1. Nurses SOAR! Training Curricula Series For More Information and Inquiries: nursessoar@georgetown.edu

2. Mental Health and HIV Deborah Schiavone PhD, PMHCNS, BC School of Nursing and Health Studies Georgetown University Nurse SOAR

3. Ithemba

4. Contributing Factors Stigma Reactions to diagnosis Life Circumstances Physical Health Condition Support Systems Spirituality Grief and loss

5. Incidence Rates of a psychiatric disorder are higher with HIV

6. Most Common Mood disorder Anxiety Substance Use Fatigue or Insomnia

7. Risks Change in sense of well being Alters world view and self worth Affects seeking diagnosis and treatment Impacts disease management Impacts medication and treatment adherence

8. Emotion Behaviors Thoughts

9. Perceptions Orientation Content Process Attention and concentration Ability to problem solve and comprehend Memory Judgment

10. Behaviors Attitude Activity Appearance Impulsivity Speech

11. Emotion Mood or feeling state Appropriateness Facial expression

12. HIV Infection Mania Early or late stage Dementia Psychosis Delirium *** Improvement with ARVs Efavirenz

13. Nursing Pharmacologic –Antivirals –Symptoms Nonpharmacologic –Safety –Self management –Quality –Hope

14. A gentleman is brought to the clinic after found wandering in the road. He tells you his name, but cannot tell you the day or date. When you ask where he lives, he begins to tell you a story names a few places but is not specific. He is underweight and has a cough.

15. Indlela ibuzwa kwabapho mbele