A national nurse-led audit of the standards for psychological support for adults living with HIV

NHIVNA Psychological Audit Working Group

Executive summary
■Services that deliver HIV care across the UK were invited to complete a site survey and patient case note review using a proforma based on auditable outcomes of the Standards for Psychological Support for Adults Living with HIV.
■ The response rate was 33% of those invited to participate.
■ Regarding the standards of support being met in clinical practice, findings indicated that where psychological needs were identified, management
of these needs was generally in keeping with the stepped care model. However, there appeared to be a distinct lack of documentation of mental
health history, risk and psychological well-being needs in general. The rate of cognitive screening was also extremely low.
■ Regarding service ‘set up’ and processes, there appeared to be a lack of local policy (for psychological support, risk and treatment adherence) and variation across services in relation to access to relevant professionals. Psychological and cognitive screening tools also varied considerably across sites as did the access to psychological support training. The latter was
completely absent for almost half the services.
■ Recommendations include the need for a psychological support training package, a call for an increase in local policy development regarding
psychological support, risk and treatment adherence, the potential utility of annual review clinics to implement the standards and a requirement for the national standardisation of psychological and cognitive screening tools. Plans for dissemination of findings and future research are also outlined. Read more. . .