European Consultation–LiaisonPsychiatric Services:the ECLW Collaborative Study

Huyse, Frits J.; Herzog, Thomas; Lobo, Antonio; Malt, Ulrik Fredrik; Opmeer, Brent C.; Stein, Barbara; Creed, Francis; Crespo, María Dolores; Gardoso, G.; Guimaraes-Lopes, Raoul; Mayou, Richard; Moffaert, Myriam Van; Rigatelli, Marco; Sakkas, Pavlos; Tienari, Pekka

doi:10.1034/j.1600-0447.2000.101005360.x

Cited by 46 publications

(5 citation statements)

References 11 publications

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“…The relatively high prevalence of alcohol and substance abuse disorders as reported in both the GH (51)(52)(53)(54), and in CLP settings (55)(56)(57), highlight the fact that, at least in Italy, consultations for addictive disorders are still probably carried out by specific programs other than CL services. Anxiety disorders, compared with Study 1, were found to be significantly less prevalent, although with a similar rate found in other studies carried out in other countries (50,58). This is consistent with a significant increase of antidepressants prescriptions in Italy during the last decades (59), as shown by the higher rates of patients being already in antidepressant treatment at the time of consultation.…”

Section: Discussionsupporting

confidence: 88%

Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study

Zerbinati

Palagini²,

Balestrieri³

et al. 2022

Front. Psychiatry

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IntroductionConducted under the auspices of the Italian Society of Consultation Liaison Psychiatry (SIPC) the aim of this study was to describe the characteristics of Consultation Liaison Psychiatry (CLP) activity in Italy (SIPC-2—2018) over the past 20 years by comparing with data from the first Italian nation-wide study (SIPC-1—1998).MethodsWe collected data on CLP visits of 3,943 patients from 10 Italian hospitals over a period of 1 year. Data were compared with those from the SIPC-1 1998 study (4,183 participants). Patients were assessed with the same ad hoc 60-item Patient Registration Form recording information from five different areas: Sociodemographic, hospitalization-related, consultation-related, interventions and outcome.ResultsCompared with participants from the previous study, SIPC-2-2018 participants were significantly older (d = 0.54) and hospitalized for a longer duration (d = 0.20). The current study detected an increase in the proportion of referrals from surgical wards and for individuals affected by onco-hematologic diseases. Depressive disorders still represented the most frequent psychiatric diagnosis, followed by adjustment and stress disorders and delirium/dementia. Also, CLP psychiatrists prescribed more often antidepressants (Φ = 0.13), antipsychotics (Φ = 0.09), mood stabilizers (Φ = 0.24), and less often benzodiazepines (Φ = 0.07).ConclusionCLP workload has increased considerably in the past 20 years in Italy, with changes in patient demographic and clinical characteristics. A trend toward increase in medication-based patient management was observed. These findings suggest that the psychiatric needs of patients admitted to the general hospital are more frequently addressed by referring physicians, although Italian CLP services still deserve better organization and autonomy.

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Section: Discussionsupporting

confidence: 88%

Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study

Zerbinati

Palagini²,

Balestrieri³

et al. 2022

Front. Psychiatry

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“…Clinical procedures for psychiatric consultations follow indications from international evidence adapted to local context features. An electronic database was adopted by the CLPS for audit purposes after the involvement of the service in the research studies on CLP promoted in Europe by the ECLW in the late ‘90s [ 25 , 26 , 27 ]. For privacy reasons, it was decided to work on the aggregate data provided by this electronic database (through the request of appropriate “queries”).…”

Section: Methodsmentioning

confidence: 99%

Is Consultation-Liaison Psychiatry ‘Getting Old’? How Psychiatry Referrals in the General Hospital Have Changed over 20 Years

Ferrari

Mattei

Marchi

et al. 2020

IJERPH

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There is an ever-growing awareness of the health-related special needs of older patients, and Consultation-Liaison Psychiatry Services (CLPS) are significantly involved in providing such age-friendly hospital care. CLPS perform psychiatric assessment for hospitalized patients with suspected medical-psychiatric comorbidity and support ward teams in a bio-psycho-social oriented care management. Changes in features of the population referred to a CLPS over a 20-year course were analysed and discussed, especially comparing older and younger referred subjects. Epidemiological and clinical data from all first psychiatric consultations carried out at the Modena (North of Italy) University Hospital CLPS in the period 2000–2019 (N = 19,278) were included; two groups of consultations were created according to the age of patients: OV65 (consultations for patients older than 64 years) and NONOV65 (all the rest of consultations). Consultations for OV65 were about 38.9% of the total assessments performed, with an average of approximately 375 per year, vs. the 589 performed for NOV65. The number of referrals for older patients significantly increased over the 20 years. The mean age and the male/female ratio of the sample changed significantly across the years in the whole sample as well as both among OV65 and NOV65. Urgent referrals were more frequent among NOV65 and the rate between urgent/non urgent referrals changed differently in the two subgroups. The analysis outlined recurring patterns that should guide future clinical, training and research activities.

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“…As the presence of multiple disciplines is required for the provision of differentiated services, apparently many C-L services are sufficiently equipped to provide such a differentiated range of services. The interaction between these factors is further elaborated in a separate article [12].…”

Section: Availability Of Psychosocial Services and Organization Of C-mentioning

confidence: 99%

Consultation-Liaison psychiatric service delivery: results from a European study

Huyse

Herzog

Lobo

et al. 2001

General Hospital Psychiatry

139

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The reported findings of the European Consultation-Liaison Workgroup (ECLW) Collaborative Study describe consultation-liaison service delivery by 56 services from 11 European countries aggregated on a C-L service level. During the period of 1 year (1991), the participants applied a standardized, reliability tested method of patient data collection, and data were collected describing pertinent characteristics of the hospital, the C-L service, and the participating consultants. The consultation rate of 1% (median; 1.4% mean) underscores the discrepancy between epidemiology and the services delivered. The core function of C-L services in general hospitals is a quick, comprehensive emergency psychiatric function. Reasons to see patients were the following. deliberate self-harm (17%), substance abuse (7.2%), current psychiatric symptoms (38.6%), and unexplained physical complaints (18.6%) (all means). A significant number of patients are old and seriously ill. Mood disorders and organic mental disorders are most predominant (17.7%). Somatoform and dissociative disorders together constitute 7.5%. C-L services in European countries are mainly emergency psychiatric services and perform an important bridge function between primary, general health, and mental health care.

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European Consultation–LiaisonPsychiatric Services:the ECLW Collaborative Study

Cited by 46 publications

References 11 publications

Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study

Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study

Is Consultation-Liaison Psychiatry ‘Getting Old’? How Psychiatry Referrals in the General Hospital Have Changed over 20 Years

Consultation-Liaison psychiatric service delivery: results from a European study

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