIV lab 18-45d = still early, retest. Chlamydia/gonorrhea ~1-2 weeks = good now.
Facilitator gives 3 dates, group answers: Test now or wait?
Three-Site Ask
Rehearse script out loud once: “I’d like three-site testing please — throat, rectal, and urine.” Say it, don’t mumble it.
Say it to partner, mirror, or voice memo — tick box
U=U One-Sentence
Explain to another person in one sentence: “When HIV meds keep the virus undetectable over time, there’s effectively no risk of passing it on through sex.”
One sentence — and include the condition: sustained undetectable, with ongoing treatment and monitoring
Facilitator layer · Lesson A
Big idea: The ghost you name today is the first thing your MATCH plan will silence.
Setup
- Print the Anxiety Audit, Ghost Hunt map, Window Period calculator, Three-Site script, and U=U card.
50-minute lesson plan
- 0:00 · 5 min Landing hook: “Not knowing doesn’t protect you — it removes your choices.” Norms.
- 0:05 · 10 min Anxiety Audit, then Ghost Hunt → Data.
- 0:15 · 15 min Core: Window Period calculator.
- 0:30 · 10 min Three-Site Ask.
- 0:40 · 10 min U=U one-sentence, then check for understanding.
Task cards + facilitator cards
Activity 1 · AUDIT · Solo, private · 5 min
Anxiety Audit
Task card
- Write every ghost exactly as it sounds — including the embarrassing ones.
- Next to each: what you’d actually do if it came true.
- Cross out anything that isn’t really about your health.
Facilitator card
Say this: “Ghosts don’t care about being logical. Get them on paper.”
Watch for: People writing then hiding the page. That’s fine — nobody collects it.
If–then: If someone is visibly overwhelmed, offer a break and a private check-in.
Debrief: What changed when the ghost had a floor under it?
Activity 2 · MAP · Pairs · 5 min
Ghost Hunt → Data
Task card
- Pick a ghost from the catalogue (e.g., Cost, Rejection, Judgment, Positive Result, Timing).
- Name the MATCH letter it attacks and the shield that answers it.
- Write one move for this week.
Facilitator card
Say this: “Name the attack, name the shield.”
Watch for: Pairs sharing personal ghosts when they didn’t want to. Use catalogue examples instead.
If–then: If a ghost is about a past experience of harm, move to a private check-in.
Debrief: Which ghost shows up most in your life?
Activity 3 · CALCULATOR · CORE · Groups of 3 · 15 min
Window Period Calculator
Task card
- Use the table: HIV Ag/Ab lab 18–45 d · HIV rapid antibody 23–90 d · chlamydia/gonorrhea ~1–2 wk · syphilis 3–6 wk · hep C antibody 8–11 wk.
- For each date card, decide: test now, test now and retest, or wait.
- Explain one answer to the room.
Facilitator card
Say this: “Too early isn’t never. It means retest.”
Watch for: Rounding windows down. Use the full range.
If–then: These are planning ranges. Clinics confirm the exact timing.
Debrief: What would you tell a friend who tested on day 10?
Card set + answer key
- Exposure 10 days ago → HIV lab test: too early, retest after day 45. CT/GC: test now.
- Exposure 5 weeks ago → syphilis: in range, test now. HIV lab: in range, retest at 45 days if early.
- Exposure 3 months ago → all ranges covered: test now.
Activity 4 · SCRIPT · Solo + mirror · 10 min
Three-Site Ask
Task card
- Say it out loud once: “I’d like three-site testing please — throat, rectal, and urine.”
- Tick the box when you’ve said it to a partner, mirror, or voice memo.
Facilitator card
Say this: “A urine-only panel can read clean while an infection sits somewhere never checked.”
Watch for: Mumbled scripts. Again, louder.
If–then: If a participant says sites don’t apply to them, that’s their call — the skill is asking.
Debrief: What would make you actually say this at the clinic?
Activity 5 · EXPLAIN · Pairs · 5 min
U=U One-Sentence
Task card
- Explain U=U in one sentence: “When HIV meds keep the virus undetectable over time, there’s effectively no risk of passing it on through sex.”
- Include the condition: sustained undetectable (under 200 copies/mL), ongoing treatment and monitoring.
Facilitator card
Say this: “This is science, not reassurance.”
Watch for: Dropping the condition. It’s part of the sentence.
If–then: Myths about HIV from the room: correct the fact, never the person.
Debrief: Who in your life needs this sentence?
Check for understanding · exit ticket
- What is the window period for an HIV Ag/Ab lab test?
Answer key
18–45 days.
- What are the three testing sites to ask for?
Answer key
Throat, rectal, urine.
- State U=U including its condition.
Answer key
A sustained undetectable viral load on ongoing treatment means effectively no risk of sexual transmission.
Success looks like: Participants correctly solve two window-period cards and say the three-site ask out loud.
Differentiation note
| Support | Pre-calculated date cards; table with highlighted rows; partner reads aloud. |
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| Extend | Build a personal testing calendar for the next 6 months. |
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| Language learners | Visual calendar; glossary for window period, antibody, panel. |
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| Access / IEP | Calculator worksheet in large print; voice-memo option for the script. |
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| Trauma-informed | Ghosts may touch past harm or diagnosis. Keep everything private and optional. |
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If a participant discloses harm: pause calmly, move the group to the buffer activity, talk privately, and follow the Stop-the-Room script in the Kit & safety tab of the facilitator dashboard below.
Adults 18+Barrier efficacy, material literacy, lube compatibility
Formal definition
External and internal condoms, dams, gloves, finger cots, lube that reduces micro-tears
Materials
- Materials table
- Lube compatibility card
- Build a dam 4 moves
- Golden Rule card
Materials — what blocks what
Lube compatibility
- Water-based: works with everything (latex, nitrile, silicone toys); dries fast — reapply.
- Silicone-based: latex and nitrile OK; waterproof. NEVER with silicone toys — it degrades them.
- Oil-based: massage and non-latex barriers only. NEVER with latex — it destroys it instantly.
Golden rule of sharing
Fresh condom on the toy. Use it, remove it, and change before touching anyone or anything else. Porous vs non-porous cleaning matters.
Build a dam — 4 moves
- Unroll a non-lubed condom
- Snip the tip
- Snip the base ring
- Slice down the side and unfold; add one drop of water-based lube on the body side
Pregnancy layer
Layers: barrier + daily or scheduled method + long-acting method + emergency contraception. For EC, levonorgestrel is available over the counter; ulipristal (ella) needs a prescription; a copper IUD placed by a clinician is the most effective option. Sooner is better — windows differ by method, and hours matter.
Facilitator script
“Frontline barriers that work at 1 a.m.. Today we own the TOOLS puzzle piece. If this piece fails, which other piece still holds? No single layer has to be perfect.”
Pivot question: “Which letter is still available?” Every stress test ends with this question. No single right answer — redundancy is the point.
50-minute run order
- 5 minLandinghook + norm
- 10 minBuilddefinition + data
- 15 minPracticeskill drill
- 10 minField Notespersonal map
- 10 minHandofftakeaway
5 activities
Pinch the Tip
Demonstrate correct external and internal use, DOs/DON’Ts, one at a time never doubled. Pinch tip, roll down, hold base on exit. Internal: squeeze inner ring, push, outer ring stays out.
Demo with model — no real genitals needed
Match Material to Need
Latex vs polyurethane vs lambskin scenario: Latex allergy? → poly. Wants pregnancy only, monogamous, both tested? → lambskin could work but not STI. Default: latex or poly.
Scenario cards: pick material, justify
Lube Match
Match lube to barrier and toy material. Water = everything but dries. Silicone = latex ok, toys no. Oil = latex no. Drill until automatic.
Water + latex? Yes. Silicone + silicone toy? No.
Build a Dam
Four moves under field conditions: Unroll, snip tip, snip base, slice & unfold. Add one drop water-based lube body side. Practice with non-lubed condom.
Timed: 30 seconds, field conditions
Golden Rule Drill
Fresh condom on toy mid-moment practice: Use toy, remove condom, new condom before touching anyone/anything else. No skipping because “it’s quick.”
Narrate moves out loud
Facilitator layer · Lesson T
Big idea: Friction reduction is infection prevention. Match the lube to the material.
Setup
- Set up the demo model and sealed supplies. Check expiry dates.
- Print the Materials table, Lube Match card, Build-a-Dam steps, and Golden Rule card.
50-minute lesson plan
- 0:00 · 5 min Landing hook: “Your comfort sets the ceiling for theirs.” Norms.
- 0:05 · 10 min Pinch the Tip demo, then Match Material to Need.
- 0:15 · 15 min Core: Lube Match drill.
- 0:30 · 10 min Build a Dam — timed.
- 0:40 · 10 min Golden Rule drill, then check for understanding.
Task cards + facilitator cards
Activity 1 · DEMO · Whole group, model only · 5 min
Pinch the Tip
Task card
- Watch, then narrate the steps back: check date → open by hand → pinch tip → roll down → hold the base on exit.
- Internal condom: squeeze the inner ring, insert, outer ring stays outside.
- Never use two at once.
Facilitator card
Say this: “Matter-of-fact. Let the laugh land, then keep going.”
Watch for: Discomfort. Model calm.
If–then: Latex allergy questions: polyurethane or polyisoprene.
Debrief: Which step do people skip most?
Activity 2 · SCENARIOS · Pairs · 5 min
Match Material to Need
Task card
- For each scenario card, choose latex, polyurethane/polyisoprene, or lambskin — and justify.
- Remember: lambskin prevents pregnancy but does NOT protect against HIV or STIs.
Facilitator card
Say this: “Default: latex or poly.”
Watch for: Picking lambskin for STI protection.
If–then: If a pair is stuck, go back to the materials table.
Debrief: When would lambskin ever be the right call?
Activity 3 · DRILL · CORE · Groups of 3 · 15 min
Lube Match
Task card
- Drill until automatic: water-based works with everything (reapply) · silicone OK with latex, never with silicone toys · oil never with latex.
- Answer the flash cards fast: Water + latex? Silicone + silicone toy? Oil + latex?
Facilitator card
Say this: “Lube isn’t optional — inadequate lubrication increases breakage.”
Watch for: Mixing up silicone lube with silicone toys.
If–then: Irritation questions: switch to a water-based, fragrance-free option and ask a clinician.
Debrief: Which pairing will you never forget now?
Activity 4 · TIMED · Pairs · 10 min
Build a Dam
Task card
- Four moves, 30 seconds: unroll a non-lubed condom → snip the tip → snip the base ring → slice down the side and unfold.
- Add one drop of water-based lube on the body side.
Facilitator card
Say this: “Field conditions: no perfect scissors at 1 a.m. Practise now.”
Watch for: Using a lubed condom — hard to handle.
If–then: Safety: blunt-tip scissors only.
Debrief: Could you do this without the card?
Activity 5 · NARRATE · Pairs · 5 min
Golden Rule Drill
Task card
- Narrate out loud: fresh condom on the toy → use → remove → new condom before touching anyone or anything else.
- Porous vs. non-porous: porous toys can’t be fully sterilized and need a condom.
Facilitator card
Say this: “No skipping because ‘it’s quick.’”
Watch for: Giggles turning into opting out. Offer the observer role.
If–then: Storage: no wallets or glove boxes — heat and friction break latex.
Debrief: What’s your stock check this week?
Check for understanding · exit ticket
- Which lube never goes with latex?
Answer key
Oil-based.
- Does lambskin protect against HIV and STIs?
Answer key
No. It prevents pregnancy only.
- Name the four Build-a-Dam moves.
Answer key
Unroll, snip tip, snip base ring, slice and unfold (plus a drop of water-based lube).
Success looks like: Participants answer the lube flash cards without notes and build a dam in under 30 seconds.
Differentiation note
| Support | Picture step cards; demo repeated slowly; observer role available. |
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| Extend | Teach-back: explain the Lube Match to a partner in 30 seconds. |
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| Language learners | Picture-only lube chart; product labels translated. |
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| Access / IEP | Fine-motor alternative: sequence the step cards instead of handling supplies. |
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| Trauma-informed | Hands-on is optional. Narrating and observing count as full participation. |
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If a participant discloses harm: pause calmly, move the group to the buffer activity, talk privately, and follow the Stop-the-Room script in the Kit & safety tab of the facilitator dashboard below.
Adults 18+Consent literacy, boundary negotiation, disclosure ethics
Formal definition
Negotiating boundaries, asking about testing, disclosing status, enthusiastic consent as loop not checkbox — the Consent Café: FRIES as a guided menu
Materials
- 5 Scripts + Rehearsal Protocol
- Disclosure Structure
- Exit line card
- Consent Café (FRIES guided menu)
Five scripts — Consent Café
- Pre-game (we, not you): “Hey, before we get too into this, I want to make sure we’re both safe. Have you been tested recently?”
- Barrier pivot (pleasure, not precaution): “I like using condoms because they let me relax and enjoy you.”
- Boundary setting: “I’m curious about trying [A] but not ready for [B] tonight. How do we make this good for both of us?”
- Gentle hold: “I hear you, and this is still non-negotiable for me. It isn’t about trust — it’s how I take care of myself.”
- Exit line: “If we can’t find a way to make this safe for both of us, tonight isn’t happening — and that’s okay.”
The Consent Café
Consent is like inviting someone for coffee: you can change your order, leave, or come back later. A loop, not a checkbox. FRIES is the guided menu — Freely given, Reversible, Informed, Enthusiastic, Specific.
Disclosure — fact + science + door
Fact = your status. Science = U=U. Door = “Ask me anything.”
“I’m living with HIV and I’m undetectable, which means there’s effectively no risk of me passing it to you through sex. I wanted you to hear it from me early. Ask me anything.”
If the reaction is rough: “I get that this is a lot — take the time you need. I’m still the same person.”
Law note: some states still have HIV-specific disclosure laws that predate U=U. This is not legal advice — refer to legal aid or an HIV services organization.
Rehearsal protocol
- Read it silently — own the words
- Say it out loud to yourself — hear your voice
- Say it to a mirror, a friend, or a voice memo — see it
- Say it in the room where it matters — field test
Tick all four before you need it. Scripts fail if you only read them once.
Facilitator script
“Scripts that survive pushback. Today we own the COMMUNICATION puzzle piece. If this piece fails, which other piece still holds? No single layer has to be perfect.”
Pivot question: “Which letter is still available?” Every stress test ends with this question. No single right answer — redundancy is the point.
50-minute run order
- 5 minLandinghook + norm
- 10 minBuilddefinition + data
- 15 minPracticeskill drill
- 10 minField Notespersonal map
- 10 minHandofftakeaway
5 activities
Write Your Own
Pre-game script, non-negotiable one sentence, exit line in words you’d actually say. Not facilitator’s words — yours. If it sounds fake, rewrite.
Your words, your voice, your boundary
Rehearsal Protocol
Read silently, say out loud to self, mirror/friend/voice memo, in room where it matters — tick all four. Muscle memory for mouth.
Four ticks = ready for field
Gentle Hold Under Pushback
Partner says “Doxy-PEP has it handled so barriers aren’t necessary tonight” — hold line: “Doxy only covers some bacteria, about half of gonorrhea, and I need barrier for rest. Still non-negotiable.”
Pushback drill — hold without apologizing
Disclosure Draft
Draft while nothing at stake — fact / science / door. Fact = status. Science = U=U. Door = “Ask me anything.” Write now, not at 11pm.
Draft in notebook, not in DMs
Consent Loop
You may change mind or leave at any time for any reason without explaining — guilt over changed mind is red flag. Café: you can leave café anytime.
Consent = loop, not checkbox — you can always leave
Facilitator layer · Lesson C
Big idea: Silence is risk. Conversation is protection.
Setup
- Print the Five Scripts card, Rehearsal Protocol, Disclosure Draft, and Consent Café menu.
- Prepare pushback cards for the Gentle Hold drill.
50-minute lesson plan
- 0:00 · 5 min Landing hook: “Athletes practise plays. This is your play.” Norms.
- 0:05 · 10 min Write Your Own, then the Rehearsal Protocol.
- 0:15 · 15 min Core: Gentle Hold under pushback.
- 0:30 · 10 min Disclosure Draft (fact + science + door).
- 0:40 · 10 min Consent Loop, then check for understanding.
Task cards + facilitator cards
Activity 1 · WRITE · Solo · 5 min
Write Your Own
Task card
- Using the five scripts as models (Pre-game · Barrier Pivot · Boundary · Gentle Hold · Exit), write a pre-game line, one non-negotiable, and an exit line in words you’d actually say.
Facilitator card
Say this: “If it sounds fake, rewrite it.”
Watch for: Copying the card word for word.
If–then: Stuck? Start from the exit line — it’s the easiest to own.
Debrief: Which line sounds most like you?
Activity 2 · 4 TICKS · Solo + pairs · 5 min
Rehearsal Protocol
Task card
- Tick all four: read it silently → say it to yourself → say it to a mirror, friend, or voice memo → say it in the room where it matters.
Facilitator card
Say this: “Scripts fail if you only read them once.”
Watch for: Stopping at tick one.
If–then: If someone won’t say it aloud in the group, a voice memo counts.
Debrief: Which tick was hardest?
Activity 3 · PUSHBACK · CORE · Pairs · 15 min
Gentle Hold Under Pushback
Task card
- Partner reads a pushback card (e.g., “Doxy-PEP has it handled, so barriers aren’t necessary”).
- Hold the line without apologising: “I hear you, and this is still non-negotiable for me. It isn’t about trust — it’s how I take care of myself.”
- Switch roles after three cards.
Facilitator card
Say this: “You never apologise for keeping yourself safe.”
Watch for: “I’m sorry, but…” Catch it and reset.
If–then: If a drill gets heated, pause: it’s practice, not a contest.
Debrief: What did it feel like to hold the line twice?
Activity 4 · DRAFT · Solo, private · 10 min
Disclosure Draft
Task card
- Draft while nothing is at stake: Fact (the status or information) + Science (e.g., U=U) + Door (“Ask me anything”).
- Add a line for a rough reaction: “I get that this is a lot — take the time you need. I’m still the same person.”
Facilitator card
Say this: “Write it now, not at 11 p.m. in the DMs.”
Watch for: Assuming who in the room this is for. Everyone drafts a version — about any health information.
If–then: Legal questions: some states still have HIV-specific disclosure laws. Not legal advice — refer to legal aid or an HIV services organization.
Debrief: What does the ‘door’ line do for the other person?
Activity 5 · CAFÉ · Pairs · 5 min
Consent Loop
Task card
- Consent is a loop, not a checkbox. Using the FRIES menu (Freely given · Reversible · Informed · Enthusiastic · Specific), practise checking in and changing your order mid-conversation.
- Practise hearing a changed mind: “Okay — thanks for telling me.”
Facilitator card
Say this: “Guilt over a changed mind is a red flag.”
Watch for: Responses that make the other person pay for a boundary.
If–then: If the exercise surfaces a past experience, offer a private check-in.
Debrief: What does a good response to a changed mind sound like?
Check for understanding · exit ticket
- Name the five script types.
Answer key
Pre-game, Barrier Pivot, Boundary, Gentle Hold, Exit.
- What are the three parts of a disclosure?
Answer key
Fact, science, door.
- What does the R in FRIES mean for a conversation already underway?
Answer key
Reversible — anyone can change their mind at any point.
Success looks like: Participants hold the line through three pushback cards without apologising.
Differentiation note
| Support | Script strips; start with the exit line; partner models first. |
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| Extend | Write a pushback card the group hasn’t heard and a hold line for it. |
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| Language learners | Scripts drafted in the home language first. |
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| Access / IEP | Typed or AAC scripts count; voice-memo rehearsal. |
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| Trauma-informed | Never role-play a real relationship from the room. Observer role always available. |
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If a participant discloses harm: pause calmly, move the group to the buffer activity, talk privately, and follow the Stop-the-Room script in the Kit & safety tab of the facilitator dashboard below.
Adults 18+Adherence, redundancy, maintenance planning
Formal definition
Stocking supplies, pill adherence, checking in, routines that keep plan running
Materials
- Ghost Catalogue 16
- Stress-Test Dossiers 8
- Build Your MATCH Plan
- 30-Day Fearless Challenge
SafER Score — redundancy check
Score 0 or 1 for each layer: Meds? Aware? Tools? Comm? Habits? Total out of 5 — you need 3 or more to survive real-world friction.
Field kit + 30-day challenge
- Ghost catalogue (16)
- Stress-test dossiers (8 scenarios — what broke?)
- Build Your MATCH plan (one line per letter)
- 30-Day Fearless Challenge: one small action a day so the plan becomes routine, not a decision. Day 1: photo your MATCH plan to your phone. Day 2: set an alarm. Day 3: say the three-site ask out loud. … Day 30: teach one person.
Plan stress test: “Which letter broke? Which is still available? No single right answer.”
Facilitator script
“Make plan routine not one-time decision. Today we own the HABITS puzzle piece. If this piece fails, which other piece still holds? No single layer has to be perfect.”
Pivot question: “Which letter is still available?” Every stress test ends with this question. No single right answer — redundancy is the point.
50-minute run order
- 5 minLandinghook + norm
- 10 minBuilddefinition + data
- 15 minPracticeskill drill
- 10 minField Notespersonal map
- 10 minHandofftakeaway
5 activities
Build Your MATCH Plan
Photograph and keep on phone — one line per letter. M: My meds are ___. A: I test every ___. T: I use ___. C: My line is ___. H: I restock ___.
One line, phone photo, done
SafER Score
Rate plan redundancy: 0/1 per letter. Need 3+ to survive real-world friction. If one fails, others hold. No single layer has to be perfect.
Score: _/5 — which letter is missing?
Plan Stress Test
Name what broke (M A T C H) + pivot to what still available — no single right answer. Scenario: “You’re out of condoms.” → M still there, C still there, H needs restock.
“Which letter is still available?”
Stock Check
Barriers dated and stored cool not wallet/glove box, lube compatible, prescription on file. Heat destroys latex. Wallet = friction + heat = break.
Check date, check storage, check compatibility
30-Day Fearless Challenge
One small action a day so plan becomes routine. Not heroics — tiny reps. Teach one person on day 30 and plan sticks.
Tiny daily rep > big one-time decision
Facilitator layer · Lesson H
Big idea: A plan that only works under perfect conditions is a wish.
Setup
- Print Build Your MATCH Plan, SafER Score, Stress Test card, Stock Check, and the 30-Day Fearless Challenge.
- Pick one stress-test dossier to run (Broken Barrier is a good default).
50-minute lesson plan
- 0:00 · 5 min Landing hook: “Which letter is still available?” Norms.
- 0:05 · 10 min Build Your MATCH Plan, then the SafER Score.
- 0:15 · 15 min Core: Plan Stress Test with a dossier.
- 0:30 · 10 min Stock Check.
- 0:40 · 10 min 30-Day Fearless Challenge launch, then check for understanding.
Task cards + facilitator cards
Activity 1 · PLAN · Solo · 5 min
Build Your MATCH Plan
Task card
- One line per letter: M my meds are ___ · A I test every ___ · T I use ___ · C my line is ___ · H I restock ___.
- Photograph it to your phone.
Facilitator card
Say this: “One line, phone photo, done.”
Watch for: Lines too vague to act on.
If–then: Not every plan uses every piece every time. You’re the architect.
Debrief: Which line is weakest right now?
Activity 2 · SCORE · Solo · 5 min
SafER Score
Task card
- Score 0 or 1 per layer: Meds? Aware? Tools? Comm? Habits?
- Total out of 5. Three or more survives real-world friction.
Facilitator card
Say this: “No single layer has to be perfect.”
Watch for: Shame about a low score. It’s a starting line.
If–then: Scores are private.
Debrief: Which one point is easiest to add?
Activity 3 · DOSSIER · CORE · Groups of 3 · 15 min
Plan Stress Test
Task card
- Read the dossier (e.g., The Broken Barrier, The Missed Doses, The Uninsured Visit).
- Name what broke (M, A, T, C, or H).
- Pivot: which letter is still available? Write the next move.
Facilitator card
Say this: “Don’t panic — look at the puzzle and activate the next piece.”
Watch for: Groups hunting for one right answer. There isn’t one.
If–then: If a dossier mirrors someone’s real week, offer the PEP card and a private check-in.
Debrief: Which letter did your group pivot to, and why?
Activity 4 · CHECKLIST · Solo · 10 min
Stock Check
Task card
- Barriers dated and stored cool (not in a wallet or glove box) · lube matches materials · prescriptions on file · refill reminder set.
Facilitator card
Say this: “Don’t let your battery die. Restock before you need it.”
Watch for: Cost barriers. Point to free supplies at clinics and health departments.
If–then: Privacy at home? Plan discreet storage.
Debrief: What will you restock first?
Activity 5 · LAUNCH · Solo · 5 min
30-Day Fearless Challenge
Task card
- Day 1: photo your MATCH plan. Day 2: set an alarm. Day 3: say the three-site ask out loud.
- Write your Day 4–7 actions. Day 30: teach one person.
Facilitator card
Say this: “Tiny daily reps beat one big decision.”
Watch for: Overloading week one.
If–then: Missed a day? Pick up the next one. That’s the habit.
Debrief: Who will you teach on Day 30?
Check for understanding · exit ticket
- What SafER Score survives real-world friction?
Answer key
3 or more out of 5.
- A condom breaks. Name two letters still available.
Answer key
Any two that apply — e.g., M (PEP within 72 h), A (testing plan), C (tell your partner), H (restock).
- Name the adult 30-day challenge.
Answer key
The 30-Day Fearless Challenge.
Success looks like: Every participant leaves with a photographed MATCH plan and the first seven days of the challenge written.
Differentiation note
| Support | Fill-in MATCH plan with a word bank; one dossier read aloud by the facilitator. |
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| Extend | Run a second dossier and compare the pivots. |
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| Language learners | Visual dossier summaries; plan written in any language. |
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| Access / IEP | Paper and phone versions; reduced challenge (one action every three days). |
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| Trauma-informed | Dossiers are fictional. Never ask whose life they resemble. |
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If a participant discloses harm: pause calmly, move the group to the buffer activity, talk privately, and follow the Stop-the-Room script in the Kit & safety tab of the facilitator dashboard below.
