Pathways for the assessment of cognitive impairment depending on service provision

Different HIV services have different resources available to them.

In this section we depict three types of assessment pathway clinicians can follow if a patient has suspected cognitive issues.

Pathway A:
– Services which have a combined HIV-Memory/neurology clinic

Pathway B:
– Services with no combined HIV-Memory/neurology
– Services with access to neuropsychological services

Pathway C:
– Services with no combined HIV-Memory/neurology
– Services with no access to neuropsychological services

Figures from Alford et al (2024) Curr Opin Infect Dis, In Press

Please note that these are recommendations not guidelines, and clinical judgement should be applied.