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• W4255407568 abstract "This article outlines historical and conceptual aspects, as well as the scope of consultation-liaison psychiatric services in primary and hospital care settings, and in the care of residents with psychiatric disorders in nursing homes. Community studies show that members of the general population who suffer from a physical illness are at increased risk of suffering additionally from a psychiatric disorder. These figures increase in patients seeking help from primary care doctors, and are highest in patients treated in medical and surgical wards of general hospitals. Patients in general hospitals show high rates of comorbid psychiatric disorders, especially organic psychoses, alcohol and other addictions, and adjustment disorders. Studies show a significant association between psychiatric comorbidity and more complicated illness courses, with longer lengths of stay in hospital and more frequent readmissions, leading to poorer outcomes and increased costs in the treatment of such patients. The high rates of psychiatric comorbidity in physically ill general-hospital inpatients, primary care patients, and nursing home residents are the focus of consultation-liaison psychiatry. Psychiatric care leads to improved management of patients with medical–psychiatric comorbidity, and a reduction is by unnecessary costs incurred healthcare systems through underdiagnosis and undertreatment of psychiatric comorbidity. This holds true especially true for patients presenting with physically unexplained symptoms not due to organic disease. This psychiatric comorbidity leads to increased healthcare costs, as inpatients suffering from psychiatric comorbidity have longer lengths of hospital stay than patients with the same severity of the underlying or concomitant physical disease who are not in addition psychiatrically ill. In order to improve course and outcome of patients with medical–psychiatric comorbidity, psychiatrists have to be involved in their care, as has been made possible by the integration of psychiatric departments in general hospitals. General hospitals present an important pathway to specialist psychiatric care for such patients, who will often be seen for the first time by a psychiatrist after having been admitted for a physical disease or for to physical symptoms that cannot be explained by an underlying physical disease. Educational developments will lead to more elaborate consultation-liaison psychiatric curricula within specialist psychiatric training, as well as to attempts to increase nonpsychiatric doctors' knowledge of and experience in diagnosis and treatment of psychiatric issues, in order to improve care of patients with somatopsychic disorders in primary and hospital care settings. The development of guidelines for consultaion-liaison psychiatric practice and the emergence of joint psychiatric and medical approaches in the care of patients with physical diseases and psychiatric comorbidity, knows as medical–psychiatric units, is expected in years to come." @default.
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• W4255407568 date "2001-01-01" @default.
• W4255407568 modified "2023-09-23" @default.
• W4255407568 title "Liaison and Consultation Psychiatry" @default.
• W4255407568 doi "https://doi.org/10.1016/b0-08-043076-7/03689-5" @default.
• W4255407568 hasPublicationYear "2001" @default.
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