Recognition of psychiatric disorders in nonpsychiatric hospital wards

Wancata, Johannes; Windhaber, J.; Bach, Michael; Meise, U.

doi:10.1016/s0022-3999(99)00098-7

Cited by 84 publications

(51 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Co-occurring mental illness and substance abuse disorders (behavioral health problems), prevalent in 20-40% of general medical inpatients [1], are associated with longer lengths of stay (LOS) [2,3] and higher costs of care [1,2,3,4]. Bourgeois et al [4] found that co-morbid psychiatric conditions accounted for an increase of over USD 11 million in annual costs in one hospital system.…”

Section: Introductionmentioning

confidence: 99%

“…Bourgeois et al [4] found that co-morbid psychiatric conditions accounted for an increase of over USD 11 million in annual costs in one hospital system. The mechanisms of this increase in LOS are complex, ranging from the difficulty in preparing mentally ill patients for discharge or transfer due to the problems in accessing follow-along services, the complexity of treating those with mental illness [5], delays introduced by the patients' symptoms [6], simple misunderstandings between patients and care givers as well as the stigma associated with mental illness [7] to the lack of training among health-care providers to recognize mental illness [2,6,8]. …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multidisciplinary Proactive Psychiatric Consultation Service: Impact on Length of Stay for Medical Inpatients

Sledge

Gueorguieva

Desan

et al. 2015

Psychother Psychosom

View full text Add to dashboard Cite

Background: Mental illness correlates with an increased length of stay (LOS) for patients hospitalized for medical conditions. While psychiatric consultations help manage mental illness among those hospitalized for medical conditions, consultations initiated by nonpsychiatric mental disease may lack maximum effectiveness. Methods: In a before-and-after design, in 2 contiguous years LOS for internist-initiated, conventional consultation (CC) as usual treatment was compared to LOS of a proactive, mental health professional-initiated, multidisciplinary intervention delivered by the behavioral intervention team (BIT) on the same units. The patient populations included general medical patients with a variety of illnesses. Patients were treated in 3 different inpatient settings with a total capacity of 92 beds serving 15,858 patient visits over 3 comparison years. BIT comprised a psychiatrist, a nurse, and a social worker, each of whom performed the specific tasks of their professional discipline, while collaborating among themselves and their health-care colleagues. BIT provided timely, appropriate, and effective patient care alongside consultative advice and education to their corresponding professional peers. BIT was compared to CC on the outcome of LOS. Results: There was a statistically significant reduction of LOS favoring BIT over CC for patients with an LOS of <31 days which persisted while controlling for multiple co-morbid factors. Also, a statistically significant spillover effect was suggested by the overall improvement of LOS on units implementing BIT. Conclusion: BIT is a promising means of lowering LOS on general medical units while providing a high level of care and staff support.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Proactive Psychiatric Consultation Service: Impact on Length of Stay for Medical Inpatients

Sledge

Gueorguieva

Desan

et al. 2015

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…verlängerte Krankenstände die indirekten Kosten erhöht [27][28][29]. Da die Behandlungsraten der einzelnen Krankheitsbilder unterschiedlich sind [30], könnte es sein, dass die unterschiedlichen Behandlungsraten auch den hier dargestellten Vergleich der Kosten für verschiedene Krankheitsbilder wesentlich beeinflussen. Die hier dargestellten Kosten beruhen also auf den derzeitigen Behandlungsraten und können nichts über die Kosten bei sich verändernden Behandlungsraten aussagen.…”

Section: Tabelle 1 Kosten Pro Einwohner Aufgrund Von "Gehirnerkrankuunclassified

Die Kosten von "Gehirnerkrankungen" in Österreich im Jahr 2004

Wancata

Sobocki

Katschnig

2007

Wien Klin Wochenschr

View full text Add to dashboard Cite

show abstract

“…Diese ergeben, dass über die Hälfte aller krankenhausbedürftigen psychisch Kranken in nicht-psychiatrische Krankenhäuser aufgenommen werden [2,17]. Darüber hinaus bedarf ein großer Teil der Patienten im psychiatrischen Krankenhaus der körpermedizinischen Diagnostik und Behandlung [6,14].…”

Section: Introductionunclassified

Gemeindenahe stationäre Versorgung für Schizophreniepatienten

Gebhardt

Schmidt-Michel

2002

The European Journal of Health Economics

View full text Add to dashboard Cite

Recognition of psychiatric disorders in nonpsychiatric hospital wards

Cited by 84 publications

References 24 publications

Multidisciplinary Proactive Psychiatric Consultation Service: Impact on Length of Stay for Medical Inpatients

Multidisciplinary Proactive Psychiatric Consultation Service: Impact on Length of Stay for Medical Inpatients

Die Kosten von "Gehirnerkrankungen" in Österreich im Jahr 2004

Gemeindenahe stationäre Versorgung für Schizophreniepatienten

Contact Info

Product

Resources

About