www.restorego.com

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The Positive PlaceHIV and mental health Gus
Cairns
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Introduction to course

• Aim of training
• To educate and inform volunteers about aspects of
  HIV and mental health
• To help you discuss own experiences of dealing
  with clients with mental health and emotional
  support issues
• To do some elementary experiential training to
  help volunteers deal with and relate to people
  with specific emotional support needs

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What this course is NOT

• A therapy workshop
• Scary or distressing
• Has boundaries

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Exercise non verbal communication and boundaries

• Stand up
• Mingle round the room
• Find a way to say hello to each person WITHOUT
  SAYING A WORD
• Find a safe way to make physical contact with
  each other anything from a fingertip touch to a
  hug but CHECK IT OUT with the other person
  non-verbally before doing anything

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Introduction to people!

• Me why interest in mental health?
• You
• Name
• Where you came from today
• Where you originally come from
• Why you work in HIV
• One thing you like doing thats nothing to do
  with HIV

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List of words/associations with mental illness

• flipchart exercise

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Pair exercise

• My bad day, and what I did about it

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A side-journey into STRESS

• The state arising when the individual perceives
  that the demands placed on them exceed (or
  threaten to exceed) their capacity to cope, and
  therefore threaten their wellbeing.
• Stress is not mental illness
• Normal part of life
• Physical effects
• Depends what you do with it
• Stress scale

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Stress scale top 10
Stress Event value
Death of spouse 100
Divorce 60
Menopause 60
Separation from living partner 60
Jail term or probation 60
Death of close family member other than spouse 60
Serious personal injury or illness 45
Marriage or establishing life partnership 45
Fired at work 45
Marital or relationship reconciliation 40
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Why mental health is important in HIV
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HIV issues

• Physical HIV illness, dementia
• Drug side effects
• New diagnosis
• Stigma and isolation
• Long term survivors Lazarus effect Im not
  special any more
• Work and career
• Loss and bereavement
• Sex and love
• Body changes
• Life issues that may have let to HIV depression,
  addictions, abuse

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How common I North Carolina
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How common II London 2002
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STRESS BREAK!
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Definitions, definitions

• Organic dementia
• Psychosis
• Neurosis
• Personality disorder

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The five primary emotions - EXERCISE

• Happiness
• Anger
• Fear
• Sadness
• Confusion

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What do you do with them?

• See which box is fullest
• See which box is most empty
• You may have most problems with the emptiest box
• So may people with mental health problems

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Five primary emotions - stuck

• Sadness stuck is ?
• Fear stuck is ?
• Happiness stuck is ?
• Anger stuck is ?
• Confusion stuck is?

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What we notice

• Appearance/behaviour unkempt, restless,
  eccentric
• Rapport are they with you?
• Speech slow, fast, easy, reluctant,
  comprehensible
• Mood euphoric, depressed, anxious, irritable,
  labile, blunted, incongruent
• Thought block, incoherence, delusion, obsession
• Cognition ability to understand and have
  concepts
• Body and perception dizzy, spaced-out, cold
  sweat, heart, headache, noise
• Insight self-awareness, including the awareness
  that something is wrong (if it is)

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LUNCH BREAK!
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Depression and its risk factor, suicide

• A storyMr P
• Inner experience and meaning of depression
  shutdown
• Language to watch out for overt/sleep/going
  away/switch off/cant cope
• Depressed people are helpless, hopelessand
  annoying!
• How NOT to help a depressed person

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Anger and its risk factor, violence

• A storyDave
• Inner meaning and experience frustration and
  isolation
• Language and behaviour to watch out for
• How NOT to handle angry clients

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Anxiety and its risk factor, panic

• A storythe phone call
• Inner meaning and experience of anxiety states
  the adrenalin trap
• Fight, flight and freeze
• How NOT to help anxious clients

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Bully/victim/rescuer

• The roles people play
• and the roles they try to get you to play

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Boundaries and confidentiality

• The client who wants to be your friend
• The client who tells you shocking things
• When to break confidentiality

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Role plays
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Feedback and evaluation