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Psychiatric liaison

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https://www.readbyqxmd.com/read/29200525/mental-health-care-during-the-ebola-virus-disease-outbreak-in-sierra-leone
#1
Stania Kamara, Anna Walder, Jennifer Duncan, Antoinet Kabbedijk, Peter Hughes, Andrew Muana
Problem: Reported levels of mental health and psychosocial problems rose during the 2014-2015 Ebola virus disease outbreak in Sierra Leone. Approach: As part of the emergency response, existing plans to create mental health units within the existing hospital framework were brought forward. A nurse-led mental health and psychosocial support service, with an inpatient liaison service and an outpatient clinic, was set up at the largest government hospital in the country...
December 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29149969/indicators-of-complex-care-during-the-consultation-liaison-psychiatry-activity-at-the-transplant-center-of-the-policlinico-hospital-modena
#2
G Mattei, A Laghi, S Balduzzi, M Moscara, C Piemonte, C Reggianini, M Rigatelli, S Ferrari, L Pingani, G M Galeazzi
OBJECTIVE: The objective of this study was to identify possible biopsychosocial predictors of organizational complexity in patients referred to the consultant psychiatrist for assessment before liver transplantation. METHODS: This was a case-control study. All psychiatric consultations performed before and after liver transplantation from January 1, 2008 to December 31, 2013 were included. Complexity was operationalized as "undergoing two or more psychiatric consultations"...
November 2017: Transplantation Proceedings
https://www.readbyqxmd.com/read/29061436/pattern-and-prevalence-of-psychiatric-disorders-among-patients-attending-dermatology-opd
#3
Sasha Raikhy, Shiv Gautam, Sanjay Kanodia
BACKGROUND: Consideration of psychiatric and psychosocial factors is important for the management and prevention of dermatologic disorders. Dermatology patients suffer commonly from psychiatric comorbidity. AIM: To study pattern and prevalence of psychiatric disorders among patient attending dermatology OPD. METHODS: The study was carried out in Psychiatry department of NIMS Medical College, Jaipur, Rajasthan, a north State of India. The sample was taken from Dermatology department of Medical College...
October 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29042845/implementation-of-integrated-service-networks-under-the-quebec-mental-health-reform-facilitators-and-barriers-associated-with-different-territorial-profiles
#4
Marie-Josée Fleury, Guy Grenier, Catherine Vallée, Denise Aubé, Lambert Farand
INTRODUCTION: This study evaluates implementation of the Quebec Mental Health Reform (2005-2015), which promoted the development of integrated service networks, in 11 local service networks organized into four territorial groups according to socio-demographic characteristics and mental health services offered. METHODS: Data were collected from documents concerning networks; structured questionnaires completed by 90 managers and by 16 respondent-psychiatrists; and semi-structured interviews with 102 network stakeholders...
March 10, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29041838/psychodermatology-liaison-clinic-in-india-a-working-model
#5
Nupur Goyal, Shrutakirthi Shenoi, Smitha S Prabhu, K Sreejayan, Ravindra Munoli, Shweta Rai
Literature reports suggest that up to 30% of dermatology patients have associated psychiatric co-morbidity. A psychodermatology liaison (PD) clinic is essential to deal with such patients, which is almost non-existent in the Indian scenario. In order to report the working pattern of such a clinic and to determine its efficacy with the help of Dermatology Life Quality Index (DLQI) and Short Assessment of Patient Satisfaction (SAPS) questionnaires, we investigated patients with suspected psychocutaneous diseases in an open-labelled two-year prospective study...
January 1, 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28987290/medical-student-experiences-on-consultation-liaison-psychiatry-rotations-a-nationwide-survey
#6
Fremonta Meyer, Omair Abbasi, David Kasick, Kewchang Lee, Christine Pelic, Jennifer Zinser, Thomas Harris, Margo Funk
BACKGROUND: Consultation-liaison (C-L) psychiatry clerkship rotations may improve medical students' understanding of psychiatric principles relevant to the settings in which they will ultimately practice. This study aimed to characterize students' experiences on C-L rotations. METHODS: This cross-sectional survey study, sponsored by the Academy of Psychosomatic Medicine Subcommittee on Medical Student Education, was conducted at 5 US medical schools between 2012 and 2016...
August 2, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28953822/audit-on-the-quality-of-handovers-of-a-psychiatric-liaison-team-in-the-uk-a-short-report
#7
Trupti Koli, Maria Filippidou
BACKGROUND: The importance of handovers has been recognised and proven in clinical practice. In liaison psychiatry, this is particularly important due to the high turnover of patients seen, the shift work pattern and the number of member staff engaging in this process. An Audit on the Quality of Handovers was carried out within a Psychiatric Liaison team of a General hospital in UK with an intention to review and improve this. METHOD: Handovers were evaluated against the gold standard of the SBAR tool (Situation/Background/Assessment/Recommendations) over a period of 4 weeks...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28830543/chinese-non-psychiatric-hospital-doctors-attitudes-toward-management-of-psychological-psychiatric-problems
#8
Jun Wang, Qun Wang, Inoka Wimalaratne, David Benjamin Menkes, Xiaoping Wang
BACKGROUND: Psychiatric comorbidities are common among patients treated for physical disorders. Attitudes of non-psychiatric doctors toward psychological/psychiatric problems have significant implications for care provision in the general hospital setting. Our objective was to investigate non-psychiatric doctors' attitudes in China. METHOD: An anonymous online questionnaire pertaining to relevant attitudes was distributed to Chinese hospital-based non-psychiatric doctors using a mobile App...
August 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28827863/reasons-for-referral-and-diagnostic-concordance-between-physicians-surgeons-and-the-consultation-liaison-psychiatry-team-an-exploratory-study-from-a-tertiary-care-hospital-in-india
#9
Sandeep Grover, Swapnajeet Sahoo, Shivali Aggarwal, Shallu Dhiman, Subho Chakrabarti, Ajit Avasthi
BACKGROUND: Very few studies have evaluated the reasons for referral to consultation-liaison (CL) psychiatry teams. AIM: This study aimed to evaluate the psychiatric morbidity pattern, reasons for referral and diagnostic concordance between physicians/surgeons and the CL psychiatry team. MATERIALS AND METHODS: Two hundred and nineteen psychiatric referrals made to the CL psychiatry team were assessed for reason for referral and diagnostic concordance in terms of reason of referral and psychiatric diagnosis made by the CL psychiatry team...
April 2017: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28806895/expanding-the-mental-health-workforce-in-china-narrowing-the-mental-health-service-gap
#10
Xinran Hu, Robert Rohrbaugh, Qijian Deng, Qingnan He, Kelley F Munger, Zhening Liu
There is a significant gap between mental health service coverage and the need for these services in China. In particular, workforce shortages impair several aspects of China's national mental health service system, including access to timely diagnosis and treatment in rural areas, expansion of general hospital psychiatric consultation-liaison services, and leadership in establishing a collaborative stepped-care system. This column focuses on China's ongoing efforts to develop its mental health workforce to ensure a sustainable supply of psychiatrists and allied mental health professionals...
October 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28734556/a-model-of-collaborative-spiritual-and-psychiatric-care-of-oncology-patients
#11
Larkin Elderon Kao, Hermioni N Lokko, Kathleen Gallivan, Vera O'Brien, John R Peteet
BACKGROUND: Many oncology patients see both chaplains and consultation-liaison (C-L) psychiatrists during medical hospitalizations. Studies show that spirituality and mental health influence one another, and that patients often prefer that physicians understand their spirituality. Though models of inpatient chaplaincy-psychiatry collaboration likely exist, none are apparent in the literature. In this study, we present one model of chaplaincy-psychiatry collaboration, hypothesizing that both specialties would find the intervention helpful...
June 23, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28712415/the-role-of-incongruence-between-the-perceived-functioning-by-patients-and-clinicians-in-the-detection-of-psychological-distress-among-functional-and-motor-digestive-disorders
#12
Amanda Rodriguez-Urrutia, Francisco José Eiroa-Orosa, Anna Accarino, Carolina Malagelada, Fernando Azpiroz
OBJECTIVES: Previous research on gastrointestinal and other medical conditions has shown the presence of incongruence between self- and clinician-reported functioning and its relation with psychopathology. The main objective of this study was to test whether inconsistencies between clinician- and self-assessed functionality can be used to detect psychopathology among patients diagnosed of motor or functional gastrointestinal disorders. METHODS: One hundred and three patients from a gastroenterology inpatient unit were included in this study...
August 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28708359/-psychological-distress-and-infertile-couple-a-global-approach
#13
Elodie Girard, Vasiliki Galani, Simona Toma, Isabelle Streuli
Infertility treatment doesn't stop in the technical and specific processing. The psychological distress may be very important and a frequent cause of drop-out during the medical procedure. Therefore the couple should be taken into account globally. Different level of counselling sessions should be offered to give the couple complete information about the procedure. The psychological counselling should be tailored to their need in term of coping strategies in the management of the stress or more specific psychotherapeutical approach...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28708356/-what-remains-of-our-balints
#14
Régis Marion-Veyron, Konstantinos Tzartzas, Michael Saraga
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays a role in the teaching of the relational aspects of medical practice. This series of three articles offers a critical reflection on this topic and examples of educational programs developed at Lausanne University Hospital. In the Department of Ambulatory Care and Community Medicine, an intervention inspired by Balint groups offers to residents in general internal medicine the possibility of working through their clinical experiences and their evolving professional identity...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28708355/-undergraduate-training-in-physician-patient-communication
#15
Alexandre Berney, Pascale Pécoud, Céline Bourquin, Friedrich Stiefel
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays an important role in the teaching of the relational aspects of the clinical encounter between patients and clinicians. This series of three articles proposes a critical reflection on this topic, and presents examples of undergraduate and postgraduate teaching programs developed by the psychiatric liaison service at Lausanne University Hospital. This article describes the general context of undergraduate teaching, and focuses on our training with simulated patient of a breaking bad news situation, taking place during the fourth year of medical studies...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28708354/-training-in-communication-medicine-and-its-discontents
#16
Céline Bourquin, Friedrich Stiefel
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays an important role in the teaching of the relational aspects of the clinical encounter between patients and clinicians. This series of three articles proposes a critical reflection on this topic, and presents examples of undergraduate and postgraduate teaching programs developed by the psychiatric liaison service at Lausanne University Hospital. In this first article, we discuss the increasing unease we experience with regard to the way clinical communication is trained on the postgraduate level and we make specific suggestions of how to rethink the so-called communication skills training...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28665542/effects-of-stepped-psychooncological-care-on-referral-to-psychosocial-services-and-emotional-well-being-in-cancer-patients-a-cluster-randomized-phase-iii-trial
#17
Susanne Singer, Helge Danker, Julia Roick, Jens Einenkel, Susanne Briest, Henning Spieker, Andreas Dietz, Isabell Hoffmann, Kirsten Papsdorf, Jürgen Meixensberger, Joachim Mössner, Franziska Schiefke, Anja Dietel, Hubert Wirtz, Dietger Niederwieser, Thomas Berg, Anette Kersting
OBJECTIVE: Emotional distress in cancer patients often goes unnoticed in daily routine; therefore, distress screening is now recommended in many national guidelines. However, screening alone does not necessarily translate into better well-being. We examined whether stepped psychooncological care improves referral to consultation-liaison (CL) services and improves well-being. METHODS: In a cluster-randomized trial, wards were randomly allocated to stepped versus standard care...
October 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28630746/delusional-parasitosis-on-the-psychiatric-consultation-service-a-longitudinal-perspective-case-study
#18
Adam Trenton, Neha Pansare, Anthony Tobia, Viwek Bisen, Kenneth R Kaufman
BACKGROUND: Delusional parasitosis is infrequently seen in hospital-based consultation-liaison psychiatry. AIMS: Although there are many publications on delusional parasitosis, this report reviews a unique case that was diagnosed during a hospital admission and treated over the next 36 months. METHOD: Case report and literature review. RESULTS: This case report describes a 65-year-old man who was diagnosed with delusional parasitosis during a hospital admission for congestive heart failure and acute kidney injury...
May 2017: BJPsych Open
https://www.readbyqxmd.com/read/28612397/understanding-and-treating-offenders-with-serious-mental-illness-in-public-sector-mental-health
#19
H Richard Lamb, Linda E Weinberger
This article begins with the history of the rise and fall of the state hospitals and subsequent criminalization of persons with serious mental illness (SMI). Currently, there is a belief among many that incarceration has not been as successful as hoped in reducing crime and drug use, both for those with and those without SMI. Moreover, overcrowding in correctional facilities has become a serious problem necessitating a solution. Consequently, persons with SMI in the criminal justice system are now being released in large numbers to the community and hopefully treated by public sector mental health...
July 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28584652/civil-and-forensic-patients-in-secure-psychiatric-settings-a-comparison
#20
Nuwan Galappathie, Sobia Tamim Khan, Amina Hussain
Aims and method To evaluate differences between male patients in secure psychiatric settings in the UK based on whether they are detained under civil or forensic sections of the Mental Health Act 1983. A cohort of patients discharged from a secure psychiatric hospital were evaluated for length of stay and frequency of risk-related incidents. Results Overall, 84 patients were included in the study: 52 in the forensic group and 32 in the civil group. Civil patients had more frequent incidents of aggression, sex offending, fire-setting and vulnerability, whereas forensic patients had more frequent episodes of self-harm...
June 2017: BJPsych Bulletin
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