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Psychiatric liaison

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https://www.readbyqxmd.com/read/27869986/physical-exercise-for-late-life-depression-customizing-an-intervention-for-primary-care
#1
Stamatula Zanetidou, Martino Belvederi Murri, Marco Menchetti, Giulio Toni, Fabrizio Asioli, Luigi Bagnoli, Donato Zocchi, Matteo Siena, Barbara Assirelli, Claudia Luciano, Mattia Masotti, Carlo Spezia, Monica Magagnoli, Mirco Neri, Mario Amore, Klea D Bertakis
OBJECTIVES: To identify which individual- and context-related factors influence the translation into clinical practice of interventions based on physical exercise (PE) as an adjunct to antidepressants (AD) for the treatment of late-life major depression (LLMD). DESIGN: Secondary analysis of a randomized controlled trial. SETTING: Primary care with psychiatric consultation-liaison programs (PCLPs)-organizational protocols that regulate the clinical management of individuals with psychiatric disorders...
November 21, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27829386/why-are-hospital-doctors-not-referring-to-consultation-liaison-psychiatry-a-systemic-review
#2
Kai Yang Chen, Rebecca Evans, Sarah Larkins
BACKGROUND: Consultation-Liaison Psychiatry (CLP) is a subspecialty of psychiatry that provides care to inpatients under non-psychiatric care. Despite evidence of benefits of CLP for inpatients with psychiatric comorbidities, referral rates from hospital doctors remain low. This review aims to understand barriers to CLP inpatient referral as described in the literature. METHODS: We searched on Medline, PsychINFO, CINAHL and SCOPUS, using MESH and the following keywords: 1) Consultation-Liaison Psychiatry, Consultation Liaison Psychiatry, Consultation Psychiatry, Liaison Psychiatry, Hospital Psychiatry, Psychosomatic Medicine, the 2) Referral, Consultation, Consultancy and 3) Inpatient, Hospitalized patient, Hospitalized patient...
November 9, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27779291/-the-tasks-and-aims-of-hospital-psychiatry-today-and-in-the-future
#3
A Honig, D Sierink, B Verwey
Care provided by consultation-liaison (CL) psychiatry and general hospital (GH) psychiatry varies widely. This means that certain services are almost unrecognisable and therefore less readily available to patients. <br/> AIM: To describe the core tasks of current CL- and GH-psychiatry care and to suggest how these tasks can best be performed and developed in the future.<br/> METHOD: We conducted a selective review of relevant CL- and GH-related literature and combined the information we obtained with the results of a consultation with CL-psychiatrists about how CL- and GL psychiatry should function in the future...
2016: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/27766115/stress-testing-clinical-activity-and-outcomes-for-a-combined-prison-in-reach-and-court-liaison-service-a-3-year-observational-study-of-6177-consecutive-male-remands
#4
Conor O'Neill, Damian Smith, Martin Caddow, Fergal Duffy, Philip Hickey, Mary Fitzpatrick, Fintan Caddow, Tom Cronin, Mark Joynt, Zetti Azvee, Bronagh Gallagher, Claire Kehoe, Catherine Maddock, Benjamin O'Keeffe, Louise Brennan, Mary Davoren, Elizabeth Owens, Ronan Mullaney, Laurence Keevans, Ronan Maher, Harry G Kennedy
BACKGROUND: People with major mental illness are over-represented in prison populations however there are few longitudinal studies of prison in-reach services leading to appropriate healthcare over extended periods. AIMS: We aimed to examine measures of the clinical efficiency and effectiveness of a prison in-reach, court diversion and liaison service over a 3 year period. Secondly, we aimed to compare rates of identification of psychosis and diversion with rates previously reported for the same setting in the 6 years previously...
2016: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/27755051/protocol-for-psychopharmacologic-management-of-behavioral-health-comorbidity-in-adult-patients-with-diabetes-and-soft-tissue-infections-in-a-tertiary-care-hospital-setting
#5
Aaron Pinkhasov, Deepan Singh, Benjamin Kashan, Julie DiGregorio, Theresa M Criscitelli, Scott Gorenstein, Harold Brem
GENERAL PURPOSE: To provide information about the effect of psychiatric comorbidities on wound healing in patients with diabetes mellitus (DM). TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant should be better able to:1. Discuss the connection between DM and the development of psychiatric comorbidities...
November 2016: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/27711956/-psycho-oncologic-care-by-a-consultation-liaison-service-differences-between-oncologic-patients-with-and-without-psychiatric-comorbidity
#6
Juan Valdes-Stauber, Susanne Bachthaler
Background: Psycho-oncologic consultation and liaison services (CLS) are mainly psychosomatic oriented teams in acute care hospitals. Their interventions are electively, setting-related or universal like in accredited centers. Objectives: We investigated whether clinical and care-related differences between cancer patients with and without psychiatric comorbidity exist as well as between patients treated in oncologic centers and aside thereof. We also investigated possible differences according to psychiatric as well as to oncologic diagnoses...
October 6, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27709242/-care-differences-in-a%C3%A2-consultation-and-liaison-service
#7
J Valdés-Stauber, S Bachthaler
BACKGROUND: The investigation of the real density of care by a consultation-liaison service (CLS) as a function of patient groups, settings and diagnoses makes sense with respect to a better allocation of resources. OBJECTIVE: Are there differences concerning the density of care by a CLS in a general hospital depending on patient groups and on the psychiatric diagnosis? METHOD: A retrospective (2012-2015) survey of all consultations (n = 7081 corresponding to 4080 patients) was carried out based on the CLS documentation for quality assurance...
October 5, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27663821/liaison-psychiatry-and-bariatric-surgery-double-standards-what-are-the-possibilities-for-the-systematization-of-the-pre-operative-psychiatric-assessment-in-belgium
#8
Denis Jacques, Christine Reynaert, Nicolas Zdanowicz
BACKGROUND: In the context of health care in Belgium, the psychological or psychiatric opinion of a multidisciplinary team is required in the assessment of bariatric surgery candidates. In clinical practice, a wide variety of liaison psychiatry assessment methods exist. SUBJECTS AND METHODS: On the basis of a post-operative psychiatric comorbidity case report and a literature review on "liaison psychiatry and bariatric surgery" we aim to identify opportunities for the systematization of bariatric pre-surgery psychiatric evaluation...
September 2016: Psychiatria Danubina
https://www.readbyqxmd.com/read/27663807/new-perspectives-in-child-and-adolescent-psychiatry
#9
Veronique Delvenne
Mental and behavioural problems during childhood and adolescence are a serious public concern and are increasing actually and in the next 10 years. In Belgium, policymakers have reorganize mental health care for children and adolescents in care circuits and care network that include and support intersectoral collaborations. They also support creation of mobile out-reach team for crisis and assertive care to help patient and their families in the least restrictive environment possible. Specific programs are developed for double diagnosis and disabled children but also juvenile offenders with psychiatric problems...
September 2016: Psychiatria Danubina
https://www.readbyqxmd.com/read/27660194/physical-exercise-for-late-life-depression-effects-on-heart-rate-variability
#10
Giulio Toni, Martino Belvederi Murri, Massimo Piepoli, Stamatula Zanetidou, Aderville Cabassi, Salvatore Squatrito, Luigi Bagnoli, Alessandro Piras, Chiara Mussi, Roberto Senaldi, Marco Menchetti, Donato Zocchi, Giuliano Ermini, Graziano Ceresini, Ferdinando Tripi, Paola Rucci, George S Alexopoulos, Mario Amore
OBJECTIVES: Late-life major depression is associated with increased cardiovascular risk and impaired autonomic control of the heart, as evident from reduced heart rate variability (HRV). Moreover, antidepressant drug therapy also might be associated with further reductions of HRV. In the SEEDS study, we investigated whether sertraline associated with physical exercise protocols led to improvements of HRV, compared with antidepressant drug therapy alone. DESIGN: Single-blind randomized controlled trial...
November 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27605523/emergency-psychiatry-a-product-of-circumstance-or-a-growing-sub-speciality-field
#11
Paul Cammell
OBJECTIVES: This article reviews recent trends in the provision of psychiatric services to the emergency departments of tertiary hospitals in Australia, involving the establishment of specialised in-reach or liaison services as well as various forms of short stay unit attached to emergency departments. The Emergency Psychiatry Service at Flinders Medical Centre, South Australia, is described as a case example. Its specialised models of assessment and clinical care are described, highlighting how these are differentiated from more traditional models in inpatient, community and general hospital consultation-liaison psychiatry...
September 6, 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/27594155/retrospective-analysis-of-liaison-psychiatric-service-in-elderly-inpatients-in-a-general-hospital
#12
Xia Hong, Jing Wei, Xiao-Hui Zhao, Ping Zeng, Li-Li Shi, Jin-Ya Cao, Xiao-Hong Liu
Objective To analyze liaison psychiatric service in a geriatric ward in a big general hospital and explore the way to improve accessibility of geriatric psychiatric service in general hospitals. Methods Elderly inpatients aged 65 years old or more admitted to a geriatrics ward in Peking Union Medical College Hospital in 7 years duration (January 2008 to December 2014) were enrolled in the study. Liaison psychiatrists attended ground round combined with psychiatric consultation from January 2008 to December 2009 (T1 period)...
August 2016: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/27541986/three-year-mortality-rate-of-suicide-attempters-in-consultation-liaison-service
#13
Hong-Ming Chen, Tai-Hsin Hung, Shih-Yong Chou, Ching-Shu Tsai, Jian-An Su
OBJECTIVE: Suicide attempters might be sent to the emergency room for urgent medical intervention. Some with more severe physical morbidity may be hospitalised, and psychiatrists might be consulted for suicide evaluation. The aim of our study was to investigate the three-year all-cause mortality rate of hospitalised suicide attempters with regard to the effect of consultation-liaison services, and to identify any risk factors associated with mortality. METHODS: Between 2002 and 2006, 196 inpatients from medical or surgical wards in a general hospital who had consulted psychiatrists because of suicide attempts were collected consecutively...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27468380/anti-n-methyl-d-aspartate-receptor-encephalitis-a-new-challenging-entity-for-consultation-liaison-psychiatrist
#14
G E Maccaferri, A O Rossetti, J Dalmau, A Berney
BACKGROUND: Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is a relatively newly identified autoimmune neuropsychiatric disorder that predominantly affects children and young adults. Although psychiatric symptoms are highly prevalent and frequently severe, it has mainly been reported in neurological, but not psychiatric, literature. Understanding this form of encephalitis, its quick diagnosis and which treatment to provide are of utmost importance for consultation-liaison (C-L) psychiatrists...
May 2016: Brain Disorders & Therapy
https://www.readbyqxmd.com/read/27371804/advanced-age-and-decisional-capacity-the-effect-of-age-on-the-ability-to-make-health-care-decisions
#15
Susanne Boettger, Meredith Bergman, Josef Jenewein, Soenke Boettger
OBJECTIVE: Cognitive disorders, including dementia, have been shown to be predictors of decisional incapacity, even more than psychotic or substance use disorders. Nonetheless, the impact of advanced age on decisional capacity remains understudied. METHOD: Out of more than 2500 consecutive psychiatric consultations performed by the Consultation-Liaison service at Bellevue Hospital Center in New York City, 266 completed decisional capacity assessments were identified and analyzed with respect to the indications for referral and the impact of age and other sociodemographic, medical and psychiatric variables on decisional capacity...
September 2016: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27302547/crossing-the-bridge-a-prospective-comparative-study-of-the-effect-of-communication-between-a-hospital-based-consultation-liaison-service-and-primary-care-on-general-practitioners-concordance-with-consultation-liaison-psychiatrists-recommendations
#16
Ronald Burian, Miriam Franke, Albert Diefenbacher
OBJECTIVE: Concordance with consultation-liaison (CL) psychiatrists' recommendations by general practitioners (GP) has hardly been studied systematically. We studied if telephone calls or written notes from a hospital based CL-service to GPs, whose patients were treated on medical-surgical wards, can improve GP-concordance, as compared to the usual communication pathway by standard discharge letters written by hospital physicians, and if higher GP-concordance improves outcomes of depressive and anxious symptoms...
July 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27292004/alcohol-use-disorders-amongst-inpatients-in-a-general-hospital-in-singapore-estimated-prevalence-rates-of-identification-and-intervention
#17
Andre Ts Tay, Andrew Lh Peh, Sheng Neng Tan, Herng Nieng Chan, Song Guo, Yiong Huak Chan
INTRODUCTION: Many alcohol-related problems often go undetected and untreated. In Singapore, no epidemiological studies have been done in general hospitals on alcohol use disorders (AUD), i.e. alcohol dependence and abuse (DSM-IV-TR). Such findings are useful in planning AUD liaison services. In this study, we aim to estimate the prevalence of AUD among non-psychiatric inpatients and to determine the rates of identification and intervention rendered by medical staff. MATERIALS AND METHODS: Non-psychiatric medical and surgical wards inpatients aged 21 years and above were recruited over a 3-month period...
April 2016: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/27284121/comparing-consultation-liaison-psychiatrist-s-and-neurologist-s-approaches-to-delirium-a-retrospective-analysis
#18
Marie Rosa Mews, Deborah Tauch, Hebun Erdur, Arnim Quante
OBJECTIVE: To compare the diagnostic, management, and treatment recommendations made by consultation-liaison psychiatrists (CLP) and neurologists (CLN) for suspected delirium and to investigate factors that may have influenced the choice for a particular consultation service. METHOD: In this retrospective case analysis, we screened the files of 1882 (CLP: 1112, CLN: 770) inpatients seen by CLP and CLN at the Charité - University Medicine, Berlin, Germany, in 2013...
April 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27232290/complex-gunshot-injury-to-the-heart-as-a-consequence-of-suicide-attempt-in-a-schizophrenic-patient
#19
J Konecny, A Klvacek, M Simek, V Lonsky, P Santavy
INTRODUCTION: Self-inflicted gunshot injury to the heart is uncommon in Western Europe countries. However it is considered to have a high mortality through cardiac tamponade or exsanguination and concomitant chest or abdominal cavity injury. CASE PRESENTATION: We present a 39-year-old schizophrenic woman who attempted suicide with the aid of a 6.35mm caliber handgun, after self-discontinuing of antipsychotic treatment. Lower third of sternum, right heart atrium and ventricle and inferior caval vein were hit by the bullet which consequently got lodged in the right paravertebral muscle mass at the lower thoracic vertebral level...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27144999/patient-centered-homes-and-integrated-behavioral-health-care-reclaiming-the-role-of-consultant-for-psychiatric-mental-health-nurse-practitioner
#20
Victoria Soltis-Jarrett
The notion of patient-centered care has long been linked with nursing practice since Florence Nightingale. The discipline of nursing is focused on the holistic care of individuals, families, and communities in times of sickness and/or health. However, in psychiatric-mental health nursing, the concepts of mental health and psychiatric illness still remain marginalized in our health care delivery systems, as well as in nursing education, knowledge development, and practice. Even with the concept of patient-centered homes, acute and primary care providers are reluctant to embrace care of those with psychiatric illness in their respective settings...
June 2016: Issues in Mental Health Nursing
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