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

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A woman who has been raped should see a doctor as soon as possible, especially if she wishes to press charges against her assailant. The doctor can make a report and gather evidence which could help to convict the rapist. It is also important for the woman to make sure that she has not been injured and that she receives treatment for sexually transmitted diseases. She should also receive an HIV test at least three months after the incident. •Domestic violence Battered women often are frightened and unaware of their alternatives. The first priority is to get them to a safe place. After that, the objective is to help empower them, not rescue them. It is important for a battered woman to learn to de-identify with a victim role, to see that she can have control and make decisions that directly affect her life. She must understand that battering behaviour is not acceptable under any circumstances. •Unemployment Short of offering someone meaningful employment, it's hard to help a person who is out of work. Feelings of anger, depression, humiliation, and self-blame are prevalent. Family members and friends can respect and acknowledge these feelings, however, providing valuable support. When a person is retrenched because of his/her HIV status, this is a case of discrimination, and YEF HIV/AIDS Hotline counsellors can refer him/her to legal resources. They can also refer callers to sources of financial assistance and employment resources if they are available. •Anger Defusing someone's anger starts with getting the person to recognise it for what it is. Anger frequently is denied, however, because it makes a person feel intolerably guilty. A counsellor can help someone recognise his/her anger by: 1) acknowledging that anger is a natural and understandable reaction to frustrations and restrictions; 2) helping the person identify the real source and target of his/her anger; and 3) helping the person identify the reason for being angry. Once this is done, it is possible to find a means of dealing with the anger realistically so that displaced anger, self-blame, and other inappropriate reactions are avoided. •Death of a loved one Guidelines for grief counselling will be discussed in detail in Session 10. Session 7- Pg. 9
DIFFICULT MOMENTS ROLE-PLAY Following are some scenarios to help participants put the strategies that they have just identified into practice. The scenarios should be shown only to the person who will be role-playing the caller. 1. You are 20-years old and have just learned that your partner is HIV-positive. You tell the counsellor that you are very, very angry with your partner and with God for bringing this upon you. You want to know if the counsellor has any family members who are HIV-positive himself and if s/he can really understand what you are going through. You got HIV through having unprotected sex. You also want to know if the counsellor has a sexual partner and if s/he uses condoms. 2. You are 55-years old and have just been fired from your job because your employer found out that you are HIV-positive. You are very upset and feeling desperate. You want assurance that everything will be okay. You really feel comforted by the counsellor and ask if you can meet him/her in person. When s/he declines, you become verbally abusive and start calling him/her ugly names. CRISIS COUNSELLING SCENARIOS 1. You are a 30-year old woman whose husband has just died of AIDS. You are completely devastated and you are HIV-positive yourself. You and your husband never had any children, because you knew that you could infect your baby. Now that your husband is gone, you have fallen into a deep depression. You feel that you cannot live without him, and you have no other reason to live since you have no children. You have thought about suicide, and have even developed a plan to kill yourself with sleeping pills. On the way home today, you saw a billboard for the YEF HIV/AIDS Hotline. A voice inside of you told you to call. 2. You are a 25-year old man who has worked in a factory for the past five years. Last year, the managers made all workers get tested for HIV, and to your great shock, you learned that you were infected. A few weeks later, you were retrenched. Your employer claimed that it was due to budget cuts, but you believe that it was because you are HIV-positive. You have been unemployed for 9 months now, and it has become hard to support your girlfriend, who does not work and lives with you with her two children. The two of you have been fighting a lot, and you are becoming depressed. A friend suggested that you call the YEF HIV/AIDS Hotline. Session 7- Pg. 10
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MODULE TWO: COUNSELLING
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• Discussed special issues relati
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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 and 28: •Questioning and Probing Asking q
Page 29 and 30: ___________________________________
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: Special Guidelines 1 •Suicide If
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
Page 79 and 80: CAUSES AND EFFECTS OF STRESS The ai
Page 81 and 82: •Talk to others Share your feelin
Page 83 and 84: BURNOUT The aim of this activity is
Page 85 and 86: Dealing with Burnout Burnout can be
Page 87 and 88: The counsellors also need to have a
Page 89 and 90: HANDOUT HIV/AIDS Information Post-T
Page 91 and 92: 14. What is one reason that women a
Page 93 and 94: Guidelines for Giving Feedback Part
Page 95 and 96: 8. A 21-year old boy calls the YEF
Page 97 and 98: Uses Encouragers and praise to fost
Page 99 and 100: 6. Which topics made you uncomforta
Page 101 and 102: GENDER AND DEVELOPMENT ACTION NIGER
Page 103 and 104: RIGHTS TION CENTRE CENTRE FOR THE R
Page 105 and 106: LAGOS STATE GENRAL HOSPITAL org TEL
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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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