29 May 2015

HIV Case Management Program guidelines 2012

Case Management Program guidelines 2012: A program for individuals with HIV who knowingly expose others to the risk of infection (PDF 419KB)

This document outlines the Guidelines for the operation of the Case Management Program (CMP), Department of Health Western Australia. While most people living with HIV conscientiously avoid behaviour which exposes others to the risk of HIV infection, a very small number of individuals continue to place others at risk. They demonstrate by their actions that they are not able or willing to take appropriate actions to minimise the risk of transmission to others. The CMP aims to reduce this risk by encouraging behaviour change.

The Guidelines direct the CMP’s efforts to assist individuals to modify their behaviour, through intensive and regular counselling, education and support. This preventive approach, which promotes behavioural change, is preferable to taking statutory action via public health orders or invoking the law, which should be used as the last resort where other measures have failed. The staged approach using the Guidelines has been successful in Western Australia and only rarely have punitive measures such as isolation of individuals with HIV who put others at risk been necessary.

If there is evidence to support allegation(s) of risk behaviour that inappropriately places others at risk, the individual becomes a client of the CMP and a ‘Five level management program’ is implemented.

The levels of the program are as follows:

  1. Level one – Counselling, education and support
  2. Level two – Referral to the HIV Case Management Panel
  3. Level three – Letter of warning
  4. Level four – Isolation
  5. Level five – Referral for prosecution.

The document provides guidance for health professionals who have to deal with HIV case management issues or work with clients of the CMP in Western Australia.

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