[医学保健]艾滋病咨询培训-心理社会问题.ppt

艾滋病咨询培训 :Psychosocial issues心理社会问题 Dr Petrak Jenny Dr Yao Bing VSO  Aims目的 Define the aims of HIV counselling咨询的目的 Types of counselling in HIV and AIDS HIV and AIDS咨询的类型 Understand why it is important明确为何咨询很重要 Learn counselling skills掌握咨询的技巧 What is counselling?咨询的定义? “HIV/AIDS counseling is a confidential dialogue between a person and a care provider aimed at enabling the client to cope with the stress and take personal decisions relating to HIV and AIDS” (World Health Organization) “HIV/AIDS 咨询是求询者和咨询员之间的在保密情况下的谈话，目的是是使求询者能应付HIV感染带来的紧张压力，做出自己的决定。” (世界卫生组织) VCT is more than a blood test! VCT不只是抽血化验! Promotes planning for future care; e.g. orphans, wills 促进将来咨询的计划; 例如孤儿 Normalises HIV/AIDS + reduces stigma 正常化处理HIV阳性所产生的歧视 Enables referral to social + peer support加强 Enables preventive therapy + contraceptive advice 加强预防治疗和避孕建议 Promotes early OI/STI treatment + access to ART促进早期OI/STI 治疗和 开始 ART Reduces mother-to-child-transmission (MTCT减少母婴传播 Facilitates behaviour change 促进行为改变 Increases acceptance of HIV result and coping提高HIV检测结果的接受和处理 自愿咨询检测 (VCT) Why is counselling in HIV important?为什么HIV咨询很重要 ? HIV diagnosis has many effects – physical, psychological, social, and spiritualHIV 确诊有很多影响– 身体,心理, 社会和精神 HIV is life-threatening and lifelongHIV是伴随终生、致命性的疾病 Prevention counselling can prevent transmission预防性咨询可以预防HIV传播 HIV continues to be highly stigmatised HIV感染者仍然受到很大的歧视 Stigma and discrimination丑化和歧视 How do you define stigma?怎样定义丑化? How do you define discrimination?怎样定义歧视? What are the causes of stigma in HIV? 导致 HIV丑化的原因是什么? Name as many ways as you can that stigma can affect PLWHA尽可能的定义丑化影响 PLWHA的情况 Stigma questions歧视问题 ? Agree同意 ? Disagree不同意 Women with HIV should not have children感染HIV 的妇女不应该生小孩通常 AIDS is mostly a problem for people who are bad AIDS发生在道德败坏的人身上 I would share a cup with someone who is HIV我愿意和HIV感染者公用一个水杯 People with HIV should be isolated in hospital HIV感染者应在医院进行隔离 All drug users should be forced to