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liaison psychiatry

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https://www.readbyqxmd.com/read/29327316/-diagnosis-differential-diagnosis-and-therapy-of-substance-use-disorders-in-general-hospital-general-section
#1
REVIEW
Anton Schmick, Josef Jenewein, Sönke Böttger
Substance use disorders are becoming an increasingly significant problem in general hospitals and hence play a key role in consultation- and liaison psychiatry. Diverse psychotropic effects of various substances mimic psychiatric disorders. An alcohol intoxication can present depressive or manic symptoms, a cannabis delirium can present as a psychosis while stimulants use can suggest the diagnosis of an anxiety disorder. Obtaining dual diagnoses by identifying substance-induced and non-substance-induced psychopathologies is clinically challenging...
January 11, 2018: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/29320908/psychiatric-diagnoses-and-their-influencing-factors-in-patients-complaining-of-sleep-problems-a-study-of-a-psychiatric-consultation-liaison-service
#2
Yan Chen, Enyan Yu, Zhengluan Liao, Yunfei Tan, Yaju Qiu, Junpeng Zhu, Sisi Lin, Minghao Wu
Objective This study aimed to identify misdiagnosed or undiagnosed psychiatric disorders and the factors associated with these disorders in patients with sleep problems who are referred to a consultation-liaison service. Method Records of all inpatients receiving a consultation from the Psychiatry Department between January and December 2016 were retrospectively reviewed. Psychiatric diagnoses were analyzed using descriptive statistics, and the factors associated with the risk of these disorders in patients with sleep problems were determined by multiple logistic regression analysis...
January 1, 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29302928/trends-in-md-phd-graduates-entering-psychiatry-assessing-the-physician-scientist-pipeline
#3
Melissa R Arbuckle, Sean X Luo, Harold Alan Pincus, Joshua A Gordon, Joyce Y Chung, Mark Chavez, Maria A Oquendo
OBJECTIVE: The goal of this study was to identify trends in MD/PhD graduates entering psychiatry, to compare these trends with other specialties, and to review strategies for enhancing the physician-scientist pipeline. METHODS: Data on 226,588 medical students graduating from Liaison Committee on Medical Education accredited programs between 1999 and 2012 (6626 MD/PhDs) were used to evaluate the number, percentage, and proportion of MD/PhDs entering psychiatry in comparison with other specialties (neurology, neurosurgery, internal medicine, family medicine, and radiation oncology)...
January 4, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29279783/coprophagia-in-an-8-year-old-hospitalized-patient-a-case-report-and-review-of-the-literature
#4
Aleksandra Bacewicz, Katherine Martin
Consult-liaison psychiatrists often encounter difficult clinical scenarios. We present a pediatric case of presumptive coprophagia. After a negative medical work-up, the pediatrics team asked psychiatry to assist them in managing this relatively rare disorder in the hospital setting. Little is known about the etiology and treatment of coprophagia in the pediatric population. Using the case as a catalyst, we discuss what is known about this disorder as well as treatment strategies in the hospital setting.
2017: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29234512/new-models-of-care-a-liaison-psychiatry-service-for-medically-unexplained-symptoms-and-frequent-attenders-in-primary-care
#5
Janine Bestall, Najma Siddiqi, Suzanne Heywood-Everett, Charlotte Freeman, Paul Carder, Mick James, Brendan Kennedy, Angela Moulson, Allan House
Aims and method This paper describes the process of setting up and the early results from a new liaison psychiatry service in primary care for people identified as frequent general practice attenders with long-term conditions or medically unexplained symptoms. Using a rapid evidence synthesis, we identified existing service models, mechanisms to identify and refer patients, and outcomes for the service. Considering this evidence, with local contingencies we defined options and resources. We agreed a model to set up a service in three diverse general practices...
December 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/29179627/delirium-is-associated-with-increased-mortality-in-the-geriatric-population
#6
Pinar Tosun Tasar, Sevnaz Sahın, Nur Ozge Akcam, Cıgdem Dınckal, Merve Gulsah Ulusoy, Ozan Fatih Sarıkaya, Soner Duman, Fehmi Akcıcek, Aysin Noyan
OBJECTIVE: The aim of this study was to investigate the prevalence of delirium and its association with mortality rates in elderly inpatients. METHODS: The medical records of 1435 patients over 65 years old who were treated at a regional university hospital and were referred to the university's Consultation and Liaison Psychiatry Clinic for psychological evaluation were retrospectively analyzed. Patients with and without a diagnosis of delirium were compared. The National Survival Database was used to determine mortality rates...
November 27, 2017: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/29172138/non-epileptic-seizures-in-children-views-and-approaches-at-a-uk-child-and-adolescent-psychiatry-conference
#7
Andrew McWilliams, Colin Reilly, Isobel Heyman
PURPOSE: To describe clinical experiences of paediatric non-epileptic seizures (NES) among doctors attending a UK child and adolescent psychiatry conference. METHODS: Sixty-six participants completed a semi-structured bespoke questionnaire. Results are reported using descriptive statistics. RESULTS: Two-thirds of respondents regarded the best name for the disorder to be "non-epileptic seizures". Although most doctors saw new cases each year, two-thirds described their own service as poorly equipped to manage NES...
October 31, 2017: Seizure: the Journal of the British Epilepsy Association
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
#8
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
#9
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/29037336/neuropsychiatry-towards-a-philosophy-of-praxis
#10
Jesús Ramirez-Bermudez, Rodrigo Perez-Esparza, Luis Carlos Aguilar-Venegas, Perminder Sachdev
Neuropsychiatry is a specialized clinical, academic and scientific discipline with its field located in the borderland territory between neurology and psychiatry. In this article, we approach the theoretical definition of neuropsychiatry, and in order to address the practical aspects of the discipline, we describe the profile of a neuropsychiatric liaison service in the setting of a large hospital for neurological diseases in a middle-income country. An audit of consecutive in-patients requiring neuropsychiatric assessment at the National Institute of Neurology and Neurosurgery of Mexico is reported, comprising a total of 1212 patients...
October 2017: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/29017346/book-review-foundations-of-consultation-liaison-psychiatry-the-bumpy-road-to-specialization-lipsitt-don-r-new-york-routledge-2016-314-pp-isbn-978-113-8906259
#11
Ralf Ilchef
No abstract text is available yet for this article.
April 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28987290/medical-student-experiences-on-consultation-liaison-psychiatry-rotations-a-nationwide-survey
#12
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
#13
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/28952669/association-between-psychological-distress-and-cancer-type-in-patients-referred-to-a-psycho-oncology-service
#14
C Lavelle, M F Ismail, K Doherty, A Bowler, M M Mohammad, E M Cassidy
Psychological distress is common in patients with cancer and psychological well-being is increasingly seen as an important component of cancer care. The aim of this study was to examine the relationship between cancer type and subjective distress. The following data were collected from a database of consecutive psycho-oncology referrals to the Liaison Psychiatry service in Cork University Hospital from 2006 to 2015: demographics, cancer diagnosis, Distress Thermometer (DT) score. 2102 out of 2384 referrals were assessed...
June 9, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28866901/anxiety-and-psychosomatic-symptoms-in-palliative-care-from-neuro-psychobiological-response-to-stress-to-symptoms-management-with-clinical-hypnosis-and-meditative-states
#15
Anirudh Kumar Satsangi, Maria Paola Brugnoli
Psychosomatic disorder is a condition in which psychological stresses adversely affect physiological (somatic) functioning to the point of distress. It is a condition of dysfunction or structural damage in physical organs through inappropriate activation of the involuntary nervous system and the biochemical response. In this framework, this review will consider anxiety disorders, from the perspective of the psychobiological mechanisms of vulnerability to extreme stress in severe chronic illnesses. Psychosomatic medicine is a field of behavioral medicine and a part of the practice of consultation-liaison psychiatry...
August 9, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28833581/community-mental-health-teams-for-older-people-in-england-variations-in-ways-of-working
#16
Hilde Verbeek, Angela Worden, Mark Wilberforce, Christian Brand, Sue Tucker, Michele Abendstern, David Challis
OBJECTIVE: Integrated community mental health teams (CMHTs) are a key component of specialist old age psychiatry services internationally. However, in England, significant shifts in policy, including a focus on dementia and age inclusive services, have influenced provision. This study portrays teams in 2009 against which subsequent service provision may be compared. METHODS: A bespoke national postal survey of CMHT managers collected data on teams' structure, composition, organisation, working practices, case management, and liaison activities...
August 23, 2017: International Journal of Geriatric Psychiatry
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
#17
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/28827260/extending-the-liaison-psychiatry-service-in-a-large-hospital-in-the-uk-a-before-and-after-evaluation-of-the-economic-impact-and-patient-care-following-ed-attendances-for-self-harm
#18
Brent C Opmeer, William Hollingworth, Elsa M R Marques, Ruta Margelyte, David Gunnell
OBJECTIVES: To evaluate the impact of an expansion of liaison psychiatry services (LPS) on patient management, outcomes and treatment costs for emergency department (ED) attendances for self-harm. DESIGN: Retrospective before and after cohort study using routinely collected Self-Harm Surveillance Register data. SETTING: A large hospital in South West England. SUBJECTS: Patients attending the ED for self-harm. INTERVENTIONS: Extension of the LPS' working hours from 9:00 to 17:00, Monday to Friday to 8:00 to 22:00, 7 days a week, following a £250 000 annual investment MAIN OUTCOME MEASURES: Number and characteristics of ED attendances for self-harm...
August 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28734556/a-model-of-collaborative-spiritual-and-psychiatric-care-of-oncology-patients
#19
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/28708357/-mentalizing-in-liaison-psychiatry
#20
Paco Prada, Pierre Cole, Guido Bondolfi, Nader Perroud, Martin Debbané
In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors...
February 8, 2017: Revue Médicale Suisse
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