Timing of psychiatric consultations - The impact of social vulnerability and level of psychiatric dysfunction

P de Jonge*, FJ Huyse, GMF Ruinemans, FC Stiefel, JS Lyons, JPJ Slaets

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

38 Citations (Scopus)

Abstract

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 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.

Original languageEnglish
Pages (from-to)505-511
Number of pages7
JournalPsychosomatics
Volume41
Issue number6
Publication statusPublished - 2000

Keywords

  • HEALTH-SERVICE NEEDS
  • MEDICAL INPATIENTS
  • INTERVENTION
  • ILLNESS
  • LIAISON
  • FRAILTY

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