This column presents the Consultation-Liaison in Primary-Care Psychiatry model, which was developed in Australia. This model is a structured approach to collaborative care of people with mental illnesses between primary care services and specialist mental health services. The first component of the model is a consultation, liaison, and education service provided by psychiatric consultants at participating general practices. The second component involves transferring selected patients from community mental health services into general practitioner-based collaborative care. In the final component a clinical case-register and reminder system managed by the specialist services is used to actively promote follow-up for transferred clients. The column also offers some evidentiary support for this care model that suggests a best-practices model for maintaining adequacy of care for patients.
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| http://dx.doi.org/10.1176/ps.2007.58.8.1036 | DOI Listing |
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Diagnosis and treatment of occupational burnout in the Swiss outpatient sector: A national survey of healthcare professionals' attributes and attitudes.
PLoS One
December 2024
PSY4WORK.ch, the Swiss Association of work & organization psychologists, Lausanne, Switzerland.
We aimed to describe the attributes and attitudes of Swiss health professionals who treat persons with occupational burnout (POB) in the outpatient sector and explore associated determinants. The study design was descriptive cross-sectional survey, distributed to the 16,883 general practitioners (GP), psychiatrist-psychotherapists (PP), occupational physicians (OP) and psychologists registered in the Swiss Medical Association, the Swiss Federation of Psychologists, and other specialized associations. Using an online questionnaire, we identified professionals who consult and treat POB, their attributes, volume of POB consultations, diagnostics and treatment modalities and outcomes (OB severity, average proportion of POB who returned to work and who relapsed).
View Article and Find Full Text PDFA Multifaceted Assessment of the Consultation Liaison Psychiatry Service Within a Regional Australian Hospital.
Healthcare (Basel)
November 2024
Department of Psychiatry, Mackay Base Hospital, Mackay, QLD 4740, Australia.
Background: Medical and mental health conditions have a reciprocal relationship, with each impacting the other. Consultation-liaison psychiatry (CLP) is a sub-speciality that addresses psychiatric comorbidities in the general hospital system and positively impacts hospital resources through its service aspects of 'consultation' and 'liaison'. This multi-faceted evaluation aims to describe and evaluate the characteristics of a regional CLP service.
View Article and Find Full Text PDFPsychiatric Etiologies and Approaches in Altered Mental Status Presentations: Insights from Consultation Liaison Psychiatry.
Semin Neurol
December 2024
Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Article Synopsis
- - Consultation liaison psychiatrists are often called to assess patients with altered mental status (AMS), where they apply their specialized skills to enhance care and prevent diagnostic overshadowing.
- - Delirium is the most common cause of AMS, but psychiatrists also consider other conditions like manic and psychotic episodes, which can have overlapping symptoms.
- - A comprehensive and nonstigmatizing evaluation approach for AMS, including factors like substance intoxication and withdrawal, is crucial for improving patient outcomes and experiences.
Collaborative outcomes study on health and functioning during infection times (COH-FIT): Insights on modifiable and non-modifiable risk and protective factors for wellbeing and mental health during the COVID-19 pandemic from multivariable and network analyses.
Eur Neuropsychopharmacol
January 2025
Charité Universitätsmedizin Berlin, Department of Child and Adolescent Psychiatry, Berlin, Germany; Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, USA; The Zucker Hillside Hospital, Northwell Health, New York, USA; Feinstein Institutes for Medical Research, Center for Psychiatric Neuroscience, Manhasset, New York, USA. Electronic address:
Article Synopsis
- The COH-FIT study is a large, multi-country survey aimed at identifying factors affecting wellbeing and mental health outcomes during the COVID-19 pandemic, involving a representative sample of 121,066 adults.
- Researchers analyzed both modifiable (like coping strategies and pre-pandemic stress) and non-modifiable factors (such as age, gender, and socioeconomic status), finding significant negative effects on wellbeing and psychopathology scores during the pandemic.
- The study identified 15 modifiable and 9 non-modifiable risk factors, alongside 13 modifiable and 3 non-modifiable protective factors, emphasizing the importance of social support and coping strategies in mental health outcomes.
Interictal psychosis of epilepsy: What is the role of the neurologist?
Epilepsy Behav Rep
September 2024
Epilepsy Division, Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL, USA.
Article Synopsis
- Psychotic disorders are more common in people with epilepsy, often needing quick treatment with antipsychotic medication, especially when access to psychiatrists is limited.
- The manuscript reviews a case of a 45-year-old man with treatment-resistant epilepsy who developed a new psychotic episode, successfully treated with aripiprazole.
- Early intervention for interictal psychotic episodes is crucial for better outcomes, and these cases typically respond well to lower doses of antipsychotic drugs compared to primary psychotic disorders.
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