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Experience Hiv Related Stigma And Discrimination

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around the world continue to experience HIV-related stigma and discrimination” (Greene, Ion, Kwaramba, Smith, & Loutfy, 2015, p. 162). This discrimination is something that Shawna experienced on multiple occasions and affected how she viewed herself as a parent.
Assessment of Pre-Crisis Functioning
Early in Shawna’s pregnancy she was she was in a state of relative equilibrium. She certainly had a great deal to contend with, but she was showing that she is capable and resilient. Shawna had a history of non-compliance with medical care related to both her mental illness and her chronic disease. She admitted to utilizing avoidance as a primary coping mechanism during the prior crisis. The pregnancy had caused her to make some progress in …show more content…

I began by trying to successfully create a therapeutic alliance with Shawna. I knew that she had issues with trust, making it extremely important to “establish a good collaborative relationship with the client” (Wedding & Corsini, 2014, p. 35). Together we prioritized what needed to be done into manageable pieces so that Shawna could feel successful and empowered to continue moving forward. We also started with easy tangible pieces of intervention to eliminate barriers so the crisis felt more manageable, and her anxiety decreased with each goal that was accomplished. I asked permission before proceeding with any step of intervention. It was an important aspect of building trust to empower Shawna to lead, while I provided support.
Crisis Intervention Plan
Predispositioning began with a phone call to Shawna’s hospital room. It was imperative to connect with Shawna on an emotional level, so she knew my intentions were to help. I also wanted to clarify the process so she would be comfortable during the initial intake. I shared with her who I was, where the referral came from, and what services I would be able to provide. I asked permission to visit her at the hospital to enroll her in the program. Shawna agreed to let me visit and I let her know that I understood she felt like time was running out, and to reduce her anxiety I would like to visit as soon as possible.
Next, we defined the crisis using the intake

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