Barcelona 2013
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| Abstract #355 - HIV Stigma, the mental health elephant in the room | ||||
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Session: 32.1: HIV Stigma, the mental health elephant in the room (Workshop) on Tuesday @ 13.15-14.15 in Mirador Chaired by Dr Tomas Campbell, Dr Jayne Griffiths Authors: Presenting Author: dr tomas campbell - East London Foundation Trust, United Kingdom |
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| Additional Authors: Dr Xiaoming Li, Dr. Yan Hong, Dr. Yuejiao Zhou, Ms. Shaobing Su, | ||||
| Aim: Issue: There is increasing acceptance that HIV stigma has complex and mostly negative effects on HIV+ people (e.g. poorer social support, poorer mental health, lower adherence to anti-retroviral therapy) and can be a barrier to accessing health care. Recent UK data suggest HIV-stigma is stubbornly resistant to change. The National AIDS Trust 2010 Survey (NAT, 2011) reported that 64% of respondents agreed that there is still a lot of stigma in the UK which may negatively affect the mental health of people living with HIV. | ||||
| Method / Issue: Workshop (max 50:) We will propose that HIV stigma underpins many of the coping and mental health problems associated with HIV. We believe that stigma has not been adequately addressed as a mental health issue and until HIV+ people have adequate skills to address HIV stigma they remain vulnerable to the negative and corrosive effects of stigma in their lives. 1. We will provide an overview of conceptualisations of stigma and a brief description of the links between stigma, changed self-perception, poorer mental health and the impact on effective HIV self-management. 2. We will describe an anti-stigma group intervention based on Narrative Enhancement Cognitive Therapy (NECT). This group intervention comprises 4 components: (1) an assessment of the extent of stigma encountered by the individual and their emotional and behavioural responses (2) psychoeducation about the range, types and function of stigma (3) cognitive restructuring and acquisition of new skills to challenge stigma (4) narrative enhancement by which individuals are encouraged to share how anti-stigma skills might be used in their own lives. 3. The facilitators will share their experiences of using this group approach with HIV+ adults and adolescents in London. We will describe the development and structure of our interventions. | ||||
| Results / Comments: Learning outcomes: Our aim is that workshop participants will acquire skills and confidence to implement this anti-stigma intervention in their own contexts. 1. How to implement an effective intervention to address HIV stigma in their own work 2. How to adapt the intervention to different contexts 3. Consideration of needs of different groups e.g. adults, adolescents, HIV+ people with severe mental health difficulties 4. An understanding of appropriate assessment and evaluation tools | ||||
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