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HIV/AIDS and sexual health.

In including HIV/Aids and sexual health as key areas, The health of the nation stresses that 'good personal and sexual relationships can actively promote health and well-being'. This is a central concept, presenting challenges for professionals working in education and health writes Doreen E Massey, director of the Family Planning Association. In the second of our series on the opportunities the white paper offers nurses working in the community, she explores some of these challenges; in particular that promoting sexual health is not simply about disease prevention.

Adolescent

The evaluation of sexual health services in a medical setting.

An interdisciplinary Sexual Health Services unit has been established at the University of Minnesota Medical School that offers counseling and treatment programs for a wide variety of sex-related concerns and problems. The programs are based on the principles of responsibility for self, permission to be sexual, the use of reeducation, the facilitation of increased awareness in clients, and structured behavior change. The programs have been evaluated according to client satisfaction with the extent to which they have met pretreatment goals and according to results of pre/posttesting with objective instruments. One year follow-up results from 131 clients and immediate posttreatment results from 411 clients show positive change in a large majority of cases.

Behavior Therapy

Sexual health education and counseling.

In the past decade, there has been a concentrated effort to develop much needed advances in human sexuality, but many sexually misinformed or troubled members remain in our society. As more information is disseminated and people become sophisticated, there will be many people requesting help with sexual problems in primary and secondary health settings. Nurses need to equip themselves in this important aspect of health care. First, one's own values, attitudes, and knowledge must be carefully examined. Desensitizing, and incorporatin experiences have been used effectively to help get in touch with feelings and attitudes about the sensitive area of sexuality. Second, the nurse must be aware of the wide range of feeling and attitudes on specific sexual issues that have proved troublesome to our society. Third, the nurse must take advantage of educational opportunities to gain knowledge of psychosexual growth and development during the entire life span. Fourth, if the nurse desires to become involved in sexual conseling further education with concentration on the various innoviative techniques and approaches will be necessary to help clients with specific problems and concerns. Finally, sexual health programs need to be affiliated with a reputable health agency with prefessional supervision. All programs and new approaches must be evaluated to determine their effect on sexual health care.

Attitude of Health Personnel