The Role of Negotiation in Consultation-Liaison Psychiatry

Siegel, Andrew M.; Bleier, Henry R.

doi:10.1016/j.psym.2016.10.001

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…(1) Basic patient information: age, interval.time (interval between admission to hospital and application for consultation), department (hospital department), t.time (hospitalization interval), residence (Xi'an, non-Xi'an), occupation (farmer, technical staff, retiree, student, other); (2) (3) follow-ups (whether patients made the follow-up visit).…”

Section: Data Collectionmentioning

confidence: 99%

“…Consultation-liaison psychiatry (CLP) is an important development in the area of mental health. It is a well-established treatment model in several developed countries ( 1 ), whereas related research lags in China ( 2 ). There is a significant gap between CLP services in China and abroad, which is reflected in the inadequacy of service models as well as the irregular consultation and referral rate.…”

Section: Introductionmentioning

confidence: 99%

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Construction of a Nomogram predictive model for post-discharge psychosomatic review of psychiatric liaison consultation patients based on medical record data

Zhang

Jing

et al. 2023

Front. Psychiatry

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Epidemiological studies have shown that almost all physical illnesses coexist with psychiatric disorders or psychological problems, and the severity of mental illness is positively correlated with the duration and severity of physical illness. Liaison consultations are valuable in identifying and treating psychiatric disorders, but the rate of psychiatric follow-up after consultation is low in outpatients. This study aimed to investigate the factors influencing post-discharge psychosomatic follow-up visits in patients undergoing psychiatric liaison consultation in general hospitals and construct a Nomogram prediction model for patients’ post-discharge psychosomatic follow-up visits. Medical record data of inpatients who received psychiatric liaison consultations at Xi’an International Medical Center Hospital in China from September 2019 to September 2020 were analyzed. Lasso regression and multivariate logistic regression analyses were conducted to screen independent influences on the occurrence of post-discharge psychosomatic follow-ups in patients undergoing psychiatric liaison consultations. Risk prediction column line graphs were constructed using R software, and the models were evaluated. Of the 494 inpatients who received psychiatric liaison consultations, 115 patients (23.279%) (mean age = 54.8 years) went for post-discharge psychosomatic follow-up, while 379 patients (mean age = 59.3 years) had no record of psychosomatic follow-up. Furthermore, occupation, interval.time, diagnosis, out.antipsychotics, and recommendations.followup were independent factors influencing post-discharge psychosomatic follow-up. The model accurately predicted post-discharge psychosomatic follow-up behavior of inpatients who received psychiatric liaison consultations. Lastly, the clinical decision curve analysis showed that the model had good validity for clinical application. Patients who received a psychiatric liaison consultation with a ≤ 10-day interval between admission to the hospital and application for consultation, were discharged with prescribed medication, and had a clear written medical order for a follow-up consultation had an increased probability of psychosomatic follow-up after discharge.

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Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Construction of a Nomogram predictive model for post-discharge psychosomatic review of psychiatric liaison consultation patients based on medical record data

Zhang

Jing

et al. 2023

Front. Psychiatry

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“…Some patients require additional time to process new information. Others have decisional impairments that improve as their illness resolves, and others are amenable to persuasion or negotiation 7 . The consultation-liaison psychiatry literature describes a multitude of such scenarios and strategies to manage them.…”

Section: Partial Impairmentmentioning

confidence: 99%

A pragmatist's guide to the assessment of decision-making capacity

2019

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“…This is similar to the early CLP practices in Europe and the United States wherein general practitioners usually requested psychiatric consultations only for common psychiatric problems, including the differential diagnosis and management of psychotic symptoms and prescription of antipsychotic medications. 6 Presently, in Europe and the United States, in addition to medical staff from general departments and psychiatry, CLP services invite patients, family members, nurses, and social workers to participate in the development of treatment plans; moreover, even ethical reviewers and hospital administrators sometimes participate in complex case management. 1 In addition to the delayed introduction of CLP and lack of trained personnel, there is a huge gap between domestic and foreign CLP services.…”

Section: Introductionmentioning

confidence: 99%

A framework for the implementation of consultation-liaison psychiatry from the characteristics of psychosomatic consultations at a general hospital in China

Zhang

et al. 2023

Int J Psychiatry Med

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Objective To understand the current situation and characteristics of consultation-liaison psychiatry (CLP) service in general hospital, to compare the results of the literature on CLP published in other hospitals in China and abroad, and to find deficiencies for the current differences. Methods The medical records of all inpatients who had liaison consultations in the first year of the establishment of Xi'an International Medical Center Hospital, China, were collected. Statistical analysis was performed on the general demographic data, department origin, number of consultations, the reason for consultation, diagnosis of consultation, and follow-up of patients. Results A total of 630 patients were enrolled in the past 1 year, of which, 45.23% were males and 54.8% were females. 89.2% of non-psychiatric departments applied for psychosomatic consultation. The percentage of middle-aged and elderly patients was 75.6%, including 61.6% of patients aged 45−74 years. The internal medicine department had the highest number of consultations (48.2%), including respiratory medicine (12.1%), neurology (12.1%), gastroenterology (12.1%), and cardiology (12.1%). For surgical patients, orthopedic patients (rehabilitation, 6.5%) comprised the majority of consults. The main reasons for requesting psychosomatic consultations included depressive symptoms (139 cases, 22.8%), anxiety symptoms (137 cases, 22.5%), sleep problems (111 cases, 18.2%), as well as hallucinations and delusions or behavioral disorders (68 cases, 11.2%), accounting for a total of 74.59% (455/630). Conclusion A significant gap exists between the level of CLP services in China and developed regions in Europe and the United States, mainly due to low consultation rates and referrals and imperfect CLP service.

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The Role of Negotiation in Consultation-Liaison Psychiatry

Cited by 7 publications

References 4 publications

Construction of a Nomogram predictive model for post-discharge psychosomatic review of psychiatric liaison consultation patients based on medical record data

Construction of a Nomogram predictive model for post-discharge psychosomatic review of psychiatric liaison consultation patients based on medical record data

A pragmatist's guide to the assessment of decision-making capacity

A framework for the implementation of consultation-liaison psychiatry from the characteristics of psychosomatic consultations at a general hospital in China

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