1. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 1 The University of Illinois at Chicago / Howard Brown Health Center Treatment Advocacy Program Coping with HIV Treatment & sexuality Introduction

2. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 2 Initial TAP Visits: Goals Welcome to TAP During these first visits we will… Discuss your coping with HIV Discuss your coping with HIV Begin discussing sexual safety, skills, and attitudes Begin discussing sexual safety, skills, and attitudes Begin skills for HIV medications, if necessary. Begin skills for HIV medications, if necessary.

3. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 3 Initial TAP visits: Participation TAP Participation: We will discuss very personal issues involved with HIV. TAP is most effective if you are open and honest about coping with HIV. If you are uncomfortable with any question or topic just say so and we will skip over it.

4. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 4 Initial TAP visits: Confidentiality Remember, everything you say here is strictly confidential. All information is kept in locked files, and is used only for research or sessions. What questions do you have about this? Confidentiality:

5. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 5 TAP approach to coping; overall health Our main goal is to promote your overall health Health & Well Being Coping with Sexuality & Treatment In TAP we do that through skills for coping with… Sexuality & sexual risk Sexuality & sexual risk HIV treatment HIV treatment

6. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 6 TAP approach to coping : Sexual Safety Health & Well Being Coping with Sexuality & Treatment Although you are HIV+, sexual safety is still very important. A new STD or drug resistant strain of HIV is very harmful A new STD or drug resistant strain of HIV is very harmful It is important to not pass on HIV. It is important to not pass on HIV.

7. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 7 TAP approach to coping: Treatment adherence Health & Well Being Coping with Sexuality & Treatment Taking your meds all the time, on time, is also critical Missed doses allow HIV to grow Missed doses allow HIV to grow Learning to cope well with treatment can help you stay on your meds. Learning to cope well with treatment can help you stay on your meds.

8. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 8 TAP approach to coping: complete model Health & Well Being Feelings & Moods Disclosure & Support Alcohol & Drug use TAP focuses on three key areas that affect HIV coping Coping with Sexuality & Treatment

9. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 9 Feelings & Moods in HIV Coping Health & Well Being Feelings & Moods Depression, anger or other moods can make safety or treatment difficult Coping with Sexuality & Treatment We will talk about how your moods affect your coping during the brief interview

10. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 10 Disclosure & support in HIV Coping Health & Well Being Disclosure & Support helps you both live with HIV and stay safe Support from others helps you both live with HIV and stay safe Coping with Sexuality & Treatment Talking to others about HIV = support

11. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 11 Alcohol & Drugs in HIV Coping Health & Well Being Alcohol & Drug use Coping with Sexuality & Treatment Alcohol or drugs interfere with: sexual safety sexual safety living with HIV living with HIV HIV treatment itself HIV treatment itself We will talk about alcohol & drugs as we go on

12. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 12 Coping with HIV Health & Well Being Feelings & Moods Disclosure & Support Alcohol & Drug use Coping with Sexuality & Treatment We will begin by talking about how you are coping with HIV now. Later we will use information from this to help your HIV treatment be most effective.

13. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 13 Welcome to TAP; Overview What is going well for you now? What is going well for you now? Where have things have been difficult? Where have things have been difficult? How have your moods been? How have your moods been? How are you feeling about HIV or HIV treatment? How have others reacted? Negative / positive reactions from others? Negative / positive reactions from others? Who have you been able to talk to? Who have you been able to talk to?

14. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 14 Welcome to TAP; Expectations Medications and treatment? Medications and treatment? Sexuality & intimacy? Sexuality & intimacy? Talking to others about HIV? Talking to others about HIV? Other areas? Other areas? What is most difficult about HIV infection for you? How would you want things to change in terms of treatment or sexuality?

15. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 15 TAP introduction: Positive coping Your relationship with your health provider? Your relationship with your health provider? Lover or partner? Lover or partner? Church? Church? Family or friends? Family or friends? Support group or advocate? Support group or advocate? Anything else? Anything else? What has helped you cope with HIV? How have these people helped? How have these people helped? How could your support be improved? How could your support be improved?

16. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 16 Welcome to TAP; Questions & info. About HIV itself? About HIV itself? About treatments? About treatments? About sexuality or sexual risk? About sexuality or sexual risk? About the TAP program or the research? About the TAP program or the research? Click here for HIV Information Click here for HIV Information What questions do you have? Would it help review HIV, AIDS, and HIV treatments now?

17. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 17 HIV Treatment Status Are you taking (or starting) HIV medications now? Currently taking or beginning meds. Currently taking or beginning meds.

18. UIC / HBHC Treatment Advocacy Program Main Menu Introduction to TAP 12/9/03 18 TAP introduction; not taking medications Since you have not begun HIV medications we will begin with sexuality & sexual safety. Go to sexuality, intimacy, and safety. Go to sexuality, intimacy, and safety. When you begin meds we will review medication and adherence skills