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Detection and Treatment of Mental Disorders in General Health Care

Published online by Cambridge University Press:  16 April 2020

FJ Huyse ,
T Herzog ,
A Lobo ,
JS Lyons ,
JPJ Slaets ,
P Fink ,
F Stiefel  and
P de Jonge
FJ Huyse
Affiliation:
Ziekenhuis der Vrije Universiteit, Amsterdam, the Netherlands
T Herzog
Affiliation:
Albert Ludwigs University, Freiburg, Germany
A Lobo
Affiliation:
Hospital Clinico Universitario, Zaragoza, Spain
JS Lyons
Affiliation:
Northwestern University Medical School, Chicago, Illinois, USA
JPJ Slaets
Affiliation:
Leyenburg Ziekenhuis, The Hague, the Netherlands
P Fink
Affiliation:
Psychiatric Hospital, Risskov, Denmark
F Stiefel
Affiliation:
Centre Hospitalier Universitaire, Vaudois, Switzerland
P de Jonge
Affiliation:
Ziekenhuis der Vrije Universiteit, Amsterdam, the Netherlands
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Summary

Mental health service delivery in the general health care sector is restricted with regard to understanding the magnitude and impact of mental illness in the medically ill (co-morbidity), as well as the significance of current mental health service delivery. A new model in development in the framework of a Biomed2 grant is presented. It consists of case-finding through complexity of hospital care prediction (COMPRI) followed by an integral health service needs assessment (INTERMED). It might serve to develop a more structural relation with the general health care sector for the management of mentally co-morbid high utilizing patients.

Keywords

mental health servicespsychiatric and physical co-morbiditygeneral hospitalC-L psychiatryutilization
Type
Symposia
Information
European Psychiatry , Volume 12 , Issue S2 , 1997 , pp. 70s - 78s

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References

Boenink, ACHuyse, FJQuerido (1901–1983): his view on integrated health care. J Psychosom Res 1997 in pressGoogle Scholar
Creed, FMarks, BLiaison psychiatry in general practice: a comparison of the liaison attachment scheme and shifted outpatient clinic models. J R Coll Gen Practit 1989; 39: 514–517Google ScholarPubMed
Engel, GLThe need of a new medical model: a challenge to biomedicine. Science 1977; 196: 129–139CrossRefGoogle ScholarPubMed
Fink, PMental illness and admissions to general hospitals. A register investigation. Acta Psychiatr Scand 1990; 82: 458–462CrossRefGoogle ScholarPubMed
Fink, PJensen, Jet al.A study of hospital admissions over time, using longitudinal latent structure analysis. Scand J Soc Med 1993;3:211–219CrossRefGoogle Scholar
Gater, Rde Almeida e Sousa, Ret al.The pathways to psychiatric care: across-cultural study. Psychol Med 1991;21:761–774CrossRefGoogle Scholar
Goldberg, DHuxley, PCommon Mental Disorders. A Bio-Social Model. London: Routledge, 1992Google Scholar
Herzog, THuyse, FJet al.Quality assurance in CL psychiatry and psychosomatics. Development and implementation of a European quality assurance system. In: Baert, Aet al.Biomedical and Health Research. The BIOMEDI Programme. Ohmsha: IOS Press, 1995; 5256 (grant no BMH1-CT94-1706)Google Scholar
Huyse, FJC-L psychiatry in international perspective. In: Rundell, JRWise, M eds. Textbook for CL Psychiatry. Washington, DC: American Psychiatric Press, 1996; 228–255Google Scholar
Huyse, FJStrain, JJet al.Interventions in Consultation/Liaison psychiatry: the development of a schema and a checklist for operationalized interventions. Gen Hosp Psychiatry 1988;10:88–101CrossRefGoogle Scholar
Huyse, FJHerzog, Tet al.The effectiveness of mental health service delivery in the general hospital. In: Fracchia, GNTheofilatelou, M eds. Health Services Research. Ohmsha: IOS Press, 1993; 227–242Google Scholar
Huyse, FJHerzog, Tet al.A screening instrument for the detection of psychosocial risk factors in patients admitted to general hospital wards. In: Baert, A eds. Biomedical and Health Research. The BIOMEDI Programme. Ohmsha: IOS Press, 1995; 4967 (grant no BMHl-CT93-1180)Google Scholar
Huyse, FJHerzog, Tet al.The European Consultation Liaison Workgroup (ECLW) Collaborative Study. I. General outline. Gen Hosp Psychiatry 1996;18:44–55CrossRefGoogle ScholarPubMed
Huyse, FJSmith, GC From CL dream to CL reality. The need for a systematic approach to the development of CL mental health service delivery. Psychiatr Bull 1997; in pressGoogle Scholar
Jabaaij, LHutschemaekers, GMental Health Care in General Hospitals. Data presented at the annual meeting of the section “Hospital Psychiatry” of the Dutch Society of Psychiatry (NVvP) Amhem, 1996Google Scholar
Katon, WJVon Korff, Met al.High utilizers of medical care, DSMIIIR diagnoses and treatment needs. Gen Hosp Psychiatry 1990;12:355–362CrossRefGoogle Scholar
Katon, WJGonzales, JA review of randomized trials of psychiatric CL studies in primary care. Psychosomatics 1994; 35: 268–278CrossRefGoogle Scholar
Katon, WJVon Korff, Met al.Collaborative management to achieve treatment: impact on depression in primary care. JAMA 273(13) 1995 1026–1031CrossRefGoogle ScholarPubMed
Lobo, AHuyse, FJet al.The European ConsultationLiaison Workgroup (ECLW) Collaborative Study. II. Patient registration form (PRF) instrument, training and reliability. J Psychosom Res 40 1996 143–156CrossRefGoogle Scholar
Malt, UMHuyse, FJet al.The European ConsultationLiaison Workgroup (ECLW) Collaborative Study. III. Training of reliability and assessing of ICD 10 psychiatric diagnoses in the general hospital setting. J Psychosom Res 41 1996 451–464CrossRefGoogle Scholar
Mayou, RHawton, KPsychiatric disorder in the general hospital. Br J Psychiatry 1986; 149: 172–190CrossRefGoogle ScholarPubMed
Mayou, RSmith, EBOHospitals doctors' management of psychological problems. Br J Psychiatry 1988; 148: 194–197CrossRefGoogle Scholar
Mayou, RHawton, Ket al.Psychiatric problems among medical admissions. Int J Psychiatr Med 1991a;21:71–84CrossRefGoogle ScholarPubMed
Mayou, RHuyse, FJthe, ECLWConsultation Liaison psychiatry in Western Europe. Gen Hosp Psychiatry 1991; 13: 188–208CrossRefGoogle ScholarPubMed
Miller, WBPsychiatric consultation. I. A general system approach. Psychiatry Med 1973; 4: 135–145CrossRefGoogle Scholar
Ormel, JVon Korff, Met al.Common mental disorders and disability across cultures: results from the WHO collaborative study on psychological problems in general health care. JAMA 1994;272:1741–1748CrossRefGoogle Scholar
Querido, AForecast and follow up. An investigation into the clinical, social, and mental factors determining the results of hospital treatment. Br J Prev Soc Med 1959; 13: 33–49Google ScholarPubMed
Royal Colleges of Physicians and Psychiatrists. The psychological care of medical patients: recognition of need and service provision. 1995 (document)Google Scholar
Saravay, SMStrain, JJAPM Task Force on funding implications of Consultation Liaison outcome studies special series introduction: a review of outcome studies. Psychosomatics 1994; 5: 227–232CrossRefGoogle Scholar
Saravay, SMLavin, MPsychiatric comorbidity and length of stay in the general hospital: a critical review of outcome studies. Psychosomatics 1995; 3: 233–252Google Scholar
Saravay, SNPollack, Set al.Four year follow up of the influence of psychological comorbidity on medical rehospitalizations. Am J Psychiatry 1996;153 (3):397–403Google Scholar
Sartorius, NUstun, TBet al.An international study of psychological problems in primary care: preliminary report from WHO collaborative project on psychological problems in general health care. Arch Gen Psychiatry 1993; 50: 819–824CrossRefGoogle Scholar
Slaets, JPJGeriatric intervention: a clinicalempirical study. Thesis, Rotterdam, the Netherlands: Erasmus University, 1994Google Scholar
Smith, GRRost, Ket al.A trial of the effect of a standardized psychiatric consultation on health outcomes and costs in somatizing patients. Arch Gen Psychiatry 1995;52:238–243CrossRefGoogle ScholarPubMed
Statistical Data on Health Care Systems in the European Union (1980 (1993). Statistics in Focus: Population and Social Conditions. 1996 ISSN 10244352Google Scholar
Stoudemire, AFogel, BOrganization and development of combined medical psychiatric units: Part 1. Psychosomatics 1986a; 27: 3416CrossRefGoogle ScholarPubMed
Stoudemire, AFogel, BOrganization and development of combined medical psychiatric units: Part 2. Psychosomatics 1986b; 27: 417–429CrossRefGoogle Scholar
Strain, JJLyons, JSet al.Cost offsets from a psychiatric Consultation Liaison intervention with elderly hip fracture patients. Am J Psychiatry 1991; 48: 104–149Google Scholar
Strain, JJHammer, JSet al.APM Task Force on psychosocial interventions in the general hospital setting: a review of cost offset studies. Psychosomatics 1994;3:253–262CrossRefGoogle Scholar
Substance Abuse and Mental Health Services Administration (SAMHSA). Costs of Addictive and Menial Disorders and Effectiveness of Treatment. Rockville, MD: US Department of Health and Human Services, 1995Google Scholar
van der FeltzComelis, CFLyons, JSet al. Health services research on mental health in primary care. Int J Psychiatr Med 1997 in pressGoogle Scholar
von Rad, MSellschopp, AThe integrated psychosomatic inpatient unit. A new approach to hospital medical care. Psychother Psychosom 1987; 48: 101–109CrossRefGoogle ScholarPubMed
Wells, KBGoldberg, Get al.Management of patients on psychotropic drugs in primary care clinics. Med Care 1988; 26: 645–656CrossRefGoogle ScholarPubMed
Wise, MDelirium, P. Trzepacz In: Rundell, JRWise, MTextbook for CL Psychiatry. Washington, DC: American Psychiatric Press, 1996; 258–276Google Scholar
Ziekenhuis Psychiatrie, Over de grenzen heen Rijswijk, the Netherlands: Department of Health, Culture and Sports, 1995Google Scholar
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