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Mental healthcare for PLHIV: A foundation philosophy
16:4' 16/11/2011

The sequel to the information regarding Setting up mental healthcare services for people living with HIV (PLHIV) in Hanoi and Ho Chi Minh City (HCMC)


The second course for 39 health workers of the two OPCs had the following focus: building skills in clinical practices to integrate mental healthcare services into routine activities in the OPCs for PLHIV.

 

During the first course, the trainees were equipped with basic knowledge about health, mental health, mental disorders, systematic assessment of the current health care system for PLHIV, and methodologies to develop SOPs. However, to build up SOPs for healthcare for PLHIV, the participants felt unsatisfied because there seemed to be a lack of a overarching philosophy of healthcare principles for PLHIV. Agencies involved in the course (including HCMC Committee for HIV/AIDS Prevention, FHI, two OPCs and RTCCD) shared their own opinions about healthcare services for PLHIV. Through open discussion, the parties agreed on RTCCD philosophy as the basis of SOPs.

PHILOSOPHY OF HEALTHCARE FOR PLHIV

1.    PLHIV do not have optimal health status: when HIV is in the body, physical health is damaged (impacts on biological functions), and mental health is also at risk (impacts on social functions) for themselves and their relatives.

2.    HIV infection is sometimes a consequence of both personal and social problems. Health issue of PLH is most effectively resolved with a comprehensive appraisal of patients’ specific living environments.

3.    With the goal of patient and community health, the individual, families, community and health and social protection sectors should combine their efforts. The main essential services include:

a.     Provision for patients and prevention of epidemics

b.    Early detection, early management and treatment counseling

c.     Diagnosis and plan for treatment, preventive and care schemes

d.    Provision of treatment services, monitoring and outcome assessment

4.    OPCs for PLHIV are specialised facilities that are responsible for:

a.     Assessments and making conclusions about health status

b.    Making plans to provide comprehensive health care for patients in terms of both physical and mental health

c.     Providing health care services for patients

d.    Collaborating with the community and other agencies of the government system to implement the principle of comprehensive care.

e.     Also, manage patient files, monitor and assess quality of care for patients.