TY - JOUR
KW - Cognition Disorders/etiology/therapy
KW - HIV Infections/complications/epidemiology/psychology/therapy
KW - Humans
KW - Interdisciplinary Communication
KW - Neuropsychology/methods/organization & administration
KW - Patient Care Management/organization & administration
KW - United States Department of Veterans Affairs
KW - United States/epidemiology
KW - Veterans
AU - M. C. Dux
AU - T. Lee-Wilk
A1 - 
AB - The Department of Veteran Affairs (VA) is the largest health care provider for individuals with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), with >28,000 Veterans with HIV/AIDS enrolled in care. Advances in medical treatment have improved the life-limiting effects of the disease, though many chronic symptoms persist. Comprehensive care is critical to manage the diverse constellation of symptoms. However, many patients face challenges to receiving optimal care due to limited resources, mistrust of health care providers, and/or co-occurring medical, psychiatric, and substance use disorders. The VA is a leader in developing integrated models of care to address these barriers. The inclusion of subspecialty mental health and substance abuse treatment in HIV care has been implemented across many VAs, with evidence of improved patient outcomes. However, neuropsychology has not traditionally been included, despite the fact that cognitive dysfunction represents one of the most ubiquitous complications of HIV/AIDS. Cognitive impairment is associated with myriad negative outcomes including medication non-adherence, reduced quality of life, and increased mortality. We contend that neuropsychologists are uniquely equipped to contribute to the comprehensive care of patients with HIV/AIDS. Neuropsychologists understand the range of factors that can impact cognition and have the requisite knowledge and skills to assess and treat cognitive dysfunction. Although we focus on HIV/AIDS, neuropsychologists often play critical roles in the provision of care for other infectious diseases (e.g., hepatitis C).
BT - Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 3
CY - United States
DO - 10.1093/arclin/acx133
IS - 3
JF - Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
N2 - The Department of Veteran Affairs (VA) is the largest health care provider for individuals with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), with >28,000 Veterans with HIV/AIDS enrolled in care. Advances in medical treatment have improved the life-limiting effects of the disease, though many chronic symptoms persist. Comprehensive care is critical to manage the diverse constellation of symptoms. However, many patients face challenges to receiving optimal care due to limited resources, mistrust of health care providers, and/or co-occurring medical, psychiatric, and substance use disorders. The VA is a leader in developing integrated models of care to address these barriers. The inclusion of subspecialty mental health and substance abuse treatment in HIV care has been implemented across many VAs, with evidence of improved patient outcomes. However, neuropsychology has not traditionally been included, despite the fact that cognitive dysfunction represents one of the most ubiquitous complications of HIV/AIDS. Cognitive impairment is associated with myriad negative outcomes including medication non-adherence, reduced quality of life, and increased mortality. We contend that neuropsychologists are uniquely equipped to contribute to the comprehensive care of patients with HIV/AIDS. Neuropsychologists understand the range of factors that can impact cognition and have the requisite knowledge and skills to assess and treat cognitive dysfunction. Although we focus on HIV/AIDS, neuropsychologists often play critical roles in the provision of care for other infectious diseases (e.g., hepatitis C).
PP - United States
PY - 2018
SN - 1873-5843; 0887-6177
SP - 290
EP - 300
EP - 
T1 - Integration of Neuropsychological Services in a VA HIV Primary Care Clinic
T2 - Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
TI - Integration of Neuropsychological Services in a VA HIV Primary Care Clinic
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 29718082
U3 - 10.1093/arclin/acx133
VL - 33
VO - 1873-5843; 0887-6177
Y1 - 2018
ER -