Counseling Ideologies and Practices of Providers of HIVAIDS Care for Women: Influences of Workplace

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 (n28)
• Rochester, New York (n27)
• Completed interviews n87
• Targeted/Chain Referral Sampling

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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 n55
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

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Interconnecting Themes

• 1. Different Beliefs
• 2. Workplace Culture
• 3. Self-Care

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Different Beliefs

• Substance Use
• Race/Ethnicity

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More Harmony than Tension
If Im speaking to you on the job, Im gonna
speak to you the same when Im 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
cant change everything.
18
Workplace Culture

• Limited Support
• Different Beliefs Social Issues
• Open Dialogue
• Providers Frustrations

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Service Models

• Medical
• Mental Health

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Self Care

• Struggle
• Own doctor
• They Could Take It.

21
I like the work because as much as Im helping my
clients, Im 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

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CONCLUSION

• PROVIDERS
• own needs
• AGENCIES
• accumulative effect

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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