these tasks in the treatment plan, and in our Foundation House program, one's health" and "dealing with a sense of urgency" can

Lutgendorf and colleagues (1994) also describe how the reaction to HIV, as with any traumatic event, shatters an individual's basic assumptions about the world and requires the construction of a new meaning. This happens at the time of a seropositivite diagnosis and in the transition from asymptomatic to symptomatic AIDS (but less so, ironically, from symptomatic to full-blown AIDS). Constructing this new meaning, or adjusting one's identity as a person living with HIV, is similar to the person who is homeless establishing a new identity in the community. Old work roles and former residences no longer apply, so the overall task in counseling and in case management in the homeless rehabilitative program is to assist the client with adapting to this new identity and forming new coping skills.