MODULE TWO: COUNSELLING - FHI 360 Center for Global Health ...

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•Focusing Having the caller choose the most pressing problem that they would like to resolve. Often callers have many problems, especially if they are faced with a disease like AIDS, which can impact many different areas of their lives. They may feel overwhelmed and feel the need to address all of their problems at once. It is not realistic to expect AIDS Hotline counsellors to be able to meet a caller’s every need. Therefore, counsellors need to help callers focus on the issues that are most important to them at the time of the call. For example, Counsellor: ”It sounds like you are going through a lot right now and you feel overwhelmed. We won’t be able to solve everything tonight, but I can help you to start. Which problem is the most important for you right now?” The issues that are most important to the callers may seem less important to the counsellors than other issues. It is important to respect the caller’s feelings, however, and address the issues that they feel are most important. Once they have resolved the important issues, they will be more likely to call back to address the other ones. •Affirming Congratulating or complimenting callers on the positive actions that they have been able to implement. Ex: “I am pleased to hear that you have been reading about HIV testing.” Complimenting callers helps them to feel respected and valued, and it encourages them to share more information. If a caller feel that s/he has already accomplished something, even if it is small, then s/he may be more willing to take some larger actions. PRACTICE Affirming 1. Mother worried about teenage son who has been ill 2. 17 year old girl thinks she has an STI from an old boyfriend 3. Shy teenage boy has had sex and is sure he has AIDS Possible Positive Responses: • Sounds like you love your child very much. • You seem like a very responsible, mature young adult, and want to take good care of yourself • I am glad you called because I can provide you with the information you need; • You are very courageous young man to share this with me; • You seem very secure in wanting to know the status of your health; Session 4 – Pg. 6
_________________________________________________________________ _________________________________________________________________ _________________________________________________________________ ________________________________________________________ •Reflecting Repeating the key points of what a caller has said back to him/her. This is also known as “paraphrasing”. Reflecting serves many purposes: 1) The counsellor can make sure that s/he has understood the client correctly: 2) The counsellor can show the caller that s/he has been listening actively; and 3) The caller can gain greater clarity about his situation or feelings. Accurate reflection and acknowledgement of feelings are necessary and critical to the counselling process. Callers must first believe that the counsellor hears and understands their feelings and individual needs and concerns before they are ready and willing to deal with the situation, listen to options and make an informed and appropriate decision. Following is an example: Caller: “I’m really scared. My daughter is going around with all types of boys. She won’t talk to me about it. I think she could get AIDS.” Counsellor: “So you’re scared that your daughter is exposing herself to AIDS because she has several boyfriends, and you’re worried that she won’t talk to you about it” It is important to reflect both the content of what the person has said and their feelings. Emotions form the base of much of life experience. Noting key feelings and helping the caller clarify them can be one of the most powerful things the counsellor can do. PRACTICE Reflecting The aim of this activity is to practice the skill of reflecting or paraphrasing. “I am sad right now because my boyfriend just told me that he does not want to see me anymore. Now I do not know what to do. I have tried everything. If only my mother had not been so strict with me. She is always telling me to be careful about AIDS. She was unfair to give me such an early curfew. She really makes me mad! But maybe I should have been nicer to my boyfriend! I really love him!!!! I just feel so confused about what to do next. “ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ ______________________________________________________ Session 4 – Pg. 7
Page 1 and 2: MODULE TWO: COUNSELLING
Page 3 and 4: • Discussed special issues relati
Page 5 and 6: HOTLINES IN THE CONTEXT OF HIV/AIDS
Page 7 and 8: SESSION 2 Self-Awareness CONTEXT AN
Page 9 and 10: VALUES AND ATTITUDES REGARDING HIV/
Page 11 and 12: HANDOUT Self-Awareness Attitudes An
Page 13 and 14: HANDOUT Attitudes Exploration Read
Page 15 and 16: SESSION 3 Counselling Process CONTE
Page 17 and 18: with the HIV/AIDS, both in terms of
Page 19 and 20: Following is a summary of the TASO
Page 21 and 22: COUNSELING SELF-ASSESSMENT EVALUATI
Page 23 and 24: SESSION 4 Counselling Skills CONTEX
Page 25 and 26: “hoax clients”. In other words,
Page 27: •Questioning and Probing Asking q
Page 31 and 32: done in a way that does not make th
Page 33 and 34: SESSION 5 Practice-Counselling Proc
Page 35 and 36: 5. You are a man in your 30s who wa
Page 37 and 38: I have knowledge about issues relev
Page 39 and 40: #1 TO TEST OR NOT TO TEST? The aim
Page 41 and 42: If a person did engage in a risk be
Page 43 and 44: A negative result can mean one of t
Page 45 and 46: For positive results: •Treatment
Page 47 and 48: OBSERVATION CHECKLIST: INTEGRATED S
Page 49 and 50: Session 6 - Pg. 12
Page 51 and 52: •A caller is talking non-stop. Sh
Page 53 and 54: they feel frustrated with the conve
Page 55 and 56: • Stay centred on the client. Rem
Page 57 and 58: Special Guidelines 1 •Suicide If
Page 59 and 60: DIFFICULT MOMENTS ROLE-PLAY Followi
Page 61 and 62: Anxiety about bodily changes (Am I
Page 63 and 64: ___________________________________
Page 65 and 66: • Women are more susceptible to S
Page 67 and 68: Feelings and Emotions of HIV-positi
Page 69 and 70: 3. Explore options for self-disclos
Page 71 and 72: ARE YOUNG PEOPLE DIFFERENT TODAY? 2
Page 73 and 74: Grieving Process of Family and Frie
Page 75 and 76: •There may be considerable anger,
Page 77 and 78: 3. Help the caller to express his/h
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CAUSES AND EFFECTS OF STRESS The ai
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•Talk to others Share your feelin
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BURNOUT The aim of this activity is
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Dealing with Burnout Burnout can be
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The counsellors also need to have a
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HANDOUT HIV/AIDS Information Post-T
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14. What is one reason that women a
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Guidelines for Giving Feedback Part
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8. A 21-year old boy calls the YEF
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Uses Encouragers and praise to fost
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6. Which topics made you uncomforta
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GENDER AND DEVELOPMENT ACTION NIGER
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RIGHTS TION CENTRE CENTRE FOR THE R
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LAGOS STATE GENRAL HOSPITAL org TEL
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HEALTH MATTERS INC. PLANNED PARENTH
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ORGANIZATION ADDRESS CONTACT PERSON
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P.O.BOX 742 BAYELSA STATE. 7. BENUE
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WOMEN AND AIDS NIGERIA CHAPTER (SWA
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SOCIETY FOR FAMILY HEALTH GOMBE STA
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Society for Women and AIDS in Niger
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FEDERATION OF MUSLIM WOMEN ASSOCIAT
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CHRISTIAN ASSOCIATION OF NIGERIA Ch
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MODULE TWO: COUNSELLING - FHI 360 Center for Global Health ...

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