title: Changing patterns in the workload of a district HIV/AIDS counselling unit 1987-90.
abstract: OBJECTIVE
  To describe the changing workload of an HIV/AIDS counselling unit between 1987 and 1990.
  
  
  METHODS
  Retrospective examination of data collected by the HIV/AIDS counselling unit between 1987-90 on the number of counselling sessions with patients, family members and staff.
  
  
  METHODS
  An HIV/AIDS counselling unit established in 1987 in a London teaching hospital.
  
  
  METHODS
  Number of new referrals to the HIV/AIDS counselling unit and the number of follow-up sessions. Number of counselling sessions with family members, hospital staff and people making telephone contact with the unit.
  
  
  RESULTS
  New referrals to the HIV/AIDS counselling unit increased from 117 (1987-88) to 926 (1989-90). Follow-up appointments increased from 403 to 2016 in the same period. Telephone counselling sessions increased five-fold, and counselling sessions with family members nearly ten-fold over the three year period. Staff consultations doubled.
  
  
  CONCLUSIONS
  The increase in the HIV/AIDS counselling unit's workload may be partly attributable to the rising incidence of AIDS in the community, reflecting earlier patterns of HIV infection. In addition, new HIV/AIDS services were developed in the hospital between 1987 and 1990. These included the establishment of a same-day HIV test and result clinic; integrated management of patients with HIV/AIDS, with an emphasis on early intervention in HIV infection; specialist services for families, antenatal clinic attenders and others affected by HIV; and the appointment of a designated HIV/AIDS consultant. New approaches to counselling and training health care providers in counselling skills will assume increasing importance in meeting future demand for HIV/AIDS counselling.
authors.affiliation: District HIV/AIDS Counselling Unit, Royal Free Hospital, London.
authors.forename: R
authors.initials: R
authors.lastname: Bor
authors.forename: J
authors.initials: J
authors.lastname: Elford
authors.forename: L
authors.initials: L
authors.lastname: Campbell
authors.forename: H
authors.initials: H
authors.lastname: Salt
authors.forename: R
authors.initials: R
authors.lastname: Miller
authors.forename: D
authors.initials: D
authors.lastname: Murray
authors.forename: M
authors.initials: M
authors.lastname: Johnson
mesh_terms: D015492:AIDS Serodiagnosis; D000163:Acquired Immunodeficiency Syndrome / Q000628:therapy*; D003376:Counseling / Q000379:methods / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D008131:London; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies