Document 2458 DOCN M94A2458 TI Linking care and prevention: a drop in CTR run by PHIV. DT 9412 AU Lovati R; Brambilla M; Serpelloni G; Donini S; Turrini G; Austin D; Frighetto R; Cooperativa Azalea, Verona, Italy. SO Int Conf AIDS. 1994 Aug 7-12;10(1):30 (abstract no. 095D). Unique Identifier : AIDSLINE ICA10/94370117 AB ISSUE: People living with HIV can and should provide service to themselves and the community at large by promoting a better understanding of what it means to have HIV while assisting in developing more effective care. By working for themselves, people with HIV can work towards creating more effective prevention campaigns. DESCRIPTION: The authors established a concrete work plan which would allow PHIV to focus on an objective other than personal elaboration of positive serostatus. A PHIV who had opted for visibility promoted media coverage of issues linked to AIDS and solicited contact with other PHIV. A small local network of PHIV emerged with the assistance of counsellors from the HIV unit who referred motivated clients. The group coalesced around a proposal to initiate a drop-in center through which PHIV could offer direct support and service to PHIV/AIDS. The HIV unit acted as a liaison with authorities gaining access to a large apartment owned by the municipality. The PHIV network initiated a collaborative arrangement with an NGO providing home care and utilised volunteers for diverse activities: hotline, self-help and advocacy were chosen as the initial work areas. PHIV network and HIV unit joined forces to bring together media professionals who dedicate air-time and space to the activities of the drop in center and allow PHIV to speak directly on issues related to AIDS. These professionals are now being enlisted to assist in the production of a newsletter to reach the community at large. Meanwhile the group of PHIV have begun feeling more confident in exploring amongst themselves personal agendas. CONCLUSIONS: The unfamiliarity of many Italians with self-help experience makes it difficult to attract PHIV for group encounters. It may be more productive to have charismatic individuals promote goal focused activities. The involvement of public health institutions allow for easier referral and increased credibility. The awareness of real needs of PHIV which ensues from such collaboration allows health workers to design more effective services leading to higher client satisfaction, lower staff burn-out and more effective prevention. With time, a self-help group evolves which permits more client-centered work and elaboration of AIDS impact on those attending. DE Counseling Home Care Services/MANPOWER Human HIV Infections/PREVENTION & CONTROL/*PSYCHOLOGY Italy Preventive Health Services/ORGANIZATION & ADMIN Public Relations *Self-Help Groups/ORGANIZATION & ADMIN *Social Support Voluntary Workers MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).