An evidence-based, sex positive strategy to make sexual history conversations less awkward and more effective for providers and patients

Sexual history taking can be an onerous and awkward task that does not reliably produce useful information.

Consider trying a new approach:

G

G

Give a preamble that emphasizes sexual health

O

O

Offer opt-out HIV/STI testing and information

A

A

Ask an open-ended question

L

L

Listen for relevant information and probe to fill in the blanks

S

S

Suggest a course of action

Unlike standard risk assessment questions, which may alienate patients or discourage honest disclosure, GOALS seeks to XYZ.

GOALS has been adapted from adult primary care for FOUR other settings:

  • Older Adults

    Navigating age-specific sexual health needs

  • Minors & Adolescents

    Requiring sensitive, developmentally appropriate approaches

  • OBGYN

    Integrating sexual health seamlessly with reproductive care and family planning

  • HIV & Outreach Settings

    Connecting patients to navigation and referral services