Affiliations: Pacific Graduate School of Psychology, 935 East Meadow
Road, Palo Alto, CA 94303, USA | Kohlenberg & Associates, Vocational Counseling
Services, 1255 Post Street, Suite 451, San Francisco, CA 94109, USA. Tel.: +1
415 665 6902; Fax: +1 415 567 5304; E-mail: [email protected]
Note: [] Corresponding author
Abstract: With increased efficacy of HIV antiviral medications and subsequent
improvement in health status, many people with HIV face new decisions regarding
work. The Client-Focused Model of Considering Work describes the interplay
between four domains of influence (medical, financial/legal, psychosocial, and
vocational). In each of these domains, persons with HIV can experience both
pressures to make work related changes and barriers to making these changes. A
nonlinear decision-making process is articulated in four phases. The authors
discuss and contrast this model with other rehabilitation models, describe its
implications for planning and delivery of rehabilitation services, and cite
research results from a career counseling program based on the model.
