How to Collaborate with Other Specialties

Ferrari, Silvia; Blum, Joshua; Kelly, P.M.

doi:10.1002/9781119953661.ch14

Cited by 3 publications

(2 citation statements)

References 43 publications

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“…Historically, consultation psychiatry (CP) has described requests for a second, expert opinion by a ward treating physician for a specific patient, while CLP has referred to a closer integration of psychiatry in a somatic department [ 2 ]. CLP has generally included regular psychiatric consultation hours, as well as routine guidance and supervision of the GH staff administering somatic treatment by a psychiatrist regarding psychiatric and psychosomatic themes [ 3 , 4 , 5 , 6 , 7 ]. CL psychiatrists operationalize the dialogue between psychiatry and the rest of medicine, connecting GH departments with community mental health services.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

Marchi

Magarini

Mattei

et al. 2021

IJERPH

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Consultation–liaison psychiatry (CLP) manages psychiatric care for patients admitted to a general hospital (GH) for somatic reasons. We evaluated patterns in psychiatric morbidity, reasons for referral and diagnostic concordance between referring doctors and CL psychiatrists. Referrals over the course of 20 years (2000–2019) made by the CLP Service at Modena GH (Italy) were retrospectively analyzed. Cohen’s kappa statistics were used to estimate the agreement between the diagnoses made by CL psychiatrist and the diagnoses considered by the referring doctors. The analyses covered 18,888 referrals. The most common referral reason was suspicion of depression (n = 4937; 32.3%), followed by agitation (n = 1534; 10.0%). Psychiatric diagnoses were established for 13,883 (73.8%) referrals. Fair agreement was found for depressive disorders (kappa = 0.281) and for delirium (kappa = 0.342), which increased for anxiety comorbid depression (kappa = 0.305) and hyperkinetic delirium (kappa = 0.504). Moderate agreement was found for alcohol or substance abuse (kappa = 0.574). Referring doctors correctly recognized psychiatric conditions due to their exogenous etiology or clear clinical signs; in addition, the presence of positive symptoms (such as panic or agitation) increased diagnostic concordance. Close daily collaboration between CL psychiatrists and GH doctors lead to improvements in the ability to properly detect comorbid psychiatric conditions.

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Section: Introductionmentioning

confidence: 99%

Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

Marchi

Magarini

Mattei

et al. 2021

IJERPH

Self Cite

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“…Consultation-liaison psychiatry (CLP) is a branch of psychiatry aimed at dealing with the complex interactions of ‘multi-morbidity’ [ 1 ], including its psycho-social causes and effects. Born with a strong operative accent, i.e., how to perform psychiatric consultations on patients admitted to the general hospital (GH) or in other contexts of health care (“consultation”), and how to support and favour communication among health care professionals (“liaison”), it has moved to be the operationalized arm of psychosomatic medicine and of the bio-psycho-social paradigm promoted by George Engel and many other researchers and clinicians over the second half of 20th century [ 2 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Is Consultation-Liaison Psychiatry ‘Getting Old’? How Psychiatry Referrals in the General Hospital Have Changed over 20 Years

Ferrari

Mattei

Marchi

et al. 2020

IJERPH

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There is an ever-growing awareness of the health-related special needs of older patients, and Consultation-Liaison Psychiatry Services (CLPS) are significantly involved in providing such age-friendly hospital care. CLPS perform psychiatric assessment for hospitalized patients with suspected medical-psychiatric comorbidity and support ward teams in a bio-psycho-social oriented care management. Changes in features of the population referred to a CLPS over a 20-year course were analysed and discussed, especially comparing older and younger referred subjects. Epidemiological and clinical data from all first psychiatric consultations carried out at the Modena (North of Italy) University Hospital CLPS in the period 2000–2019 (N = 19,278) were included; two groups of consultations were created according to the age of patients: OV65 (consultations for patients older than 64 years) and NONOV65 (all the rest of consultations). Consultations for OV65 were about 38.9% of the total assessments performed, with an average of approximately 375 per year, vs. the 589 performed for NOV65. The number of referrals for older patients significantly increased over the 20 years. The mean age and the male/female ratio of the sample changed significantly across the years in the whole sample as well as both among OV65 and NOV65. Urgent referrals were more frequent among NOV65 and the rate between urgent/non urgent referrals changed differently in the two subgroups. The analysis outlined recurring patterns that should guide future clinical, training and research activities.

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Il colloquio clinico

Ivancich¹

2012

L’ambulatorio in Psichiatria Dell’età Evolutiva

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How to Collaborate with Other Specialties

Cited by 3 publications

References 43 publications

Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

Is Consultation-Liaison Psychiatry ‘Getting Old’? How Psychiatry Referrals in the General Hospital Have Changed over 20 Years

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