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Article   |    
Management and Residential Placement Problems of Patients With HIV-Related Cognitive Impairment
Alicia A. Boccellari; James W. Dilley
Psychiatric Services 1992; doi:
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This study was supported in part by grant DA04873 from the National Institute on Drug Abuse. The work was accomplished in collaboration with Sandra Hernandez and Bill Haskell of the AIDS Office of the San Francisco Department of Public Health and Ian Barlow of the University of California, San Francisco. The authors thank the health care providers who participated in this study and Michael D. Shore, Mareah Steketee, Don Chambers, Tom Kelly, Dorothy Stinnett, and David Lee for their assistance.

San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, California 94110; University of California, San Francisco, School of Medicine

University of Callfornia, San Francisco, School of Medicine

1992 by the American Psychiatric Association

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The Neuropsychiatric AIDS Rating Scale, which classifies HIV-related cognitive impairment along a six-stage continuum, was used to explore the relationship between the severity of impairment and management and residential problems among 318 persons in San Francisco with suspected HIV-related cognitive impairment. Nearly half of the sample were in the moderate, severe, or end stage of impairment. One-third of the 318 persons, most of whom were in the moderate and severe stages, were reported to present residential placement problems. The management problems most associated with placement difficulties were home safety, wandering, confusion, and memory difficulties. More than a fourth of the moderately to severely impaired patients were living alone with no outside help or were homeless and living on the streets. Results of this study support the development of specialized residential programs for patients with HIV-related cognitive impairment.

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