The multi-disciplinary arena of psychosomatic medicine – Time for a transitional network approach

Leue, Carsten; Schijndel, Maarten A. van; Keszthelyi, Dániel; Koeveringe, Gommert van; Ponds, Rudolf; Kathol, Roger G.; Rutten, Bart P. F.

doi:10.1016/j.ejpsy.2020.02.003

Cited by 3 publications

(3 citation statements)

References 85 publications

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“… 46 In doing so, more attention can be paid to other elements of integrated care for example, continuity of care, shared decision making, case management, and training of professionals. 47 - 49 Participants emphasized the need for an integrated care approach for the MPU’s specific population. The literature confirms that their care management requires a holistic approach so that common risk factors and the bidirectional interaction between somatic and mental health disorders, and the treatment for each, can be addressed together.…”

Section: Discussionmentioning

confidence: 99%

Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Tops,

Coteur,

Vermandere

2024

INQUIRY

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This study aims to determine the vision and mission of an academic hospital’s medical psychiatry unit (MPU) that exclusively treats geriatric patients. All healthcare providers working at an academic hospital’s geriatric MPU were invited to reflect on formulate the vision and mission of this ward. Twenty-two of them took part in the focus group interviews. The interviews focused on defining the MPU’s functioning, its objectives, how it will reach these objectives, and where the MPU aspires to go. The interviews were transcribed verbatim and analyzed according to the QUAGOL guide. The themes from the analysis emerged from these group discussions. The participants defined the MPU’s vision as to excel in integrated mental and physical geriatric inpatient healthcare, inspiring others to shed the stigma related to this vulnerable patient population. The mission that emerged from the focus group discussions is to provide patient-centered, integrated healthcare for older adults with combined mental and physical disorders. To achieve this, involving the patient’s network, interdisciplinarity, shared decision-making, clear communication between all stakeholders, and reintegration of patients into their communities emerged as important themes. This study provides a vision and mission of a geriatric MPU in an academic psychiatric hospital. Since there is no consensus in the literature about the characteristics of MPUs despite the international call for integrated care for older persons with combined mental and physical disorders, these vision and mission statements can feed the discussion on how to install excellent healthcare for this vulnerable patient population.

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Section: Discussionmentioning

confidence: 99%

Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Tops,

Coteur,

Vermandere

2024

INQUIRY

View full text Add to dashboard Cite

show abstract

“…To improve long-term outcomes, integration across primary, community, hospital, and tertiary care services (i.e., vertical integration) might also be promising (76). Such a development would involve other critical elements of integrated care, such as a single point of entry, continuity of care, health promotion and (proactive) prevention, a participatory approach (including shared decision making), case management, training of professionals, risk stratification, and information sharing (74,77,78).…”

Section: Lessons From Integrated Carementioning

confidence: 99%

Organization and Outcomes of Integrated Inpatient Medical and Psychiatric Care Units: A Systematic Review

Schijndel

Wijngaarden

Klundert

2022

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The goal of this review was to assess the relationships among aims, designs, and outcomes of integrated inpatient medical and psychiatric care units (IMPUs) and gather the evidence base on the effectiveness of these units.Methods: Using online searches of Embase, Medline, Web of Science, PsycINFO, Scopus, CINAHL, Cochrane, and Google Scholar, the authors identified and reviewed literature describing the aims and outcomes of specific IMPU designs. Results:The search yielded 55 studies, in which the authors identified 39 IMPUs that focused on patients with mood, psychotic, somatic symptom, substance use, organic, and personality disorders and a broad array of medical diagnoses. Most units were psychiatric-medical units and had medium medical and psychiatric acuity capabilities. The studies reviewed provided little information on the costeffectiveness of various IMPU designs. Although some comparative studies indicated reductions in hospital length of stay (LOS), these studies were generally of low quality and rarely reported other intended outcomes.Conclusions: IMPUs may help shorten LOS. IMPUs should focus care on patients with complex conditions and high acuity to maximize health system value. Implementing compulsory admission facilities; qualified psychiatric, medical, and nursing staff involvement; and cross-disciplinary training may improve IMPUs' capacity to treat high-acuity patients. Future research should relate IMPU designs to intended outcomes.

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“…A detailed review on shortcomings, benefits and aspirations of multidisciplinary integrated care has been published recently. 36 As a multidisciplinary pain-center we intent to deliver our personalized care for the complex pain patient as a transitional network approach.…”

Section: Original Researchmentioning

confidence: 99%

Biopsychosocial baseline values of 15 000 patients suffering from chronic pain: Dutch DataPain study

Brouwer

Waardenburg

Jacobs

et al. 2020

Reg Anesth Pain Med

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Background and objectivesChronic pain affects many adults. To improve our daily practice, we need to understand multidisciplinary approaches, integrated treatment plans and the biopsychosocial context of these patients. To date, almost 15 000 chronic pain patients have been referred to the Maastricht University Pain Center in the Netherlands.MethodsThis study describes 11 214 of these patients suffering from chronic pain. Chronic pain was analyzed using relevant Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials instruments.ResultsMost patients were female (59.3%). The prevalence of low education was 59%, and unemployment/disability was 35.9%. The mean age was 55.6 years. Severe pain (Numerical Rating Sale score 7–10) was reported by 71.9% of the patients; psychological and quality of life values deteriorated when pain severity increased. Approximately 36% of patients showed severe signs of depression or anxiety, and 39% displayed high pain catastrophizing. Of all patients, 17.8% reported high values for pain severity, catastrophizing and anxiety or depression.ConclusionsBased on baseline biopsychosocial values, this study shows the complexity of patients referred to pain centers. Pain management with a biopsychosocial approach in an integrated multidisciplinary setting is indispensable. Above all, adjusted education on chronic pain and attention to its biopsychosocial aspects are deemed necessary.

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The multi-disciplinary arena of psychosomatic medicine – Time for a transitional network approach

Cited by 3 publications

References 85 publications

Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study

Organization and Outcomes of Integrated Inpatient Medical and Psychiatric Care Units: A Systematic Review

Biopsychosocial baseline values of 15 000 patients suffering from chronic pain: Dutch DataPain study

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