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Proactive Consultation-Liaison Psychiatry: American Psychiatric Association Resource Document.
Oldham, Mark A; Desan, Paul H; Lee, Hochang B; Bourgeois, James A; Shah, Sejal B; Hurley, Patrick J; Sockalingam, Sanjeev.
Afiliación
  • Oldham MA; Department of Psychiatry, University of Rochester Medical Center, Rochester, NY. Electronic address: mark_oldham@urmc.rochester.edu.
  • Desan PH; Department of Psychiatry, Yale School of Medicine, New Haven, CT.
  • Lee HB; Department of Psychiatry, Yale School of Medicine, New Haven, CT.
  • Bourgeois JA; Department of Psychiatry, Baylor Scott & White Health, Temple, TX; Department of Psychiatry, Texas A&M University College of Medicine, Temple, TX.
  • Shah SB; Department of Psychiatry, Brigham and Women's Hospital/Harvard Medical School, Boston, MA.
  • Hurley PJ; Department of Psychiatry, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Sockalingam S; Department of Psychiatry, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON.
J Acad Consult Liaison Psychiatry ; 62(2): 169-185, 2021.
Article en En | MEDLINE | ID: mdl-33970855
In 2019, the American Psychiatric Association Council on Consultation-Liaison (C-L) Psychiatry convened a work group to develop a resource document on proactive C-L psychiatry. A draft of this document was reviewed by the Council in July 2020, and a revised version was approved by this Council in September 2020. The accepted version was subsequently reviewed by the American Psychiatric Association Council on Health Care Systems and Financing in November 2020. The final version was approved by the Joint Reference Committee on November 24, 2020, and received approval for publication by the Board of Trustees on December 12, 2020. This resource document describes the historical context and modern trends that have given rise to the model of proactive C-L psychiatry. Styled as an inpatient corollary to outpatient collaborative care models, proactive C-L provides a framework of mental health care delivery in the general hospital designed to enhance mental health services to a broad range of patients. Its 4 elements include systematic screening for active mental health concerns, proactive interventions tailored to individual patients, team-based care delivery, and care integration with primary teams and services. Studies have found that proactive C-L psychiatry is associated with reduced hospital length of stay, enhanced psychiatric service utilization, reduced time to psychiatric consultation, and improved provider and nurse satisfaction. These favorable results encourage further studies that replicate and build upon these findings. Additional outcomes such as patient experience, health outcomes, and readmission rates deserve investigation. Further studies are also needed to examine a broader array of team compositions and the potential value of proactive C-L psychiatry to different hospital settings such as community hospitals, surgery, and critical care.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Psiquiatría / Servicios de Salud Mental Tipo de estudio: Prognostic_studies / Risk_factors_studies País/Región como asunto: America do norte Idioma: En Revista: J Acad Consult Liaison Psychiatry Año: 2021 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Psiquiatría / Servicios de Salud Mental Tipo de estudio: Prognostic_studies / Risk_factors_studies País/Región como asunto: America do norte Idioma: En Revista: J Acad Consult Liaison Psychiatry Año: 2021 Tipo del documento: Article