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Consultation-Liaison Psychiatry

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https://www.readbyqxmd.com/read/28196622/non-cardiac-chest-pain-a-review-for-the-consultation-liaison-psychiatrist
#1
Kirsti A Campbell, Elizabeth N Madva, Ana C Villegas, Eleanor E Beale, Scott R Beach, Jason H Wasfy, Ariana M Albanese, Jeff C Huffman
BACKGROUND: Patients presenting with chest pain to general practice or emergency providers represent a unique challenge, as the differential is broad and varies widely in acuity. Importantly, most cases of chest pain in both acute and general practice settings are ultimately found to be non-cardiac in origin, and a substantial proportion of patients experiencing non-cardiac chest pain (NCCP) suffer significant disability. In light of emerging evidence that mental health providers can serve a key role in the care of patients with NCCP, knowledge of the differential diagnosis, psychiatric co-morbidities, and therapeutic techniques for NCCP would be of great use to both consultation-liaison (C-L) psychiatrists and other mental health providers...
December 9, 2016: Psychosomatics
https://www.readbyqxmd.com/read/28163496/association-of-cognitive-and-noncognitive-symptoms-of-delirium-a-study-from-consultation-liaison-psychiatry-set-up
#2
Sandeep Grover, Aseem Mehra, Subho Chakrabarti, Ajit Avasthi
AIMS: This study aims to evaluate the cognitive functions of patients with delirium using Hindi Mental Status Examination (HMSE), to study the correlation of cognitive functions assessed by HMSE with noncognitive symptoms as assessed using Delirium Rating Scale-Revised 1998 (DRS-R-98) and to study the association of cognitive functions assessed using HMSE and DRS-R98. METHODS: A total of 76 consecutive patients fulfilling the diagnosis of delirium were evaluated on DRS-R-98, HMSE, and Short Informant Questionnaire on Cognitive Decline in the Elderly (retrospective IQCODE)...
December 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28149323/the-european-network-on-psychosomatic-medicine-enpm-history-and-future-directions
#3
REVIEW
Hans-Christian Deter, Kristina Orth-Gomér, Bohdan Wasilewski, Ramiro Verissimo
BACKGROUND: Within national and international societies of psychosomatic medicine the idea has emerged of bringing together and coordinating psychosomatic, behavioural, psychological and medical actions with common interests throughout Europe as a way to increase their scientific and political influence. METHODS: It was felt that there was a strong need and opportunity of a common and unifying forum for scientific exchange. RESULTS: It was considered desirable to exchange scientific thoughts and experiences in an open minded and boundless way, among individuals and societies, between disciplines and across borders...
2017: BioPsychoSocial Medicine
https://www.readbyqxmd.com/read/28145125/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
#4
Ralf Ilchef
No abstract text is available yet for this article.
February 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28068983/a-comparison-of-two-psychiatric-service-approaches-findings-from-the-consultation-vs-liaison-psychiatry-study
#5
Caroline Lücke, Jürgen M Gschossmann, Alena Schmidt, Juliane Gschossmann, Alexandra Philomena Lam, Charlotte Elizabeth Schneider, Alexandra Philipsen, Helge H Müller
BACKGROUND: Psychiatric comorbidities are common in somatically ill patients. There is a lack of data that can provide clear insights into substantial comparative advantages of different Consultation/Liaison Psychiatry (CLP) services. METHODS: The Consultation versus Liaison Psychiatry-Study collected and analyzed data of 890 primarily somatically ill hospital inpatients presenting with psychiatric symptoms in a prospective observational study design. One group was treated via a liaison-model (LM) with regular consultation hours, the other via an on-demand-model (ODM) with individually requested consultations...
January 10, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/27939679/the-role-of-negotiation-in-consultation-liaison-psychiatry
#6
Andrew M Siegel, Henry R Bleier
No abstract text is available yet for this article.
October 4, 2016: Psychosomatics
https://www.readbyqxmd.com/read/27936337/alcohol-use-in-an-older-adult-referred-to-a-consultation-liaison-psychiatry-service-a-case-report
#7
Adam Searby, Natalie van Swet, Phil Maude, Ian McGrath
Alcohol use disorder in older adults is associated with a number of substantial medical complications, including cognitive decline. Due to limited success and application of screening approaches in this cohort, older adults are more likely to present to general hospital settings with undiagnosed problematic alcohol use. Consultation-liaison psychiatry services operating in general hospital settings are likely to be referred older adults with alcohol use disorders for assessment and management. A 77-year-old female presented to a metropolitan hospital with symptoms including frequent falls, slurred speech, difficulty judging distance, hypersomnia, poor reasoning, and odd behaviours...
January 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27903174/foundations-of-consultation-liaison-psychiatry-the-bumpy-road-to-specializationby-don-r-lipsitt-new-york-taylor-and-francis-2016-314-pages
#8
Melissa Bui
No abstract text is available yet for this article.
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27829386/why-are-hospital-doctors-not-referring-to-consultation-liaison-psychiatry-a-systemic-review
#9
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
#10
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/27679777/comparative-effectiveness-of-quetiapine-and-haloperidol-in-delirium-a-single-blind-randomized-controlled-study
#11
Sandeep Grover, Sudhir Mahajan, Subho Chakrabarti, Ajit Avasthi
AIM: To evaluate the effectiveness of quetiapine and haloperidol in patients of delirium referred to psychiatry consultation liaison services. METHODS: The study followed a single blind randomised controlled trial design. Thirty-two patients in the haloperidol group and 31 patients in the quetiapine group were assessed at the baseline and 6 consecutive days. Flexible dosing regimen (haloperidol: 0.25-1.25 mg; quetiapine 12.5-75 mg/d) was used. Delirium Rating Scale-Revised-98 (DRS-R-98) and mini mental status examination (MMSE) were the primary and secondary efficacy measures respectively...
September 22, 2016: World Journal of Psychiatry
https://www.readbyqxmd.com/read/27605523/emergency-psychiatry-a-product-of-circumstance-or-a-growing-sub-speciality-field
#12
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...
February 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/27590074/zebras-in-the-forest-the-experiences-of-dual-trained-child-psychiatrists-and-paediatricians-in-australia-and-new-zealand
#13
Hiran Thabrew
OBJECTIVES: The objectives of this study were to examine the experiences of dual-trained child psychiatrists and paediatricians in Australia and New Zealand and inform the review of the Dual Fellowship Training Programme by the Royal Australian and New Zealand College of Psychiatrists and Royal Australasian College of Physicians. METHODS: All dual-trained child psychiatrists and paediatricians and current trainees were electronically surveyed in 2015. RESULTS: Seven out of eight specialists (88%) and four out of six trainees (67%) responded...
December 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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/27400660/do-consultation-psychiatrists-forensic-psychiatrists-psychiatry-trainees-and-health-care-lawyers-differ-in-opinion-on-gray-area-decision-making-capacity-cases-a-vignette-based-survey
#15
James Armontrout, David Gitlin, Thomas Gutheil
BACKGROUND: Previous research in the area of medical decision-making capacity has demonstrated relatively poor agreement between experienced evaluators in "gray area" cases. We performed a survey to determine the level of agreement about gray area decision-making capacity case scenarios within and between individuals of different professional backgrounds. METHOD: Participants received a survey consisting of 3 complicated decision-making capacity vignettes with an accompanying "yes/no" question regarding capacity and a certainty scale for each vignette...
September 2016: Psychosomatics
https://www.readbyqxmd.com/read/27385855/-why-not-psychiatry-interns-of-a-medical-college-in-northern-kerala-responds
#16
K Niranjan Prasad, P B Sajeev Kumar, O K Narayanankutty, Amal Abraham, Zoheb Raj, Vinayak Madanagopal, Akash Balu
PURPOSE: This study is to assess the attitude of the medical interns toward psychiatry, psychiatrists and patients with mental health problems. MATERIALS AND METHODS: A personal data sheet and the Balon et al. questionnaire was used to assess the attitude among medical interns (n = 44) of a medical college in Northern Kerala. RESULTS: There was modestly good attitude toward psychiatry throughout the study. Data were compared between interns who have completed their posting in psychiatry and those who have not...
April 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/27374849/plague-doctors-in-the-hiv-aids-epidemic-mental-health-professionals-and-the-san-francisco-model-1981-1990
#17
Thomas R Blair
Psychiatrists, psychologists, and other mental health professionals were among the first and most crucial responders to HIV/AIDS. Given an epidemic in which behavior and identity played fundamental roles, mental health professionals were uniquely positioned to conduct social research to explain the existence and spread of disease; to develop clinical understanding of psychological aspects of HIV/AIDS as they emerged; and to collaborate with affected communities to promote education and behavioral change. This study examines the roles of mental health professionals as "plague doctors" in San Francisco's response to HIV/AIDS, in the early years of the epidemic...
2016: Bulletin of the History of Medicine
https://www.readbyqxmd.com/read/27283018/thinking-outside-of-outpatient-underutilized-settings-for-psychotherapy-education
#18
Philip Blumenshine, Alison E Lenet, Lauren K Havel, Melissa R Arbuckle, Deborah L Cabaniss
OBJECTIVE: Although psychiatry residents are expected to achieve competency in conducting psychotherapy during their training, it is unclear how psychotherapy teaching is integrated across diverse clinical settings. METHODS: Between January and March 2015, 177 psychiatry residency training directors were sent a survey asking about psychotherapy training practices in their programs, as well as perceived barriers to psychotherapy teaching. RESULTS: Eighty-two training directors (44%) completed the survey...
February 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/27155827/mental-capacity-assessments-among-inpatients-referred-to-the-consultation-liaison-psychiatry-unit-at-a-university-hospital-in-bangkok-thailand
#19
Pornjira Pariwatcharakul, Supachoke Singhakant
Clinicians routinely assess patients' mental capacity on a daily basis, but a more thorough assessment may be needed in complex cases. We aimed to identify the characteristics of inpatients in a general hospital, who were referred to a liaison psychiatry service for mental capacity assessment, reasons for the referrals, and the factors associated with their mental capacity. A 6-year retrospective study (2008-2013) was conducted using data collected routinely (e.g., age, gender, diagnosis, Thai Mental State Examination score, reasons for the referral, and the outcome of capacity assessment) on referrals for mental capacity assessment to a Consultation-liaison Psychiatry Unit at a university hospital in Thailand...
May 7, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27095154/comparison-of-consultation-liaison-psychiatry-services-for-inner-city-district-or-regional-general-hospitals-using-a-common-tool-does-one-size-fit-all
#20
COMPARATIVE STUDY
Anne P F Wand, Rebecca Wood, Matthew D Macfarlane, Glenn E Hunt
OBJECTIVE: Consultation-liaison psychiatry (CLP) services vary in terms of structure, function and responsiveness. It is not known whether evaluation measurements can be meaningfully compared across different CLP services to assess value and efficiency. The aim was to develop and test a common tool for measuring process and outcome measures in CLP. METHODS: A data collection tool was developed using the literature and consultation with CLP clinicians. The tool was used to prospectively gather referral data, response times, health utilisation data and functional outcomes for individuals referred over seven months to three different CLP teams, servicing inner city, district and regional areas...
May 2016: Journal of Psychosomatic Research
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