HIV Prevention Services

HIV Protocol Based Counseling

The Protocol Based Counseling (PBC) program, previously known as the Prevention Counseling Partner Elicitation program, was a pilot-program during fiscal year 2003-2004. The City of Laredo, amongst other four cities in Texas was selected to pilot the program. Beginning in January 2005, the program was renamed to PBC and mandated to become implemented throughout the State of Texas. The PBC evidence based intervention is an individualized, structured, client centered intervention that is offered either anonymously or confidentially, in which a protocol is used to guide the counselor to ask open-ended questions designed to help improve a client’s self-perception of risk and instill a commitment on behalf of the client to change behavior.

Three different types of HIV Tests are made available:

Standard HIV Test - consists of drawing blood from the person’s arm - confirms HIV (Results in two weeks)

Unigold Rapid Test – consists of a needle stick from the finger – (Results in 10 minutes)

Orasure Rapid Test – consists of getting a swab from the person’s mouth – (Results in 15 minutes)

Since its inception, the PBC Program has performed over 32,000 HIV antibody tests of which 427 tests were HIV positive. In addition to HIV screening and testing, the program also tests for syphilis and Hepatitis C.

The Program has been recognized at the state and national level for identifying, linking and enrolling HIV positive clients into early medical treatment. People who are infected must be diagnosed and placed on treatment early to receive the greatest benefit from drug therapy.

Free HIV, Syphilis, & Hepatitis C Testing

HIV community outreach downtown plaza

Comprehensive Risk Counseling Services (CRCS)

The CRCS program consists of individual counseling session(s) that are provided by the HIV Case Manager targeting Men who have sex with Men, Injecting Drug Users, and Heterosesuxals that are HIV positive or HIV negative with multiple risk factors. CRCS is an intervention that is:

  • Client-centered with the fundamental goal being the promotion, adoption and maintenance of HIV risk–reduction behaviors by clients with multiple, complex problems and risk-reduction needs.
  • An intensive individual-level intervention.
  • Intended for persons having or likely to have difficulty initiating or sustaining practice that reduce or prevent HIV acquisition or transmission.

Community PROMISE

The Community PROMISE program is an EBI that provides a community level intervention that will be delivered at an individual level in an attempt to modify attitudes and beliefs about HIV prevention methods among the community members by providing models of successful risk reduction strategies adopted by members of the target population. Community PROMISE staff and peer volunteers from each target community are trained to carry out the intervention by drawing attention to and reinforcing identification with and acceptance of the intervention messages. The intervention features role model stories developed from the real-life experiences of local community members. These stories depict members of the target population moving from earlier to later stages of change. The role model stories are featured in pamphlets and flyers distributed with condoms and bleach kits by the peer volunteers. This is designed to be carried out as a single session intervention and must remain true to the core elements. The core elements of the intervention consist of: (1) the use of printed role model stories tailored to the target group’s stage of change; (2) the delivery of materials/stories by members of the targeted at-risk community; and (3) the increase in availability of condoms and bleach kits. The goals of Community PROMISE are to (1) increase consistent condom use for anal and vaginal intercourse with main and non-main partners and (2) to increase disinfection of injecting equipment.

HIV community outreach downtown plaza

This program utilizes Ryan White Part B and State Services funds to help persons with HIV/AIDS infection. An important part of care and support is about responding to the needs of a person living with HIV/AIDS in a holistic (or “whole”) way. Eligibility - regardless of income, a person may be eligible to receive HIV Early Intervention services at the City of Laredo Health Department’s HIV/AIDS Program as long as they are HIV positive or have a diagnosis of AIDS. It involves a variety of information, resources and services to address a range of needs – not just medical needs. Services are provided by the HIV Medical Case Manager. Clients are assisted with:

Case Management     

Outpatient Medical Care




Health Insurance



Housing Assistance

Food Assistance

Counseling Services   

Monthly Client’s Meetings

The Ryan White Title IV Project is aimed at providing individual and family centered care to women, infants, children and youth in regards to their HIV health. Through case management services clients’ needs are assessed and appropriate linkages and referrals are made for:

  • Medical treatment
  • Counseling
  • Medication adherence
  • Health education
  • Social service programs