{"id":6,"date":"2023-12-20T16:08:12","date_gmt":"2023-12-20T16:08:12","guid":{"rendered":"https:\/\/helptoshare.psychologyresearch.co.uk\/?page_id=6"},"modified":"2025-09-12T08:37:18","modified_gmt":"2025-09-12T08:37:18","slug":"counselling-decision-making-tool","status":"publish","type":"page","link":"https:\/\/helptoshare.psychologyresearch.co.uk\/?page_id=6","title":{"rendered":"Counselling Decision Making Tool"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6\" class=\"elementor elementor-6\">\n\t\t\t\t<div class=\"elementor-element elementor-element-34809f53 e-flex e-con-boxed e-con e-parent\" data-id=\"34809f53\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ccae1ed elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"7ccae1ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Counselling Decision Making Tool<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e26d292 elementor-widget elementor-widget-text-editor\" data-id=\"e26d292\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000000;\"><strong>What does the tool help you achieve?<\/strong><\/span><\/p><p><span style=\"color: #000000;\"><strong>The counselling decision making tool has been designed to help you to discuss HIV sharing with your clients. The approach:\u00a0<\/strong><\/span><\/p><ul><li><span style=\"color: #000000;\"><strong>Is suitable for HIV sharing to anyone (e.g., partners, friends or family)<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Is suitable for whether people have shared their status or not before<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Suggests that HIV sharing counselling is best done in stages &#8211; introducing HIV sharing, then exploring motivation to share, then goal setting and planning<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Encourages reflection on sharing decisions<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Suggests that moving to the next stage should depend on the client<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Suggests that certain types of questions and strategies are best used at specific stages<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Is non-directive, and does not suggest telling or advising people to share their status. This is up to them.<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Suggests that not being sure about whether to share or not is normal<\/strong><\/span><\/li><li><span style=\"color: #000000;\"><strong>Stresses the importance of validating and affirming clients<\/strong><\/span><\/li><\/ul><p><span style=\"color: #000000;\"><strong>Click through each stage of the counselling decision making tool below to see questions and strategies at each stage:\u00a0<\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-546884f e-flex e-con-boxed e-con e-parent\" data-id=\"546884f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88c92ee elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"88c92ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4f2467d e-flex e-con-boxed e-con e-parent\" data-id=\"4f2467d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fb4d618 e-flex e-con-boxed e-con e-parent\" data-id=\"fb4d618\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e6442ab e-con-full e-flex e-con e-child\" data-id=\"e6442ab\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-22828d4 elementor-tabs-view-vertical elementor-widget elementor-widget-tabs\" data-id=\"22828d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-3611\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-3611\" aria-expanded=\"false\">Stage 1: Introducing HIV sharing<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-3612\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-3612\" aria-expanded=\"false\">Stage 2: Explore motivation to share<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-3613\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-3613\" aria-expanded=\"false\">Stage 3: Goal setting and planning<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-3611\" aria-expanded=\"false\">Stage 1: Introducing HIV sharing<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3611\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-3611\" tabindex=\"0\" hidden=\"false\"><h6><span style=\"color: #000000;\">a. For example, ask:<\/span><\/h6><ol><li><span style=\"color: #000000;\">\u201cHow do you feel about discussing sharing your status today?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cWould you like to talk about sharing your status?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cIs there anything on your mind about sharing your status?\u201d<\/span><\/li><\/ol><h5><span style=\"color: #000000;\"><strong>Is the client willing to discuss?<\/strong><\/span><\/h5><ul><li><span style=\"color: #000000;\">Yes: Go to stage 2<\/span><\/li><li><span style=\"color: #000000;\">No: Thank client and affirm<\/span><\/li><\/ul><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-3612\" aria-expanded=\"false\">Stage 2: Explore motivation to share<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3612\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-3612\" tabindex=\"0\" hidden=\"hidden\"><h6><span style=\"color: #000000;\">a. Ask about reasons to share and reasons not to share. For example:<\/span><\/h6><ol><li><span style=\"color: #000000;\">\u201cWhat are the benefits of sharing for you?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cWhat are some of the concerns you have about sharing your status?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cWhat are some of the reasons why you share or want to share your status?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cWhat are some of the reasons why you don\u2019t share or want to share your status?\u201d<\/span><\/li><\/ol><p style=\"padding-left: 40px;\"><span style=\"color: #000000;\">Use open questions, affirmations, reflections and summaries:<\/span><\/p><ol><li style=\"list-style-type: none;\"><ol><li><span style=\"color: #000000;\">Open questions. For example:<\/span><ol><li><span style=\"color: #000000;\">\u201cCan you tell me more about that?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cCan you give me an example of that?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cHow did you feel about that at the time?\u201d<\/span><\/li><\/ol><\/li><li><span style=\"color: #000000;\">Affirmations. For example:<\/span><ol><li><span style=\"color: #000000;\">\u201cIt sounds as though you handled that really well.\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cIt sounds as though you really care about your partner\u2019s feelings\u201d<\/span><\/li><\/ol><\/li><li><span style=\"color: #000000;\">Reflections. For example:<\/span><ol><li><span style=\"color: #000000;\">\u201cYou seem to feel hopeful that your friend might respond well\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cI sense you\u2019re feeling anxious about this\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cIt sounds like you feel guilty about this\u201d<\/span><\/li><\/ol><\/li><li><span style=\"color: #000000;\">Summaries. For example:<\/span><ol><li><span style=\"color: #000000;\">\u201cSo, on the one hand, you\u2019re concerned about how your partner might react but, on the other hand, you feel that they are someone who has shown they can be trusted.\u201d<\/span><\/li><\/ol><\/li><\/ol><\/li><\/ol><h6><span style=\"color: #000000;\">b. Normalise ambivalence. For example:<\/span><\/h6><ol><li><span style=\"color: #000000;\">\u201cIt\u2019s very common for people to be anxious about how other people may respond.\u201d<\/span><\/li><\/ol><h6><span style=\"color: #000000;\">c. Consider using these further questions:<\/span><\/h6><ol><li><span style=\"color: #000000;\">What would life be like\/the best thing be if you were able to share?<\/span><\/li><li><span style=\"color: #000000;\">What concerns you about not sharing your status?<\/span><\/li><li><span style=\"color: #000000;\">How important is it to share your status?<\/span><\/li><li><span style=\"color: #000000;\">How confident are you to share your status?<\/span><\/li><\/ol><h5><span style=\"color: #000000;\"><strong>Is the client willing to discuss?<\/strong><\/span><\/h5><ul><li><span style=\"color: #000000;\">Yes: Go to stage 3<\/span><\/li><li><span style=\"color: #000000;\">No: Thank client and affirm<\/span><\/li><\/ul><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-3613\" aria-expanded=\"false\">Stage 3: Goal setting and planning<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3613\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-3613\" tabindex=\"0\" hidden=\"hidden\"><h6><span style=\"color: #000000;\">a. Defining a sharing goal. For example:<\/span><\/h6><ol><li><span style=\"color: #000000;\">\u201cIs there anyone you want to share your status with?\u201d<\/span><\/li><li><span style=\"color: #000000;\">\u201cIs there anyone you want to think about sharing your status with?\u201d<\/span><\/li><\/ol><h6><span style=\"color: #000000;\">b. Exploring reasons for the goal. For example:<\/span><\/h6><ol><li><span style=\"color: #000000;\">\u201cWhy is this your sharing goal? This could be something like: I want to tell the truth; I want to feel less alone; I think they will react well because I have a good relationship with them; I want to make the right decision; I want to be honest with them.\u201d<\/span><\/li><\/ol><h6><span style=\"color: #000000;\">c. Exploring importance of reasons. For example:<\/span><\/h6><ol><li><span style=\"color: #000000;\">\u201cWhy is this reason for sharing important to you? This could be something like wanting to be honest; wanting to share if I\u2019m serious about someone; wanting to share if I\u2019m comfortable with a partner; wanting to tell the most important people in my life.\u201d<\/span><\/li><\/ol><h6><span style=\"color: #000000;\">d. Action planning<\/span><\/h6><ol><li><span style=\"color: #000000;\">Planning when to share. This could be something like before we have sex for the first time; at a particular time of day.<\/span><\/li><li><span style=\"color: #000000;\">Planning where to share? This could be something like a safe place, face to face.<\/span><\/li><li><span style=\"color: #000000;\">Planning how to share and what to say? For example:<\/span><ol><li><span style=\"color: #000000;\">Saying how you feel, why you feel that way, and what you\u2019d like from the other person (e.g., not to tell others)<\/span><\/li><li><span style=\"color: #000000;\">Starting off gently<\/span><\/li><li><span style=\"color: #000000;\">Explaining why you\u2019ve decided to share<\/span><\/li><li><span style=\"color: #000000;\">Giving information about HIV<\/span><\/li><li><span style=\"color: #000000;\">Keeping calm<\/span><\/li><\/ol><\/li><\/ol><h6><span style=\"color: #000000;\">e. Coping planning<\/span><\/h6><ol><li><span style=\"color: #000000;\">Asking, \u201cWhat could be a barrier to sharing, or to sharing going well? What could be a reason not to share? For example: they don\u2019t respond well; I don\u2019t say everything I had planned to say; I\u2019m worried it will change the relationship; I\u2019m worried they will reject me; feeling anxious; my mum doesn\u2019t want me to share; they may ask why I hadn\u2019t told them before.<\/span><\/li><li><span style=\"color: #000000;\">Asking, \u201cWhat could you do or say to yourself to manage this barrier\/these barriers?\u201d For example: talk to someone I trust; sharing this plan with someone else; say to myself that they might feel differently after time; try not to take it personally; accepting the outcome; saying that they\u2019re just trying to understand; keeping calm; talking to my friend first; asking for support in talking to mum<\/span><\/li><\/ol><h6><span style=\"color: #000000;\">f. Discuss possible benefits of role playing or rehearsing the plan<\/span><\/h6><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ab7361 e-con-full e-flex e-con e-child\" data-id=\"0ab7361\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-1b3ee3b e-con-full e-flex e-con e-child\" data-id=\"1b3ee3b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1211357 elementor-widget elementor-widget-image\" data-id=\"1211357\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"515\" height=\"1024\" src=\"https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Counselling-decision-making-tool-visual-flowchart--515x1024.png\" class=\"attachment-large size-large wp-image-546\" alt=\"\" srcset=\"https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Counselling-decision-making-tool-visual-flowchart--515x1024.png 515w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Counselling-decision-making-tool-visual-flowchart--151x300.png 151w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Counselling-decision-making-tool-visual-flowchart--768x1528.png 768w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Counselling-decision-making-tool-visual-flowchart--772x1536.png 772w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Counselling-decision-making-tool-visual-flowchart--1030x2048.png 1030w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Counselling-decision-making-tool-visual-flowchart-.png 1087w\" sizes=\"(max-width: 515px) 100vw, 515px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-62b3044 e-grid e-con-boxed e-con e-parent\" data-id=\"62b3044\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8d57e10 elementor-widget elementor-widget-image\" data-id=\"8d57e10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"580\" height=\"211\" src=\"https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-1024x372.png\" class=\"attachment-large size-large wp-image-555\" alt=\"\" srcset=\"https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-1024x372.png 1024w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-300x109.png 300w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-768x279.png 768w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-1536x557.png 1536w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-2048x743.png 2048w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-1200x436.png 1200w, https:\/\/helptoshare.psychologyresearch.co.uk\/wp-content\/uploads\/2024\/10\/Decision-making-e1729690855950-1980x719.png 1980w\" sizes=\"(max-width: 580px) 100vw, 580px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-490e5bc e-flex e-con-boxed e-con e-parent\" data-id=\"490e5bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Counselling Decision Making Tool What does the tool help you achieve? The counselling decision making tool has been designed to help you to discuss HIV sharing with your clients. The approach:\u00a0 Is suitable for HIV sharing to anyone (e.g., partners, friends or family) Is suitable for whether people have shared their status or not before [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-6","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/6","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6"}],"version-history":[{"count":104,"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/6\/revisions"}],"predecessor-version":[{"id":956,"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/6\/revisions\/956"}],"wp:attachment":[{"href":"https:\/\/helptoshare.psychologyresearch.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}