What is TLHBSO counselling, specifically Tuberculosis (TB), Human Immunodeficiency Virus (HIV), Hepatitis B (HB), Syphilis (S), and Opioid (O) substance abuse counselling?

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DS

Dainyal Siddiqui, MD

Internal Medicine

MJ

Manuel Jimenez, MD

Cardiology

FP

Franz Pierre-Louis, MD

Infectious Disease

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Last updated: March 6, 2025 • View editorial policy

From the Guidelines

TLHBSO counseling refers to the process of discussing Tuberculosis (TB), Human Immunodeficiency Virus (HIV), Hepatitis B (HB), Syphilis (S), and Opioid (O) substance abuse counseling with patients, with the primary goal of reducing morbidity, mortality, and improving quality of life. When counseling patients about TLHBSO, healthcare providers should thoroughly explain the risks and consequences of these diseases, as well as the importance of substance abuse treatment.

  • The counseling process should include information on prevention and transmission of infectious diseases, safer sex and injection practices, assessment of personal risk, and training in how to use condoms correctly and the importance of using condoms consistently 1.
  • Patients with hazardous substance use or substance abuse should receive brief counseling, and those with substance dependence require more intensive treatment, including medication-assisted therapy and behavioral interventions 2.
  • For patients with TB, the treatment plan should be developed immediately, and should include details about the medical regimen used, how and where treatment is to be administered, monitoring of adherence, drug toxicity, and clinical and bacteriologic responses 3.
  • HIV counseling and testing should be offered to all persons with suspected and proven TB, and to certain persons with latent TB infection, with referral for HIV treatment services when necessary 4.
  • Patients with opioid addiction should receive medication-assisted therapy, such as methadone or buprenorphine, and behavioral interventions to reduce the frequency of high-risk behaviors and ultimately reduce the risk for acquiring HIV infection or other STDs 1.
  • The counseling process should also include information on the importance of adherence to medical treatment regimens, and the potential consequences of non-adherence, such as treatment failure and the development of drug-resistant strains of TB 4.
  • Healthcare providers should also provide patients with information on the availability of social services, such as housing assistance, referral for treatment of substance abuse, and coordination of TB services with those of other providers 5.

From the Research

TLHBSO Counselling

TLHBSO counselling refers to counselling services for individuals affected by Tuberculosis (TB), Human Immunodeficiency Virus (HIV), Hepatitis B (HB), Syphilis (S), and Opioid (O) substance abuse.

  • The provided studies do not directly address TLHBSO counselling, however, they discuss various aspects of counselling in different contexts: + Pharmacist counselling for patients with chronic conditions 6 + Digital health tools for personalized counselling 7 + Evaluating primary care behavioural counselling interventions 8 + Evidence-based strategies for counselling patients in primary care 9

Counselling Strategies

While the studies do not specifically focus on TLHBSO counselling, they highlight the importance of effective counselling strategies in various healthcare settings.

  • The five A's (ask, advise, assess, assist, arrange) and FRAMES (feedback, responsibility of patient, advice to change, menu of options, empathy, self-efficacy enhancement) are structured sequential strategies that can be effective in primary care settings 9
  • Motivational interviewing can be successful for patients ambivalent about change 9
  • The BATHE (background, affect, troubles, handling, and empathy) strategy is useful for patients with psychiatric conditions and psychosocial issues 9

Limitations

There are no research papers provided that directly address TLHBSO counselling, specifically for Tuberculosis (TB), Human Immunodeficiency Virus (HIV), Hepatitis B (HB), Syphilis (S), and Opioid (O) substance abuse counselling. Therefore, the information available is limited and not directly relevant to TLHBSO counselling.

References

2
Guideline

a primary care approach to substance misuse.

American family physician, 2013

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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