Barcelona 2013
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| Abstract #456 - E-Posters English | ||||
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Session: 50.121: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Ms Amanda ODonovan - Barts Health, United Kingdom |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: People living with HIV who have co morbid depression have worse health outcomes such as HIV disease progression, increased risk of onward transmission, lower adherence to medication and reduced quality of life. BHIVA guidelines recommend routine and at time of diagnosis screening for mood, alcohol/substance misuse and high risk sexual behaviour. The guidelines also recommend onward referral for specialised psychological/behavioural intervention where problems with mood or sexual risk are identified. This study aims to examine the rate of routine clinician screening and on referral for mood, alcohol use and risk in a specialist HIV clinic at a London teaching hospital. | ||||
| Method / Issue: A retrospective case note review was done on patients who were diagnosed with HIV in the last two years. A random sample of 50 case notes were examined for types of mood, alcohol and sexual screening that had been documented and evidence of onward referrals. Demographic information, medical variables (CD4, viral load, antiretroviral treatment) were obtained from medical records and referral to, and use of mental health, alcohol or psychological services by clinician group was also obtained from medical records. Data was collected on a proforma based on the BHIVA Audit of psychological provision in HIV 2011 and analysed using STATA. | ||||
| Results / Comments: Case notes from approximately 50% of newly diagnosed patients (in the past two years) are examined. Demographic variables and medical status for patients are described. Low levels of systematic screening of mood, alcohol and sexual risk are anticipated. Documented screening of mood and risk after events likely to exacerbate or trigger psychological distress is reported. Screening and on referral was reported by professional group. Types of assessment conducted, rates of on-referral, pathways of referral and level of psychological interventions offered to PLWH are described. | ||||
| Discussion: Recommendations from this study will include a discussion of levels of screening and referral for mood, alcohol and sexual risk. Discussion of obstacles to routine screening in terms of clinician competence and confidence, concerns about the service?s ability to respond appropriately to identified psychological need and vulnerability, best practice in mood screening and standardised tools. | ||||
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