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Influences on Counseling Practices & Ideologies in HIV/AIDS Care for Women

Explore the impact of workplace culture, women clients, and providers' characteristics on counseling practices in HIV/AIDS care for women. A panel study design with face-to-face interviews conducted in Oakland, California, and Rochester, New York, revealed insights into the tensions between ideology and practice, different beliefs, and the importance of self-care among providers. The study highlighted the role of workplace culture, provider characteristics, and client choices in shaping counseling approaches. The findings underscored the significance of addressing providers' own needs and promoting self-care in HIV/AIDS care for women. This research, funded by the National Institute of Health, sheds light on the complexities and challenges faced by providers in delivering effective care to women living with HIV/AIDS.

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Influences on Counseling Practices & Ideologies in HIV/AIDS Care for Women

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  1. Counseling Ideologies and Practices of Providers of HIV/AIDS Care for Women: Influences of Workplace Culture, and Clients and Providers’ Personal Characteristics D. Barnes, PhD California State University, Hayward

  2. Introduction • Continued Care • Women Living Longer • Providers’ Counseling

  3. Aims How are Providers’ Counseling Practices and Ideologies Influenced by: • Workplace Culture? • Women Clients? • Providers’ Characteristics?

  4. Methods • Panel Study design • Two Face-face 90 minute interviews • 12 month intervals

  5. Methods • n = 55 Providers • Oakland, California (n=28) • Rochester, New York (n=27) • Completed interviews n=87 • Targeted/Chain Referral Sampling

  6. Methods • Paid recruiters • Inclusion criteria: • Provider to women with HIV/AIDS • 20 to 70 years old • All race/ethnicities and social classes • Over 3 months experience • Paid or volunteer

  7. Methods • $50 honorarium • Data collected 2001 to 2004 • Grounded theory analytical methods

  8. Results

  9. Race/Ethnicity - Provider n=55 Mean Age = 45 years

  10. Types of Providers

  11. Number of Years of Service in HIV Care

  12. HIV Status by Occupation Category

  13. Tensions Between Ideology and Practice • Beliefs • Characteristics • Workplace Culture

  14. Interconnecting Themes 1. Different Beliefs 2. Workplace Culture 3. Self-Care

  15. Different Beliefs • Substance Use • Race/Ethnicity

  16. More Harmony than Tension If I’m speaking to you on the job, I’m gonna speak to you the same when I’m off the job.

  17. I mean I want to get rid of poverty. I have today and I do the best I can do today, and I can’t change everything.

  18. Workplace Culture • Limited Support • Different Beliefs & Social Issues • Open Dialogue • Provider’s Frustrations

  19. Service Models • Medical • Mental Health

  20. Self Care • Struggle • Own “doctor” • “They Could Take It.”

  21. I like the work because as much as I’m helping my clients, I’m helping me.

  22. Reflection as Self Care • Personal counseling • Changes • Job responsibilities • termination

  23. Characteristics • Learning to Give up Control • Separate Providers’ Beliefs • Clients’ Choices

  24. “As important as treatment is to me, it is not that important to her.”

  25. Characteristics • Active in Policy-Making • Part of Community • Self-Care

  26. CONCLUSION • PROVIDERS • own needs • AGENCIES • accumulative effect

  27. Funding National Institute of Health No. 2 S06 GM48135

  28. Acknowledgements Thank You to the consultants and staff of the “HIV/AIDS Counseling Practices for Women” (HCPW) Study: Sheigla Murphy,PhD Susan Taylor-Brown, PhD Craig Sellers, MS Monica Bill Barnes, MFA Nancy Prowell, BS, RN Lyn Blackburn, MSW Beatrice Morris, MDiv Tim Smith, BS Beth Ochsner, BA

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