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D. Barnes, PhD California State University, Hayward

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

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D. Barnes, PhD California State University, Hayward

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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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