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This article sets out guidelines for psychiatric practice prepared at the request of The Royal College of Psychiatrists. It gives an overview of psychosocial and neuropsychiatric problems in HIV disease, service implications and guidance on HIV screening and testing. Advice is given on the issue of confidentiality in relation to HIV status, the avoidance of infection and general recommendations for implementing the guidelines and the development of any necessary special policies or practices in Mental Health Units.

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