HIV-associated neurocognitive disorder: rate of referral for neurorehabilitation and psychiatric co-morbidity.
AffiliationDepartment of Psychiatry, Waterford Regional Hospital, Waterford City, Ireland. firstname.lastname@example.org
MeSHAIDS Dementia Complex
Referral and Consultation
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CitationHIV-associated neurocognitive disorder: rate of referral for neurorehabilitation and psychiatric co-morbidity. 2012, 23 (4):285-6 Int J STD AIDS
JournalInternational journal of STD & AIDS
AbstractDespite advances in antiretroviral therapy, HIV-infected patients continue to present with HIV-associated neurocognitive disorder (HAND) which may be associated with significant psychiatric co-morbidity. We audited our patients with HAND referred for psychiatric assessment against the National Service Framework guidelines that they should receive neurorehabilitation. We found that despite these patients posing a risk to themselves and others due to poor insight and medication adherence, high rates of psychiatric co-morbidity and severely challenging behaviour, few were referred for neurorehabilitation. We recommend that clear referral pathways for psychiatric intervention and neurorehabilitation are established in HIV treatment centres.
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