title: HIV-associated neurocognitive disorder: rate of referral for neurorehabilitation and psychiatric co-morbidity.
abstract: Despite 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.
authors.affiliation: Department of Psychiatry, Waterford Regional Hospital, Waterford City, Ireland. daniel.herlihy@slam.nhs.uk
authors.forename: D
authors.initials: D
authors.lastname: Herlihy
authors.forename: A
authors.initials: A
authors.lastname: Samarawickrama
authors.forename: S
authors.initials: S
authors.lastname: Gibson
authors.forename: C
authors.initials: C
authors.lastname: Taylor
authors.forename: D
authors.initials: D
authors.lastname: O'Flynn
mesh_terms: D015526:AIDS Dementia Complex / Q000453:epidemiology* / Q000628:therapy*; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D012017:Referral and Consultation / Q000706:statistics & numerical data; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D019380:Anti-HIV Agents