• HIV-associated neurocognitive disorder: rate of referral for neurorehabilitation and psychiatric co-morbidity.

      Herlihy, D; Samarawickrama, A; Gibson, S; Taylor, C; O'Flynn, D; Department of Psychiatry, Waterford Regional Hospital, Waterford City, Ireland. daniel.herlihy@slam.nhs.uk (2012-04)
      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.