Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness.

Please SUBSCRIBE and click the BELL to be notified when we release new videos and when Dr. Dawn Elise Snipes is going live each month. Access additional benefits by JOINING here

CEUs available at:

Want to listen to it as a podcast instead? Subscribe to Counselor Toolbox Podcast

TIP 37: Substance Abuse Treatment for Persons with HIV/AIDS
Dr. Dawn-Elise Snipes, PhD, LMHC

• Review current information about the prevention, transmission and treatment of HIV, Hepatitis and Blood Borne Pathogens
• Review current information about hepatitis transmission, symptoms and treatment.
 650,000 to 900,000 in the U.S. with HIV
 Approximately 3.2 million people in the US are living with Hepatitis B or C
 Hepatitis A is spread by close personal contact with people or things contaminated with feces
 HIV & Hepatitis B & C are most easily transmitted by contaminated blood and body fluids
 The incidence of hepatitis C among people who are heavy consumers of alcohol (e.g. men that consume 4-5 alcoholic drinks a day) is 7x higher than in the general population.
 Vaccines exist for Hepatitis A & B
 Alcoholic hepatitis is caused by drinking too much alcohol and occurs in 20% of alcoholics or approximately 3 million people
 Severe alcoholic hepatitis can develop suddenly and quickly lead to liver failure and death.
Viral Hepatitis Symptoms
 Viral hepatitis symptoms are similar no matter which type of hepatitis you have. Symptoms include:
◦ Jaundice
◦ Fever
◦ Loss of appetite
◦ Fatigue
◦ Dark urine
◦ Joint and abdominal pain
◦ Diarrhea, nausea, and vomiting.
 Incubation period 15-180 days
Risk-Reduction Counseling
 Clinician’s goals
◦ Help and support understanding need for behavior change
◦ Assist addressing cultural practices, beliefs contributing to resisting change
◦ Assist skills development to sustain behavior change
Counseling and Testing
 Pre- and posttest counseling by a trained HIV and Blood borne pathogens clinician
 Counseling should:
◦ Explain limitations of tests (i.e. incubation period and false +/-)
◦ Help clients assess risks
◦ Encourage, reinforce behavior change
◦ Refer infected clients for medical care
Factors for Noncompliance
 Addiction or mental health relapse
 Living in an institution
 Side effects
 Affordability
Increasing Compliance
 Write instructions
 Use timer, ensuring proper dosing
 Use check-sheet, notating dosage
 Provide positive feedback
 Empathize / Advocate regarding medication side effects
 Visual cues for persons with impaired language/cognitive abilities
Avoiding Drug Resistance
Take all medications as prescribed
Drug Interactions
◦ General drug interaction checker
LEARN Sensitivity
 Listen with empathy and understanding
 Elicit cultural information
 Acknowledge and discuss cultural differences and similarities
 Recommend action, treatment, intervention incorporating cultural knowledge
 Negotiate agreements and differences with client
Relapse Prevention
 Events which may initiate client relapse:
◦ Taking an HIV/Hepatitis test
◦ Receiving test results
◦ Experiencing first symptoms of the disease
◦ Experiencing first disease-related hospitalization
◦ Being diagnosed with AIDS or liver cancer / liver failure
◦ Friend or significant other dying from AIDS or hepatitis
◦ Beginning medication regimen for the disease
◦ Experiencing little or no response to various medications
◦ Decreasing CD4+ T cell count or increasing viral load
Relapse Prevention Interventions
 Nutrition (H)
 Relaxation and stress management (A)
 Grief management (A)
 Recreation (A/L)
 Peer support (L)
 Family Counseling (L)
 Sleep (T)
 Medical intervention for pain
Group Therapy

AllCEUs provides multimedia #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education.

#AllCEUs courses are accepted in most states
#DrDawnEliseSnipes provides training through #allceus that are helpful for #LPCCEUs #LMHCCEUs #LCPCCEUs #LSWCEUs #LCSWCEUs #LMFTCEUs #CRCCEUs #LADCCEUs #CADCCEUs #MACCEUs #CAPCEUs #NCCCEUS #LCDCCEUs #CPRSCEUs #CTRSCEUs and more. #HPCSA #ACA #NBCC #NCMHCE #addiction #recovery #mentalhealth#addictionrecovery #depression #anxiety #wedorecover #motivation #mentalhealthawareness #addictionawareness