Challenges and Opportunities for Consultation-Liaison Psychiatry in the Managed Care Environment

Thompson, Troy L.; Folks, David G.; Silverman, Joel J.

doi:10.1016/s0033-3182(97)71506-8

Cited by 16 publications

(6 citation statements)

References 17 publications

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“…On the other hand, earlier studies from India indicate that minimum 20–50% of patients attending Primary Health Centers have major mental disorders. [ 13 ] Contemporarily, health care professionals can no longer ignore mental health, as it will play an increasingly important role in the care of all patients. Further, the negative attitudes of doctors may compromise the quality of life and self-esteem of patients.…”

Section: Introductionmentioning

confidence: 99%

Attitudes toward people with mental illness among medical students

Poreddi¹,

Thimmaiah

Math

2015

Journal of Neurosciences in Rural Practice

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Background:Globally, people with mental illness frequently encounter stigma, prejudice, and discrimination by public and health care professionals. Research related to medical students’ attitudes toward people with mental illness is limited from India.Aim:The aim was to assess and compare the attitudes toward people with mental illness among medical students’.Materials and Methods:A cross-sectional descriptive study design was carried out among medical students, who were exposed (n = 115) and not exposed (n = 61) to psychiatry training using self-reporting questionnaire.Results:Our findings showed improvement in students’ attitudes after exposure to psychiatry in benevolent (t = 2.510, P < 0.013) and stigmatization (t = 2.656, P < 0.009) domains. Further, gender, residence, and contact with mental illness were the factors that found to be influencing students’ attitudes toward mental illness.Conclusion:The findings of the present study suggest that psychiatric education proved to be effective in changing the attitudes of medical students toward mental illness to a certain extent. However, there is an urgent need to review the current curriculum to prepare undergraduate medical students to provide holistic care to the people with mental health problems.

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Section: Introductionmentioning

confidence: 99%

Attitudes toward people with mental illness among medical students

Poreddi¹,

Thimmaiah

Math

2015

Journal of Neurosciences in Rural Practice

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“…The involvement of C-L psychiatry in the field of primary care, accounted for by the high prevalence of psychiatric disorders and their low recognition rate, creates new specific problems: on one side, the need for extending training programmes to primary care physicians and on the other side, the organisation of primary-care-based C-L psychiatry services, with all consequent theoretical and practical difficulties [54, 55, 56, 57, 58, 59, 60, 61, 62, 63]. Interest for C-L psychiatry in the primary care setting has only recently risen in Italy, and although a training programme specific for C-L psychiatrists operating in the community does not already exist in Modena, a few studies have been started that focus on the matter.…”

Section: Discussionmentioning

confidence: 99%

Teaching and Training in the Psychiatric-Psychosomatic Consultation-Liaison Setting

Rigatelli¹,

Ferrari²,

Uguzzoni³

et al. 2000

Psychother Psychosom

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Background: The consultation-liaison (C-L) psychiatrist is in an opportune position to undertake the tasks of education, training and assessment of performance as regards future physicians, psychiatrists, specialists in other branches and nurses. This paper describes the education and training programme in the Psychiatric-Psychosomatic C-L Service of Modena University Hospital. Description of the Programme: This programme consists of the following main activities: (1) daily group-case supervision, performed by the full-time psychiatrist together with the psychiatry residents of the C-L staff; (2) a bimonthly quality management meeting, which is part of a European project of measurement and improvement of quality of service; (3) weekly lectures on selected topics; (4) monthly tutorials in research techniques; (5) bimonthly presentations of literature reviews; (6) weekly clinical case conferences, which are the nucleus of the curriculum and which focus on the following main topics: ‘the patients’, ‘the intervention’ and ‘the group’, and (7) liaison meetings requested by non-psychiatric departments. Conclusions: A common denominator seen throughout the teaching and training activities of such a programme is the attitude of openness and effort toward integration which should be the C-L psychiatrist’s distinguishing mark, in the context of the general hospital.

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“…Despite inevitable objections from some, the rise of “politically correct” language has been a key factor in the success of campaigns opposing discrimination based on gender, age, religion, colour, size and physical disability. [11]…”

Section: Reducing Stigmamentioning

confidence: 99%

Making psychiatry a household word

Reddy

2007

Indian J Psychiatry

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Challenges and Opportunities for Consultation-Liaison Psychiatry in the Managed Care Environment

Cited by 16 publications

References 17 publications

Attitudes toward people with mental illness among medical students

Attitudes toward people with mental illness among medical students

Teaching and Training in the Psychiatric-Psychosomatic Consultation-Liaison Setting

Making psychiatry a household word

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