Counselling For HIV Patients

1. COMMUNITY COUNSELLING
-HIV PATIENTS
DONE BY
REVATHI MOHAN
2’nd Year Masters in Counselling Psychology

2. OBJECTIVE
 To provide psycho social support
 To prevent transmission of HIV infection
 To provide quality of life
 To provide risk assessment

3. WHY COUNSELLING
 Infection with HIV is long
 To cope with HIV positive status
 To adjust and to learn about change in life style
inorder to reduce the risk of contracting HIV
infection

4. WHAT THEY ACTUALLY WANT…..

5. HISTORY
 The story of HIV/AIDS would have been written
differently because there was no cure, no hope
 More people died than necessary
 There was no short-cut and no easy path

6. FIND OUT WHAT PEOPLE WANT…
 Wanted to die: At Home,
NOT in the hospital
 Explains why people want
to die at home
 Preparation for transfer of
counseling model from
case management to
community counseling
 Offer by donors to build a
hospice turned down

7. PATIENTS WANT TO DIE AT HOME;
NOT IN HOSPITAL……
 At home they are in familiar
surroundings
 At home they are surrounded
by loved ones
 At home the loved ones can
watch over their sick ones and
also do field work
 At home, all the extended family
members can come at any time

8. WHY COMMUNITY COUNSELING WORKS
 Provides space for people to identify themselves as a
community
 Allows people of various tribes (ethnic groups), age, and
gender to think together
 Provides safe spaces for community members to speak their
minds
 Provides a place where people cannot be “wrong”
 Provides a place where every voice counts
 Provides a place where people can laugh at themselves
without feeling ashamed
 Provides spaces for community to process what is going on
 Creates space for community members to be accountable to
one another by mutual agreement
 Helps community to look HIV/AIDS in the face: the stigma, the
loss, the orphans, the widows, the faith, and so on

9. HOW COMMUNITY COUNSELING WORKS
 Based on relationship
 Trained facilitators enter relationship with community
 They help community to begin a journey together
 They into community is by invitation, recognizing role of
community leadership
 Entry is preceded by enrollment of leaders, explaining
why this journey is important
 They use a strategic framework built solidly on
relationship
 The framework for community counseling begins with
relationship building, extends into problem identification,
exploration, action, and review

10. SPECIAL COUNSELLING SITUATIONS
 Pregnant mother
 Childless couple
 Breast feeding mother
 Spouse and family members of HIV infected
persons