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IDU TI CounsellorIDU TI Counsellor- Roles and - Roles and

ResponsibilitiesResponsibilities

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IntroductionIntroduction

Working in an IDU TI is a multi-disciplinary Working in an IDU TI is a multi-disciplinary approachapproach– Different cadre of staffDifferent cadre of staff– Multiple functions are required to be fulfilledMultiple functions are required to be fulfilled– A given staff has to perform multiple rolesA given staff has to perform multiple roles

The role of each cadre of staff should be The role of each cadre of staff should be clearly delineated and discussed to clearly delineated and discussed to prevent confusion/conflict in execution of prevent confusion/conflict in execution of workwork

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Who can be a counsellor? Who can be a counsellor? - NACO guideline- NACO guideline

The counsellor should preferably be a post graduate in The counsellor should preferably be a post graduate in Psychology, MSW or Graduate with minimum two years Psychology, MSW or Graduate with minimum two years experience in counselling or working with HRGexperience in counselling or working with HRG

(Revised TI costing guidelines, NACO, 2009)(Revised TI costing guidelines, NACO, 2009)

The counsellor should have a Bachelor’s degree in The counsellor should have a Bachelor’s degree in psychology/social science/humanities. If the counsellor is psychology/social science/humanities. If the counsellor is from drug using background, he / she should have from drug using background, he / she should have completed higher secondary education with training in completed higher secondary education with training in counselling. Those who have received training in counselling. Those who have received training in counselling and prior experience of working with drug counselling and prior experience of working with drug

users are preferredusers are preferred (Standard Operating Procedure for OST implementation, NACO, (Standard Operating Procedure for OST implementation, NACO,

2008)2008)

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Counsellor – Roles & Counsellor – Roles & ResponsibilitiesResponsibilities

Broad areas of activitiesBroad areas of activities1.1. Counselling both in DIC & in outreach Counselling both in DIC & in outreach

settingsetting

2.2. Referrals and networkingReferrals and networking

3.3. AdvocacyAdvocacy

4.4. Manage DIC Manage DIC

5.5. Conduct training & capacity buildingConduct training & capacity building

6.6. Record maintenanceRecord maintenance

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Roles/Responsibilities – Roles/Responsibilities – Counselling in DICCounselling in DIC

Baseline assessment of an individual clientBaseline assessment of an individual client– Emphasis on psychosocial functioningEmphasis on psychosocial functioning

Ensure that the client is screened for STIs Ensure that the client is screened for STIs & general medical conditions& general medical conditions by medical by medical staffstaff

Provide different forms of counselling: Provide different forms of counselling: – Motivational counselling, Motivational counselling, – Risk reduction counselling – injecting & sexualRisk reduction counselling – injecting & sexual– HIV related counsellingHIV related counselling– Drug related counselling – detoxification, OST, Drug related counselling – detoxification, OST,

Relapse prevention, etc. Relapse prevention, etc.

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Counsel spouse/family members of Counsel spouse/family members of IDU clients & provide family IDU clients & provide family counsellingcounselling

Rule out co-morbidity among IDUs Rule out co-morbidity among IDUs and counsel for co-morbidity, and counsel for co-morbidity, including appropriate referralsincluding appropriate referrals

Roles/Responsibilities – Roles/Responsibilities – Counselling in DICCounselling in DIC

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Roles/Responsibilities – Roles/Responsibilities – Counselling in outreach settingCounselling in outreach setting

Accompany the outreach staff in the field Accompany the outreach staff in the field and provide counselling as requiredand provide counselling as required

Carry out home visits, as and when Carry out home visits, as and when requiredrequired

Link the spouses and family members of Link the spouses and family members of the IDU clients to the IDU TI programmethe IDU clients to the IDU TI programme

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Roles/Responsibilities – Roles/Responsibilities – Counselling in outreach settingCounselling in outreach setting

Conducting outreach: Conducting outreach: steps – Involves outreach steps – Involves outreach planning by the TI teamplanning by the TI team– Mapping of places/spots Mapping of places/spots

where IDUs are likely to be where IDUs are likely to be found – found – social mappingsocial mapping

– Visiting the spots and contacting the IDUsVisiting the spots and contacting the IDUs– Analyse the hotspots to know the injecting/sexual Analyse the hotspots to know the injecting/sexual

practices of IDUs – spot analysispractices of IDUs – spot analysis

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– Determining the number of IDUs known Determining the number of IDUs known to the project staff – to the project staff – contact mappingcontact mapping

– Deploying outreach staff in accordance Deploying outreach staff in accordance with the number of IDUs and hotspots – with the number of IDUs and hotspots – work planwork plan

– Service delivery by outreach teamService delivery by outreach team Needle/syringe exchangeNeedle/syringe exchange Risk reduction materials, including condomsRisk reduction materials, including condoms ReferralsReferrals Counselling Counselling

Roles/Responsibilities – Roles/Responsibilities – Counselling in outreach settingCounselling in outreach setting

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Outreach by counsellorOutreach by counsellor– Plan outreach services along with the Plan outreach services along with the

outreach team and PMoutreach team and PM Aim to cover all hotspots in a given time Aim to cover all hotspots in a given time

frame (e.g. one month period)frame (e.g. one month period) Prioritise those hotspots which are more Prioritise those hotspots which are more

‘hot’ i.e. more risky practices are ‘hot’ i.e. more risky practices are encounteredencountered

Convey the dates and timings to the Convey the dates and timings to the outreach team which covers the particular outreach team which covers the particular hotspothotspot

Roles/Responsibilities – Roles/Responsibilities – Counselling in outreach settingCounselling in outreach setting

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Outreach by counsellorOutreach by counsellor– Provide services in outreachProvide services in outreach

Conduct group counsellingConduct group counselling Build motivation of those IDUs who are not Build motivation of those IDUs who are not

ready to avail servicesready to avail services Motivate to seek services in DICMotivate to seek services in DIC Motivate for other services, e.g. testing, ART Motivate for other services, e.g. testing, ART

services, etc. services, etc.

Roles/Responsibilities – Roles/Responsibilities – Counselling in outreach settingCounselling in outreach setting

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Roles/Responsibilities – Roles/Responsibilities – Referrals and networkingReferrals and networking

Referrals for STI check up, ICTC, ART Referrals for STI check up, ICTC, ART and other relevant servicesand other relevant services

Link up with the services/service Link up with the services/service providers in the vicinity for providers in the vicinity for vocational training, night shelter, vocational training, night shelter, detoxification and rehabilitation detoxification and rehabilitation centres, etc. centres, etc.

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Roles/Responsibilities – Roles/Responsibilities – Entities for networkingEntities for networking

Health care Health care providersproviders– ICTCICTC– ARTART– STISTI– DOTS for TBDOTS for TB– CCCCCC– Detoxification/Detoxification/

rehabilitation centresrehabilitation centres– Diagnostic labsDiagnostic labs– HospitalsHospitals

Other servicesOther services– Agencies Agencies

implementing implementing income generation income generation programmesprogrammes

– Agencies providing Agencies providing nutrition, educational nutrition, educational and vocational and vocational supportsupport

– Agencies/charities Agencies/charities providing food, providing food, shelter, clothing, etc. shelter, clothing, etc.

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Roles/Responsibilities – Roles/Responsibilities – Steps in Referrals/networkingSteps in Referrals/networking

Map service agenciesMap service agencies Prepare a simple databasePrepare a simple database Meet the key person in each agencyMeet the key person in each agency

– Inform about the TI work, advocate for Inform about the TI work, advocate for humane services for IDUshumane services for IDUs

Display the service map & directory Display the service map & directory in the DICin the DIC

Establish a system of referralsEstablish a system of referrals

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Roles/Responsibilities – Roles/Responsibilities – Referrals/networkingReferrals/networking

Role of counsellorRole of counsellor– Accompany the PM in meeting the key Accompany the PM in meeting the key

personperson– Assist in preparing database of referral Assist in preparing database of referral

agencyagency– Regular meeting with the referral agencyRegular meeting with the referral agency– Personally F/U with the counsellors of the Personally F/U with the counsellors of the

following agenciesfollowing agencies ICTC, ART, Detoxification/rehabilitation centres, ICTC, ART, Detoxification/rehabilitation centres,

TB centre, OST centre, etc. TB centre, OST centre, etc.

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Roles & ResponsibilitiesRoles & Responsibilities

Manage DIC – usually managed by Manage DIC – usually managed by counsellor / programme managercounsellor / programme manager– Ensure systems are established in DIC functioning, Ensure systems are established in DIC functioning,

e.g. where will the IDU be registered, who will the e.g. where will the IDU be registered, who will the IDU interact with first, cleaning of the DIC, etc. IDU interact with first, cleaning of the DIC, etc.

– Ensure enough commodities are available for the Ensure enough commodities are available for the IDUs IDUs

– Ensure rules and regulations are established in DIC Ensure rules and regulations are established in DIC prepared in consultation with the clientsprepared in consultation with the clients

– Ensure staff are oriented on their rolesEnsure staff are oriented on their roles– Ensure help is available in case of emergency, e.g. Ensure help is available in case of emergency, e.g.

emergency health problem among IDU clients, emergency health problem among IDU clients, unruly behaviour of an IDU, etc. unruly behaviour of an IDU, etc.

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Roles & ResponsibilitiesRoles & Responsibilities

AdvocacyAdvocacy– Assist the programme manager in Assist the programme manager in

conducting advocacy programmesconducting advocacy programmes Conduct training & capacity buildingConduct training & capacity building

– Train the outreach staff on basic issues Train the outreach staff on basic issues related to counselling of IDUs in the fieldrelated to counselling of IDUs in the field

Record maintenanceRecord maintenance– Maintain records as required by the Maintain records as required by the

SACS and NACOSACS and NACO

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Thank youThank you