A discussion of Patient Delivered Partner Therapy and the legal requirements federally and the in the state of California.

1. PDPT Law in California and
CFHC PDPT Guidelines
Requirements for Participation in
CFHC’s PDPT Distribution Program
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2. 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
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3. Background
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4. 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
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5. 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
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6. Is PDPT for CT and GC Legal in
California?
YES!
2001 - State law in California allows clinicians to
provide treatment to partners of patients with
chlamydia
January 1, 2007 - law also allows PDPT for

gonorrhea
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7. Legal Status of EPT in the U.S.
*As of 02/2012
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8. CDC EPT Legal/Policy Toolkit
CDC EPT Legal/Policy Toolkit
http://www.cdc.gov/std/ept/
legal/legaltoolkit.htm
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9. 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
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10. CFHC PDPT Distribution
Program Requirements
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11. 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.
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12. CFHC PDPT Distribution Program
Requirements
1. 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.
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13. CFHC PDPT Distribution Program
Requirements
2. 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.
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14. CFHC PDPT Distribution Program
Requirements
Sample PDPT Log
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15. CFHC PDPT Distribution Program
Requirements
 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.
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16. CFHC PDPT Distribution Program
Requirements
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
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17. Questions?
For CFHC PDPT Program information, please
contact:
Aileen Barandas MSN, NP
STD Programs Director
barandasa@cfhc.org
510.486.0412 ext 2334
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18. Medical and scientific consultation for this
webcast was provided by the California
Department of Public Health, STD Control
Branch
For more information, please visit
www.std.ca.gov
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