Article: article from journal or magazin.
Timing of psychiatric consultations: the impact of social vulnerability and level of psychiatric dysfunction.
The authors examined the timing of patient referrals to a psychiatric consultation-liaison service in relation to the patient's social vulnerability and level of psychiatric dysfunction. One hundred consecutive patients were assessed with the INTERMED, a method to document biopsychosocial and health care-related aspects of disease. Although 30% of patients were referred within the first day of admission, 19% of requests for referrals were made after 2 weeks. Late referral was associated with high social vulnerability and early referral with severe psychiatric dysfunction. The authors illustrate the disadvantages of a psychiatric liaison model focusing on psychopathology alone and demonstrate the need for an integrated patient assessment in the general hospital, focusing on detecting frail elderly patients.
Adult, Aged, Aged, 80 and over, Female, Hospitals, University, Humans, Length of Stay, Male, Mental Disorders/diagnosis, Mental Disorders/psychology, Middle Aged, Patient Care Team, Psychiatric Department, Hospital, Psychiatry, Referral and Consultation, Social Support
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