Amsterdam 2015
Amsterdam 2015
Abstract book - Abstract - 2149
Go Back

Menu

AIDSImpact.com
Conference Details
Authors
International Committee
Plenary Speakers
Presenting Speakers
Programme
Sessions
Scientific Committee
Acknowledgements
Abstract #2149  -  No health without mental health
Session:
  40.6: No health without mental health (Parallel) on Thursday @ 16.30-18.00 in C103 Chaired by Mark Tomlinson,
Tomas Campbell

Authors:
  Presenting Author:   DR Shilpa Zacharia - NHS, United Kingdom
 
  Additional Authors:   
Aim:
To describe people with HIV presenting with complex needs who require both psychological and psychiatric interventions, and to compare them with those referred to either psychology or psychiatry alone.
 
Method / Issue:
A retrospective review of all cases referred to the service during 2014. Paper records of all the referrals made by GPs, clinicians and self-referrals were used to identify those that were HIV positive. The details about each referral made to both psychologists and psychiatrists were then extracted from an electronic data base and analysed.
 
Results / Comments:
Of the 392 patients seen by the service, 174 (44%) were seen by both psychiatry and psychology (complex group), 138 (35%) were seen only by psychology and 80 (20%) were seen by just psychiatry. Depression was the most common diagnosis in all groups, with this being the diagnosis in 91 (52%) of the complex group, 43 (54%) of patients seen only by psychiatry and 52 (38%) of patients seen only by psychology. Anxiety disorder was the principal diagnosis of just 6 (8%) of patients seen by psychiatry, whilst this made 28 (16%) of diagnoses of the complex group and 26 (19%) of patient in the psychology group. 36 (26%) of patients seen by psychology have a principal diagnosis of adjustment disorder, compared to 9 (11%) of these seen by psychiatry and 20 (11%) of the complex group having this principal diagnosis. Sexual dysfunction was not the principal diagnosis of any patients seen by psychology but made up 7 (9%) of patients seen by psychiatry.
 
Discussion:
Almost half of patients referred to the service required involvement of psychiatry and psychology, our impression was that these patients had more severe syndromes necessitating the input of both disciplines which is a reflection of the complexity of this group of patients. This highlights the need for joint working between the two professional groups. In the complex group, depression was the most common diagnosis but there is a broad range of diagnoses affecting the group. Amongst those seen by one professional group only, the most important difference was that the psychiatry team saw a higher proportion of people with a diagnosis of depression. Adjustment and anxiety disorders made up a much higher proportion of those seen only by psychology as compared to psychiatry group. Patients presenting with sexual difficulties were most likely to be seen by psychiatry. Joint working between the teams can add significantly to the treatment of patients but requires good rapport and coordination between the two professional groups with regular discussions to ensure patients are not given contradictory advice.
 
Go Back

  Disclaimer   |   T's & C's   |   Copyright Notice    www.AIDSImpact.com www.AIDSImpact.com
ਊਊਊ