Hello, and welcome to the California Family Health Council’s webcasts about Patient Delivered Partner Therapy, or PDPT. I’m Linda Creegan, family nurse practitioner with the California STD/HIV Prevention Training Center.
This webcast is Part 3 of a 3-part series about partner delivered partner therapy. In this segment, I’ll be discussing California law as it relates to PDPT, and the California Family Health Council’s Azithromycin distribution program for PDPT. Please listen to Parts 1 and 2 for more information about the important background information about chlamydia and gonorrhea infections, and about the specifics of using PDPT in your clinic settings.
First, a bit of background regarding
In 2006, the CDC released a document called Expedited Partner Therapy in Sexually Transmitted Diseases, which includes guidance about using patient delivered partner therapy. CDC clearly supports the use of PDPT, by stating that expedited partner therapy should be available to clinicians as an option for partner management.
As discussed in the previous webcasts, PDPT should not be regarded as a first line approach to partner management. Really it is reserved for use with those partners who the patient believes will not get treatment unless they are brought the medication. And the medication used for PDPT should always come with thorough written education materials that explain about the infection, about the medication, and about where to find medical care.
California also supports the use of PDPT. Since 2001 for chlamydia, and since 2007 for gonorrhea, laws are in place that expressly allow clinicians to provide treatment to partners.
You may be interested in consulting the CDC’s webpages about PDPT. You’ll find a map of the U.S. that is constantly updated, as more states pass laws or regulations supporting PDPT, similar to those in California.
And you’ll find this tool kit about legal and policy issues.
For thorough guidance specific to the use of PDPT in California, visit the website of the STD Control Branch of the California Department of Public Health. Here you will find the most up-to-date information about the background to PDPT recommendations, and about implementing PDPT in your clinic.
Finally, let’s spend a few minutes to talk about a great program sponsored by the California Family Health Council, which supplies azithromycin to Title X clinics free of charge for use as PDPT.
Paying for the partner’s medication is often a barrier to treatment. Neither Medi-Cal nor Family PACT pays for PDPT. So several years ago, CFHC started an axithromycin distribution program, providing azithromycin to clinics like yours, specifially for use as PDPT.
Here are the requirement for use of this medications.
This is an example of the type of log you would keep.
During you site evaluations, these logs will be reviewed to asure compliance with the requirements of this program.
The California Family Health Council has examples of PDPT information factsheets in several languages, which you can use with PDPT. Here’s that web address…..
Your contact for more information about the azithromycin distribution program and any questions you may have is Aileen Barandas at CFHC; here is her email address and phone number. If you haven’t already, be sure to listen to the other 2 short webcasts, about the background reasons for PDPT, and about implementing the use of PDPT in your clinic setting. Thanks for listening to these webcasts, and thanks for the work you do.
PDPT Webcast - Part 3 - The Law and CFHC Requirements
PDPT Law in California and CFHC PDPT Guidelines Requirements for Participation inCFHC’s PDPT Distribution Program advocate facilitate evaluate educate research
CFHC’s PDPT Trainings• This is Part 3 of a 3-part series on PDPT – Part 1: Background information about PDPT – Part 2: Using PDPT for Partner Management – Part 3: PDPT Law in California and CFHC PDPT Guidelines• For more information on PDPT:http://www.cdph.ca.gov/pubsforms/Guidelines/Documents/CA-STD-PDPT-Guideline advocate facilitate evaluate educate research
Background advocate facilitate evaluate educate research
CDC Supports PDPT!“EPT should be available to clinicians as an option for partner management”- Expedited Partner Therapy in the Management of Sexually Transmitted Diseases, http://www.cdc.gov/std/treatment/EPTFinalReport2006.pdf advocate facilitate evaluate educate research
CDC Recommendations: Does not replace other partner management strategies Used in situations in which the partner is not likely to receive treatment in a clinical setting. Along with medication, EPT should be accompanied by: Educational materials Information that advises recipients about how to seek personal health care in addition to EPT advocate facilitate evaluate educate research
Is PDPT for CT and GC Legal inCalifornia? YES!2001 - State law in California allows clinicians toprovide treatment to partners of patients withchlamydiaJanuary 1, 2007 - law also allows PDPT forgonorrhea advocate facilitate evaluate educate research
Legal Status of EPT in the U.S.*As of 02/2012 advocate facilitate evaluate educate research
California Guidelines Patient-Delivered Partner Therapy (PDPT) for Chlamydia trachomatis and Neisseria gonorrhoeae:Interim* Guidance for Medical Providers in California Developed by: California Department of Public Health Sexually Transmitted Diseases (STD) Control Branch in collaboration with California STD Controllers Association, the California STD/HIV Prevention Training Center, and the California Chlamydia Action Coalition. *Published in 2011, based on 2007 PDPT Guidance and have been revised to include updated gonorrhea treatment recommendations for dual therapy and precautions relations to pharyngeal gonorrhea infections.http://www.cdph.ca.gov/pubsforms/Guidelines/Documents/CA-STD-PDPT-Guidelines-1 www.std.ca.gov advocate facilitate evaluate educate research
CFHC PDPT DistributionProgram Requirements advocate facilitate evaluate educate research
CFHC PDPT Distribution Program:Background Neither Medi-Cal nor Family PACT reimburse PDPT medication Therefore, CFHC provides FREE PDPT to Title X Delegate Agencies to increase access to partner treatment. advocate facilitate evaluate educate research
CFHC PDPT Distribution ProgramRequirements1. Medication must be: Distributed free-of-charge to clients Prescribed solely to chlamydia- or gonorrhea-positive clients for treatment of their partners (i.e., use is restricted to patient-delivered partner therapy or take-home medication for partners) OR to uninsured clients eligible for Title X services, but not eligible for the Family PACT program. advocate facilitate evaluate educate research
CFHC PDPT Distribution ProgramRequirements2. Each dispensing clinic must maintain a medication log. The log must include: Date of visit Patient identifier (i.e. medical record number or name) Patient date of birth and gender. advocate facilitate evaluate educate research
CFHC PDPT Distribution ProgramRequirements Sample PDPT Log advocate facilitate evaluate educate research
CFHC PDPT Distribution ProgramRequirements A copy of each site’s log will be requested at the end of the 2nd and 4th quarters. These logs and a sample of patient charts may be reviewed during your agency’s next Title X site evaluation. advocate facilitate evaluate educate research
CFHC PDPT Distribution ProgramRequirements Samples of the chlamydia PDPT patient education handouts in English, Spanish, Chinese, and Vietnamese are available for free on the CFHC website, as well as gonorrhea PDPT patient education handouts in English and Spanish. http://www.cfhc.org/Resources/SamplesFile/sexuall y-transmitted-disease.html advocate facilitate evaluate educate research
Questions? For CFHC PDPT Program information, please contact: Aileen Barandas MSN, NP STD Programs Director email@example.com 510.486.0412 ext 2334 advocate facilitate evaluate educate research
Medical and scientific consultation for this webcast was provided by the CaliforniaDepartment of Public Health, STD Control Branch For more information, please visit www.std.ca.gov advocate facilitate evaluate educate research