You are working at a sexual health clinic and Natalie a seventeen-year-old sex worker has returned for her post test results. She is hep C negative and is very relieved and wants to leave straight away. During post test counselling you discuss minimising further risk practices. Natalie is unconcerned with her continuing injecting drug use practices or her personal safety while working on the streets and more concerned with making enough money to eat or find somewhere to live. She is not very comfortable being in the clinic and doesn’t want to take any information or resources with her. What do you do?
Issues for discussion
- A holistic approach is necessary in order to influence a person’s direct health needs, involving supporting various aspects of their physical, mental and social wellbeing
- What equity barriers may Natalie perceive / experience when approaching this service?
Client issues
- Can you organise an appointment for Natalie at a local youth service or sex worker organisation in which she may feel more comfortable discussing some of these issues?
- How can you ensure Natalie’s confidentiality?
- Self-esteem and empowerment may be of concern, perhaps supporting some of her more immediate needs (food, shelter, and financial stability) may help stabilise her health before discussions surrounding risk transmission can be heard.
Organisational issues
- Can you provide information / resources in a more youth friendly format?
- Can the sexual health clinic provide a holistic approach to health by incorporating other health priorities (food, shelter, referrals, etc).
- A strong referral process will need to be in place to respond to the diversity of your client’s needs.