Artykuły w czasopismach: „Cincinnati. General Hospital. Department of Psychiatry”

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Kelley, Scott R., i Richard E. Welling. "Good Samaritan Hospital and Its Department of Surgery: A Historical Perspective". American Surgeon 76, nr 5 (maj 2010): 470–73. http://dx.doi.org/10.1177/000313481007600512.

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At the end of the Revolutionary War, the United States government acquired the Northwest Territory, including the city of Cincinnati. Given the city's position on the Ohio River, and the subsequent development and introduction of steamboats in the early 1800s, Cincinnati became a major center for commerce and trade. With a population of over 115,000 in 1850, Cincinnati was the sixth largest city in the United States—larger even than St. Louis and Chicago—the first major city west of the Allegheny Mountains, and the largest inland city in the nation. The city's growth and importance is mirrored by the history of one if its prized institutions, Good Samaritan Hospital—the oldest, largest, and busiest private teaching and specialty-care hospital in Greater Cincinnati and a national leader in many surgical fields.

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Kline, Stephen A., i Harvey Moldofsky. "Fiscal and Service Analyses in General Hospital Psychiatry". Canadian Journal of Psychiatry 33, nr 4 (maj 1988): 279–84. http://dx.doi.org/10.1177/070674378803300409.

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Fiscal matters were analyzed in four specialized programmes of the Department of Psychiatry at the Toronto Western Hospital in order to plan for service and academic activities. The resultant analysis allowed for the establishment of criteria for growth and the evaluation of clinical service performance and goals.

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P�rez, Edgardo. "Quality assurance activities in a Canadian general hospital department of psychiatry". Administration and Policy in Mental Health 18, nr 3 (styczeń 1991): 183–85. http://dx.doi.org/10.1007/bf00713802.

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Waterhouse, John, i Stephen Platt. "General Hospital Admission in the Management of Parasuicide". British Journal of Psychiatry 156, nr 2 (luty 1990): 236–42. http://dx.doi.org/10.1192/bjp.156.2.236.

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Suitably trained junior doctors selected parasuicides with no immediate medical or psychiatric treatment needs on initial assessment in a casualty department. This group was then randomly allocated to hospital admission (38 cases) or discharge home (39 cases). One week later there were no significant differences between groups on diverse outcome measures, including repetition rate, psychological symptoms, and social functioning. A second follow-up using the same measures at 16 weeks also failed to demonstrate any differences between groups, both of which showed considerable overall improvement. A parasuicide management policy consisting of assessment in a casualty department and selective discharge was appropriate for 15% of a hospital-referred population. This lends support to recent government recommendations, but caution should be exercised before such a result is generalised.

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Lawrence, R. E., S. Cumella i J. A. Robertson. "Patterns of Care in a District General Hospital Psychiatric Department". British Journal of Psychiatry 152, nr 2 (luty 1988): 188–95. http://dx.doi.org/10.1192/bjp.152.2.188.

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A survey of all admissions of patients under the age of 65 during the first 6 years of a District General Psychiatric Department without mental-hospital support is reported. Three high-uptake groups of in-patients were defined; the long-stay (12 months or more), the medium-stay (6–12 months), and the revolving-door group (more than three admissions in any period of 12 months). Identifying characteristics which distinguish between these groups were examined. During a 7-year period there was no accumulation of long-stay patients, and a striking lack of schizophrenic patients who remained in hospital for more than 6 months or who had more than three admissions in any twelve-month period. This was not accounted for by drift of the high-uptake groups out of contact with the service, but may be related both to the style of service provision and to the socially cohesive nature of the area under study. Local variation should be given due importance when community services are being developed.

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Mayou, Richard, i Keith Hawton. "Psychiatric Disorder in the General Hospital". British Journal of Psychiatry 149, nr 2 (sierpień 1986): 172–90. http://dx.doi.org/10.1192/bjp.149.2.172.

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There have been many reports of psychiatric disorder in medical populations, but few have used standard methods on representative patient groups. Even so, there is consistent evidence for considerable psychiatric morbidity in in-patient, out-patient and casualty department populations, much of which is unrecognised by hospital doctors. We require a better classification of psychiatric disorder in the general hospital, improved research measures, and more evidence about the nature and course of the many different types of problem so that we can provide precise advice for their management of routine clinical practice.

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Goujon, D., R. Muto, C. Vayssier-Belot, H. Masson i P. Grandin. "Liaison psychiatry as a part of a multifocal treatment in a general hospital". European Psychiatry 33, S1 (marzec 2016): S389. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1403.

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We report here three clinical cases as exemples of our rich and frequent collaboration between the department of psychiatry and the department of medecine, nephrology and hemodialysis. This work can serve as a basis for further reflection in order to improve mutual demands. We based our description on three patients chosen for their homogeneity in demand, rapidity of evaluation, the same clinician who evaluated the demand. Either case: a 42-year-old woman, who was admitted for alteration of general state, severe headaches and chronic addiction to alcohool, 71-year-old woman sufferring from recurrent unipolar depression who came for somatic exploration and severe weight loss or 55-year-old man who was transferred from cardio-pulmonary intensive care unit after a volontary ingestion of neuroleptic- were reevaluated by the psychiatrist and the special follow-up was indicated as the patient was discharded from internal medecine department. We were interested in studying how important to the patient this indication turned to be on time.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Florin, Todd Adam, Daniel Joseph Tancredi, Lilliam Ambroggio, Franz E. Babl, Stuart R. Dalziel, Michelle Eckerle, Santiago Mintegi, Mark Neuman, Amy C. Plint i Nathan Kuppermann. "Predicting severe pneumonia in the emergency department: a global study of the Pediatric Emergency Research Networks (PERN)—study protocol". BMJ Open 10, nr 12 (grudzień 2020): e041093. http://dx.doi.org/10.1136/bmjopen-2020-041093.

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IntroductionPneumonia is a frequent and costly cause of emergency department (ED) visits and hospitalisations in children. There are no evidence-based, validated tools to assist physicians in management and disposition decisions for children presenting to the ED with community-acquired pneumonia (CAP). The objective of this study is to develop a clinical prediction model to accurately stratify children with CAP who are at risk for low, moderate and severe disease across a global network of EDs.Methods and analysisThis study is a prospective cohort study enrolling up to 4700 children with CAP at EDs at ~80 member sites of the Pediatric Emergency Research Networks (PERN; https://pern-global.com/). We will include children aged 3 months to <14 years with a clinical diagnosis of CAP. We will exclude children with hospital admissions within 7 days prior to the study visit, hospital-acquired pneumonias or chronic complex conditions. Clinical, laboratory and imaging data from the ED visit and hospitalisations within 7 days will be collected. A follow-up telephone or text survey will be completed 7–14 days after the visit. The primary outcome is a three-tier composite of disease severity. Ordinal logistic regression, assuming a partial proportional odds specification, and recursive partitioning will be used to develop the risk stratification models.Ethics and disseminationThis study will result in a clinical prediction model to accurately identify risk of severe disease on presentation to the ED. Ethics approval was obtained for all sites included in the study. Cincinnati Children’s Hospital Institutional Review Board (IRB) serves as the central IRB for most US sites. Informed consent will be obtained from all participants. Results will be disseminated through international conferences and peer-reviewed publications. This study overcomes limitations of prior pneumonia severity scores by allowing for broad generalisability of findings, which can be actively implemented after model development and validation.

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Pridmore, S. "Suicidal Threat in the Casualty/Emergency Department of the General Hospital". Australasian Psychiatry 6, nr 1 (luty 1998): 18–19. http://dx.doi.org/10.3109/10398569809082303.

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Takizawa, Ibuki, Yuichi Takei i Masato Fukuda. "Horticultural Therapy in the Department of Psychiatry and Neurology, Gunma University Hospital". Kitakanto Medical Journal 73, nr 3 (1.08.2023): 229–30. http://dx.doi.org/10.2974/kmj.73.229.

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Joopaka, Ajay Kumar, Srilakshmi Pingali, Ravi Varma Jangam i Umashankar M. "Study of referrals to department of psychiatry in tertiary care general hospital setting". Telangana Journal of Psychiatry 6, nr 2 (15.02.2021): 166–69. http://dx.doi.org/10.18231/j.tjp.2020.033.

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Mazeh, Doron, Yuval Melamed i Yoram Barak. "Emergency Psychiatry: Treatment of Referred Psychiatric Patients by General Hospital Emergency Department Physicians". Psychiatric Services 54, nr 9 (wrzesień 2003): 1221–23. http://dx.doi.org/10.1176/appi.ps.54.9.1221.

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Kroll, David S., Escel Stanghellini, Stephanie L. DesRoches, Charles Lydon, Allison Webster, Molly O'Reilly, Shelley Hurwitz i in. "Virtual monitoring of suicide risk in the general hospital and emergency department". General Hospital Psychiatry 63 (marzec 2020): 33–38. http://dx.doi.org/10.1016/j.genhosppsych.2019.01.002.

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Mondal, Arijit, Soumi Ghosh, Uday Sankar Mandal i Dwaipayan Saha. "Assessment of psychiatric comorbidities and sociodemographic profiles of the patients referred to the general hospital psychiatric unit of a tertiary care hospital in Kolkata, West Bengal". Asian Journal of Medical Sciences 12, nr 11 (1.11.2021): 149–55. http://dx.doi.org/10.3126/ajms.v12i11.38561.

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Background: According to the previous studies, psychiatric symptoms are high in patients with physical illness, but the referral rates are much below expectation. Aims and Objectives: Here a descriptive cross-sectional study has been conducted using self designed semi structured proforma to asses the socio demographic profile and psychiatric diagnosis of patient with physical illness referred from other departments in a tertiary medical care centre for consultation liaison (C-L) psychiatry care. Materials and Methods: The study population consists of the patients referred to psychiatry department for consultation purpose from all the other departments in a 4 months period. The data were collected on a self designed semi structured pro forma and all the diagnosis were made according to International Classification of Disease -10 (ICD-10) criteria. Analysis has been done using descriptive statistics. Results: A total numbers of 203 patient has been referred to psychiatry department during the study period . Among them 144 were inpatient and 59 were outdoor based referral. Majority were female, married . The maximum referral were from general medicine department followed by neuromedicine. Most common reason of referral being suicidal attempt by different means followed by patients having depressive features .The most common psychiatric diagnosis was depression followed by delirium. Conclusion: C-L psychiatry plays a significant role in better evaluation and management of patients with psychiatric comorbidities referred from non-psychiatric departments.

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Bann, Claudia, Sharon Yeung i Emmalene Fish. "Improving the Referral Process Between Acute Wards and the Psychiatry Department at Tameside General Hospital". BJPsych Open 8, S1 (czerwiec 2022): S85. http://dx.doi.org/10.1192/bjo.2022.275.

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AimsThe project aims to address the barriers faced by the acute hospital and the psychiatry department in the referral process for a psychiatric opinion, at Tameside General Hospital (TGH). The Care Quality Commission (CQC) undertook a review of how people's mental health needs were met in acute hospitals in 2017 and concluded that there were barriers to this, for multifactorial reasons. Examples included: acute hospital staff not feeling adequately prepared to treat mental health conditions and lack of mental health care services 24/7. The current referral process at TGH for the acute hospital doctors requesting a psychiatric opinion presents a challenge for the referring doctor and psychiatry doctor in receipt of the referral. Many at the acute hospital have found the process of referral unclear, and many in the psychiatric department have found that referrals seldom contain sufficient information to determine whether a psychiatric review is required and whether it needs to be prioritised.MethodsTo understand the specific difficulties encountered during the referral process, two questionnaires were created. One for TGH acute trust doctors and one for the psychiatry doctors, asking what the perceived barriers were and how these could be overcome. Data were collected between September and October 2021.ResultsWe obtained results from 17 acute trust doctors. The results revealed that most referring doctors found the referral process unclear. 100% agreed that they would benefit from guidance with the referral process e.g., a psychiatry specific referral form and/or a flow chart outlining the referral process. All responders wanted guidance around the roles and responsibilities of the psychiatric team in relation to the hospital setting.We obtained results from 7 psychiatry doctors. Most were not satisfied with the referrals received. 100% would like to see a specific psychiatry referral form implemented in the acute hospital.ConclusionKey findings were: the referral process is unclear, acute trust doctors don't feel well enough equipped to manage mental health concerns, referrals don't contain sufficient patient information, and that the acute trust doctors don't know where to ask for help. The project reflected earlier CQC findings.After discussion with the acute trust, our action plan includes creating a psychiatry-specific referral form, to be distributed together with a flow chart which directs acute trust doctors to the appropriate source for psychiatric opinions. We also aim to join departmental and junior doctor teachings regularly to distribute and educate on the process.

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Grossberg, George T., George H. Zimmy i B. R. S. Nakra. "Geriatric Psychiatry Consultations in a University Hospital". International Psychogeriatrics 2, nr 2 (wrzesień 1990): 161–68. http://dx.doi.org/10.1017/s1041610290000412.

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A review was conducted of the records of 147 patients above the age of 60 in a 350-bed general university hospital for whom a request for consultations was made over a two-year period by a geriatric psychiatry division in a department of psychiatry. Findings were compared with those obtained by Mainprize and Rodin and by Ruskin. Most referrals in the present study were from internal medicine as they were in the other two studies. The principal reason for referrals in this and in Mainprize and Rodin's study was depression (48% and 37%, respectively) but not in Ruskin's study (10%). The primary DSM-III-R diagnoses of the referred patients in this study were affective disorder (27%), adjustment disorders (26%), and dementia (22%). Affective disorder was also the most frequent diagnosis in Ruskin's study. Psychotropic medication was the most frequently cited recommendation in all three studies.

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Pokharel, Grishma, Madhur Basnet, Sagar Poudel, Naresh Kafle, Rahul Kumar Jaiswal, Sunil Bogati, Indira Ojha i Dipesh Soni. "Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study". Journal of Nepal Medical Association 59, nr 242 (23.10.2021): 881–84. http://dx.doi.org/10.31729/jnma.6244.

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Introduction: Pathway of psychiatric care is defined as the sequence of contacts with individuals and organizations initiated by the distressed person’s efforts and his significant others to seek appropriate health care. This study aimed to find the prevalence of non-psychiatric referral as first encounter among patients attending the psychiatry outpatient department of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out from 29th March 2015 to 25th April 2015 in the outpatient department of the department of psychiatry of a tertiary via direct interview using the World Health Organization’s encounter form. Ethical approval was taken from undergraduate medical research protocol review board (Reference number 105/071/072). Psychiatric diagnoses were made by respective consultants using the International Classification of Diseases-10 Clinical Descriptions and Diagnostic Guidelines criteria. Data was entered in the Microsoft Excel 2007 and analyzed by Stata version 15. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 50 patients, 26 (52%) (38.2-65.8 at 95% Confidence Interval) of new cases in the outpatient department had non-psychiatric referrals. Among them, 13 (26%) referred from faith healers, 7 (14%) from the general hospital and 6 (12%) from medical out patient department. Conclusions: The prevalence of non-psychiatric referral for the patients seen for the first time in the psychiatry outpatient department was similar to findings from studies done in different parts of South East Asia.

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Pierre, Nda Mefo'o Jean, Ondoua Jacques Arnauld, Ngene Jean Pierre, Mbosso Teinkela Jean Emmanuel, Ngo Malabo Elodie, Olemba Clémence, Ngoule Charles Christian, Etame Loe Gisèle i Okalla Ebongue Cécile. "The Compliance and Quality of Biological Examination Requests at the Douala General Hospital". Journal of Advances in Biology & Biotechnology 26, nr 2 (22.04.2023): 37–45. http://dx.doi.org/10.9734/jabb/2023/v26i2621.

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Introduction: The prescription of biological examinations is the first step in guaranteeing the quality of the results of the biological analyzes given by the laboratory. Indeed, the irregularity of requests for biological examinations makes it difficult to carry out and interpret the results and also compromises the optimal and rational use of the diagnostic aid tool that is the clinical biology laboratory. The purpose of this study was to assess the compliance and quality of Biological Examinations Requests (BERs) at the Douala General Hospital (DGH) Material and Methods: A descriptive cross-sectional study was conducted from January to June 2022 in the clinical biology laboratory department of the DGH. The information provided on each request for examinations was evaluated using a technical sheet containing the evaluation grids of the ISO 15189 standard. Results: A total of 1765 BERs from 10 known clinical departments and 5.20% (n = 91) with no details on the department were analyzed. Prescriber qualification was absent in 13.31% (n=235), clinical information was notified in 23.79% (n=420), prescriber contact in 2.89% (n=51). The compliance assessment revealed that 49% (n=867) requests were non-compliant. Furthermore, a correlation was observed between non-compliant BERs and the internal medicine department (OR = 0.52 and P-value = 0.038) and medical specialists (OR = 0.576 and P-value = 0.048) with a significant association. Conclusion: It was observed that the non-compliant BERs lacked information identifying the patient, the prescriber, as well as the examination/sample. The ISO standard recommends the accuracy of this information. Because their absence would make it impossible to carry out the examinations, waste of time searching for the service/prescriber for additional information or for the return of the results. These results suggest an improvement in practices in the prescription of medical biology analyzes at the DGH in particular and in Cameroon in general.

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Bakshi, Poorva, Sharanya Shetty, Shreya Bera, Priyanka Renita D'Souza i Keshava Pai. "Prescription writing quality of psychotropic agents in MBBS interns in a private medical college hospital in Mangaluru". F1000Research 13 (15.04.2024): 269. http://dx.doi.org/10.12688/f1000research.144712.1.

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Background Rational prescription writing is an important skill to master during internship. This Quality Improvement (QI) project aimed to understand the state of prescription writing among interns posted in the Department of Psychiatry, analyze the causes responsible for errors in prescription writing and bring about a change in the current practice. Methods The MBBS interns are posted in the Department of Psychiatry for 15 days. During day 1 to day 5 of their posting, a pre intervention phase was conducted wherein prescriptions written by interns in the Department of Psychiatry were collected. The prescriptions were scored based on 14 criteria which were selected based on World Health Organization (WHO) guidelines and Medical Council of India (MCI) ideal prescription format. During PDSA (Plan Do Study Act) Cycle 1, an educational handout was distributed to the interns containing the MCI ideal prescription format and WHO guidelines regarding prescription writing. The brochure was also verbally explained to the interns. From day 7 to day 15 of their posting, prescriptions written by the interns were collected. The prescriptions were scored using the same criteria. Results During the pre intervention phase the mean total score of prescriptions was 9.54 ± 1.003. There was a significant improvement in the mean total score to 10.26 ± 0.746. There was a 7.54% improvement. There was also a significant improvement in several individual criteria. Conclusions The first PDSA cycle was successful in improving the quality of prescription writing among interns posted in the Department of Psychiatry. There is a need to implement more PDSA cycles to improve the quality still further.

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Ntounas, P., C. Tsopelas, A. Konsta, S. Stamou, M. Chronopoulou, D. Pappas, A. Paraskevopoulou i in. "P-1105 - Polypharmacy in a psychiatric department of a general hospital in northen greece". European Psychiatry 27 (styczeń 2012): 1. http://dx.doi.org/10.1016/s0924-9338(12)75272-0.

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Hammer, Jeffrey S., John S. Lyons, Barbara A. Bellina, James J. Strain i Eric A. Plaut. "Toward the integration of psychosocial services in the general hospital. The human services department". General Hospital Psychiatry 7, nr 3 (lipiec 1985): 189–94. http://dx.doi.org/10.1016/0163-8343(85)90065-9.

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Pinakaratna, Afifah, Marhendra Satria Utama i Agung Dinasti Permana. "Profile and characteristic of laryngeal cancer in Radiotherapy Department of Hasan Sadikin General Hospital". Oto Rhino Laryngologica Indonesiana 53, nr 1 (15.07.2023): 40–50. http://dx.doi.org/10.32637/orli.v53i1.489.

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Background: A laryngeal cancer diagnosis is often in the advanced stage, while the screening has not much done at this time. Studies on laryngeal cancer that uses radiotherapy are also still difficult to find, especially in Indonesia. Purposes: This study aimed to describe patients' profiles with laryngeal cancer who received radiotherapy treatment in the 2018 to 2019 period. Methods: This research was a descriptive quantitative with a cross-sectional study conducted at Radiotherapy Department, Hasan Sadikin General Hospital. Results: The patient's medical record was collected, and 38 patients with laryngeal cancer were found. Most of the patients are male (86,8%), ranging from age 51-60 (55,3%), work as staff office/traders (21,1%), and have a smoking history (52%). The chief complaint is often in the form of hoarseness (76,3%), the location of the cancer is No Other Specified (31,6%), most of the cells were squamous cell carcinoma (86,8%), and the stage was mainly in stage IV (60,5%). Surgery with radiotherapy is the most common management (50%), and surgery that is commonly used is total laryngectomy (36,8%). Some patients also have a tracheostomy before management (36,8%). Radiotherapy is more often for adjuvant purposes (52,6%). Conclusions: Laryngeal cancer is still uncommon, but we need to increase awareness and screening because of the advanced stage that more commonly occurs.

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Mortimer, Ruth, i J. Guy Edwards. "Detoxification in a community-based alcohol recovery unit and psychiatric department of a general hospital". Psychiatric Bulletin 18, nr 4 (kwiecień 1994): 218–20. http://dx.doi.org/10.1192/pb.18.4.218.

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The experience of detoxification and satisfaction of patients with their treatment in a community-based alcohol recovery unit established by a voluntary organisation and in a psychiatric unit in a general hospital were assessed with the help of a structured questionnaire. Patients admitted to the two units were satisfactorily matched on most, although not all, variables. The types of withdrawal symptoms and lengths of stay were similar. No patient was transferred to hospital from the community facility. Patient satisfaction was greater in the detoxification unit where the cost of treatment was about a third of that in the psychiatric unit.

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Lejderman, Betina, Aline Parisotto i Lucas Spanemberg. "Trends in suicidal behavior at a general hospital emergency department in southern Brazil". Trends in Psychiatry and Psychotherapy 42, nr 4 (grudzień 2020): 311–17. http://dx.doi.org/10.1590/2237-6089-2019-0080.

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Launer, Michael A. "The psychonutritional unit: An out-patient clinic for eating disorders — the first five years". Psychiatric Bulletin 15, nr 9 (wrzesień 1991): 546–47. http://dx.doi.org/10.1192/pb.15.9.546.

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Before 1977 there was little work done with eating disorders in the psychiatric unit at Burnley General Hospital. The hospital dietetic department was aimed mainly at special diets for medical, surgical, and paediatric patients and services for the obese. Many patients with anorexia nervosa were treated on paediatric or medical wards, until in the early ‘80s, following the establishment of a clinical psychology department, a principal-grade psychologist was appointed.

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Davoren, M., A. Doherty, E. Breen, J. Sheehan i B. D. Kelly. "Brain Imaging in Clinical Psychiatry: Why?" European Psychiatry 24, S1 (styczeń 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70926-5.

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Aims:To explore clinical indications for, and results of, brain imaging in a department of general adult psychiatry.Method:We reviewed the 100 most recent episodes of brain imaging at the Department of General Adult Psychiatry, Mater Misericordiae University Hospital, Dublin.Results:Patients had a mean age of 55.30 years. The most common indications for scans were cognitive impairment (33%) and other neurological concerns (e.g. seizures) (30%). Forty-seven per cent of scans were abnormal. The most common abnormalities were ischaemia (17%) and atrophy (10%). Patients with abnormal scans were older than those with normal scans (61.90 and 48.70 years, respectively; p< 0.001).Conclusion:Brain imaging contributes significantly to diagnosis in general adult psychiatry, especially for older patients.

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Hughes, Tom, Susan Hampshaw, Edward Renvoize i David Storer. "General hospital services for those who carry out deliberate self-harm". Psychiatric Bulletin 22, nr 2 (luty 1998): 88–91. http://dx.doi.org/10.1192/pb.22.2.88.

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The Royal College of Psychiatrists has published national guidelines for services for those who carry out deliberate self-harm. This study aimed to discover whether these recommendations are being followed. We conducted a semi-structured interview with a professional from the accident and emergency service and one from the specialist service at each of 16 hospitals in the former Yorkshire Regional Health Authority. The findings are that services are not adhering to the guidelines. The production of guidelines without an adequate implementation strategy is ineffective. The Department of Health should endorse the College guidelines, and produce an implementation strategy to secure the involvement of purchasers and providers.

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Lai, Kelly Y. C., i C. K. Wong. "Patterns of Referral to Child Psychiatry in Hong Kong". Australian & New Zealand Journal of Psychiatry 28, nr 3 (wrzesień 1994): 412–17. http://dx.doi.org/10.3109/00048679409075867.

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The referral pattern by three major sources to the Child and Adolescent Psychiatric Unit of a university teaching hospital in Hong Kong is reviewed. In a health care system where primary health care is not properly developed, referral of children with psychiatric problems relies heavily on secondary health care professionals. Over a three year period, 37.8% of the new cases were referred by the other departments of the same hospital, while the Education Department and general practitioners each referred 17.4%. Overall, up to 80% of these children had definite psychiatric problems. Because the morbidities of these children often traverse physical, psychological, social, and educational dimensions, a close liaison with all the different professionals involved is vital.

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Stansfeld, Stephen. "Attitudes to developments in community psychiatry among general practitioners". Psychiatric Bulletin 15, nr 9 (wrzesień 1991): 542–43. http://dx.doi.org/10.1192/pb.15.9.542.

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As general practitioners (GPs) are clinically responsible for the majority of recognised psychiatric morbidity in the community, they have an important role to play in deciding the shape of new community psychiatric services. This paper reports the results of a self-completion postal questionnaire survey of Harlow GPs' views on how community psychiatric services should be developed. Harlow is a mature new town (population 79,521: 1981 census) north east of London, served by a typical DGH department of psychiatry with in-patient wards and a day hospital, outreach services being provided largely by community psychiatric nurses (CPNs). GPs work in group practices in purpose-built health centres.

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Lamichhane, Ram Prasad, Bhaskar Sharma, Prakash Neupane, Nisha Bhattarai i Sandipa Sharma. "A study on referral of patients in Department of Psychiatry at Lumbini Medical College and Teaching Hospital". Journal of Gandaki Medical College-Nepal 14, nr 2 (31.12.2021): 107–10. http://dx.doi.org/10.3126/jgmcn.v14i2.36824.

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Introduction: In a developing country like Nepal, where there is inadequate awareness but more social stigma towards psychiatric illnesses among people, there is an important role of referral psychiatry. Referral psychiatry has been considered to be an interface between psychiatric and non-psychiatric medicines as practiced in general hospital settings. This study analyses the psychiatric problems among patient referred to psychiatry department from other outpatient departments and emergency department in a tertiary care centre. Methods: This was a descriptive hospital-based study conducted among patients who were referred to psychiatry department from different outpatient departments of Lumbini Medical College and Teaching Hospital from November 1, 2019 to April 30, 2020. Ethical issues were considered strictly. Data were entered into Statistical Package for the Social Sciences version 21.0 and descriptive analysis was done. Results: A total of 781 patients were referred out of which more than half (n=487, 62.35%) were females and the most common age group was 41 to 50 years (n=175, 22.4%). Majority of patients (n=284, 36.4%) were referred from medicine department. The most common psychiatric illness diagnosed were those included under International Classification of Diseases 10th Revision F40-48 (Anxiety, Dissociative, Stress-related, Somatoform and other Non-Psychotic Mental Disorders). Conclusions: Referral psychiatry plays an important role to diagnose the undiagnosed psychiatric illnesses earlier and better and manage accordingly so it should be prioritized and practiced in health centers.

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Calvin, J. L. Rodriguez. "Treatment of Depressive Patients with Duloxetine in a Hospital Consulting Department". European Psychiatry 24, S1 (styczeń 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70741-2.

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Objective:Depressive symptoms present quite frequently in in-patients in general hospitals with a variety of organic conditions. The main aim of treatment is to manage the symptoms and prevent them from recurring.The primary endpoint for this study was to assess the effectiveness of treatment with duloxetine in a group of in-patients with depressive symptoms in the general hospital.Methods:This was an observational study with duloxetine, in which a total of 40 patients were included who presented depressive symptoms while in-patients in a general hospital and who had the established inclusion criteria.The clinical effectiveness of the treatment was assessed with the Hamilton scale and the Clinical Global Impression scales for severity and change.Results:A total of 40 patients were treated with duloxetine, 6 of whom (15%) dropped out of the study. The average maintenance dose administered at the baseline visit was 60 mg/day and at discharge was 75 mg/day. At the end of follow-up, there was a reduction with respect to the baseline values of 13.6 points on the Hamilton scale and 2.4 points on the CGI of severity scale. 63.4% of the patients felt “much better” at the final visit, according to the CGI of change scale.Conclusions:According to the results, it seems that DULOXETINE may be a good treatment option for patients admitted to general hospital for different conditions of organic origin who present depressive symptoms while in hospital, both for its therapeutic effectiveness and for its good tolerability profile.

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Santo, S., i A. Manuel. "P01-244 - Psychiatric emergency department of an adult general hospital - a look into the adolescents". European Psychiatry 25 (2010): 455. http://dx.doi.org/10.1016/s0924-9338(10)70450-8.

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Papamichael, E., A. Theochari, E. Kermanidou, I. Daglis, D. Tsiakidis i E. Halvatzi. "Estimation of inpatients in psychiatric department of General Hospital, Lesbos, Greece, 2006 (a retrospective analysis)". European Psychiatry 23 (kwiecień 2008): S278—S279. http://dx.doi.org/10.1016/j.eurpsy.2008.01.584.

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Pérez García, M., B. Portela Traba, A. Mozos Ansorena, J. M. Cornes Iglesias i M. Páramo Fernandez. "Assessment of suicide attempts in an emergency service of a General Hospital". European Psychiatry 26, S2 (marzec 2011): 1635. http://dx.doi.org/10.1016/s0924-9338(11)73339-9.

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IntroductionThere is a high frequency of attendance at emergency medical service for suicide attempts.ObjectivesDetermine the type of urgency for suicide attempt in our country.Material and methodsThe present study treats of suicide attempts (n = 248) attended by the Psychiatric Emergency Service of Hospital in our city between 2004–2008. The diagnoses were made by clinical interview following ICD-10 criteria.Results248 suicide attempts (60% women), with age between 15 and 88 years.There are equal proportions of singles and married (a 38%). 53% live with couple with/without children, 30%live with parents and a 10%live alone. >55% of patients have a middle education and socioeconomic level. The average time from suicide attempt until the assessment in the emergency department is 2.71 ± 3.64 hours. The day of the week with more assistance for this reason is Monday. Also it's observed an increase in the months between May and October. The cases are uniformly distributed throughout the month, although there is a decrease in the number of cases in the initial and final days of the month. 60% of patients haven’t history of previous attempts and use an only method that is drug overdose. Personality disorders are the most frequent diagnose and 44% patients need an internment in a psychiatric ward.ConclusionsProfile of the patient who makes a suicide attempt and that is evaluated in the Psychiatric Emergency Service of our Hospital: woman 36 years old, married/with couple and lives with him/her. She comes to emergency department in the first 4 hours after the drug overdose. She hasn’t history of previous attempts.She is diagnosed of emotionally unstable personality disorder.

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Dona Thomas, Sharon Thomas, Venkateswaramurthy N i Sambathkumar R. "Medication errors and adverse drug reactions in psychiatry department: A prospective observational study". International Journal of Research in Pharmaceutical Sciences 11, SPL4 (21.12.2020): 2669–74. http://dx.doi.org/10.26452/ijrps.v11ispl4.4538.

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The study was aimed to analyse the pattern of medication errors and drug interaction induced adverse drug reactions in the psychiatry department of a tertiary care hospital. A Prospective observational study being conducted in the inpatient and outpatient department of psychiatry in a tertiary care hospital, Erode, Tamil Nadu for over six months. A total of 80 prescriptions with psychiatric illness and 174 medication errors were observed. Of the 174 medication errors observed, 132(75.8%) were incomplete prescriptions making the highest number of medication errors. The highest number of errors occurred due to Prescription error 156(89.0%), followed by administration error 8(4.5%). According to the NCCMERP classification, the majority of medication errors were coming under category B 120(68.9%) but there is no harm. The demographic reports of outpatients in the present study showed a higher incidence of medication errors in patients with the age group of 31-40 years 25(36.7%). Considering the factors contributing to a medication error, refusal of the patient to take the drug 27(39.7%) followed by forgetting 13(19.1%) due to the vulnerable characteristics of the patient was more significant. Although there is a general lack of awareness, many patients and bystanders are unaware of their diagnosis and medications. It is, therefore, a crucial step to educate and make them aware of the correct use of medicine.

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Herilanja Hiarenantsoa RATOBIMANANKASINA, Fidelis Raphaël RANDRIANARIVO, Bertille Hortense RAJAONARISON i Adeline RAHARIVELO. "Covidophobia: Psychiatric and addict ION impacts in patients in the psychiatry department of Toamasina Madagascar University Hospital". World Journal of Advanced Research and Reviews 16, nr 2 (30.11.2022): 016–21. http://dx.doi.org/10.30574/wjarr.2022.16.2.1081.

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Introduction: The Covid-19 pandemic changes radically the modalities of care for almost worldwide hospitals, such as in the Psychiatry Department of the University Hospital of Analankininina Toamasina Madagascar. Phone exchanges reduced the transferal dimension of care approach, which is so important for patients treated in Psychiatric Department. The objective of this study is to describe the psychiatric and addictological impacts of the pandemic in patients in the Psychiatry Department Hospital of Toamasina Madagascar. Methods: This is a single-center descriptive prospective study conducted in the Psychiatric Département of Analankinina Toamasina University Hospital, which is the only hospital reference for mental disorders in the eastern region of Madagascar. The population studied were made up of outpatients and those hospitalized from September 01st to October 31st, 2021, more specifically, after the first pandemic of Covid-19 infection and after the first Lock-down period. Were included patients having or not a Covid-19 infection and who presented psychological disorders, a depressive mood, anxiety disorders, obsessive-compulsive disorders or a delusional state, with or without psychiatric and addiction past. Were excluded patients whose authorizatipn was not obtained. Questionnaires translated into the local dialect were used. Results: Thirty patient cases were included with Male-Female equitability. The average age was 42 years old. The study showed the predominance of psychiatric disorders in low-income patients (56.66%), who had mainly moderate forms of Covid-19 infection (66.67%). The majority of them (93.33%) presented significant psychological disorders according to the Mental Health Inventory-5 (MHI-5) Scale. Depression mood was found in 26.67% of cases according to the Hospital Anxiety and Depression Scale. A significant proportion of patients (90%) presented pathologic anxiety according to the same scale. Post-Traumatic Stress Disorder was observed in 46.66% of patients, according to the PTD Check List DSM5 (PCL-5) Scale. An increase of alcohol and cigarettes addiction and heroin withdrawal precisely due to financial problems have been noticed. Conclusion: Despite health restrictions due to spread of Covid-19 infections, contact and touch should always be at the heart of medical practice because according to traditional Malagasy belief, touch is synonymous of healing.

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Moon, Ha Ni, Jai Sung Noh i Choul Gyun Chai. "A Study on the Use and Spatial Composition of Outpatient Department of Psychiatry in General Hospital". Journal of The Korea Institute of Healthcare Architecture 21, nr 1 (28.02.2015): 17–26. http://dx.doi.org/10.15682/jkiha.2015.21.1.17.

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Henry, B. Dinsdale. "Denis Naldrett White, M.A., M.D., F.A.C.R, F.R.C.P.C. (1916-1993)". Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 20, nr 4 (listopad 1993): 341. http://dx.doi.org/10.1017/s0317167100048290.

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ABSTRACT:Denis Naldrett White was born in Bristol. He completed his premedical and medical education at Cambridge. This was followed by graduate training at the London Hospital with Russell Brain, Hospital for Sick Children, National Hospital for Nervous Diseases and the Institute of Psychiatry, University of London, where he completed a senior registrar post in 1948. That same year he was recruited by Dr. Ford Connell, Head of the Department of Medicine, to Queen’s University.

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Doherty, A. M., i E. Rutledge. "Providing a psychiatry service to a general hospital in the absence of a dedicated liaison psychiatry team". European Psychiatry 26, S2 (marzec 2011): 871. http://dx.doi.org/10.1016/s0924-9338(11)72576-7.

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IntroductionThe international literature has clearly set out the importance of having an appropriate consultation liaison psychiatry service in a general hospital. There is limited data available on the quality of psychiatric consultations in those areas which are without dedicated liaison psychiatry teams.ObjectivesTo examine the psychiatric work in a general hospital, and to establish a baseline regarding demographics, type of referral, and management of referrals.AimsTo assess the psychiatric needs of the hopsital with a view to introducing improved evidence-based treatments.MethodsAll referrals from medical and surgical teams and from the accident and emergency department over a 3 month period were prospectively reviewed. As there is no dedicated liaison service, the referrals are seen by the psychiatric registrar on call. The details were entered in a register and reviewed.Results160 referrals were received over the 3 months studied. 90% were from the area served by the psychiatric services based at the psychiatric unit in the hospital. The most common diagnosis was depression (27%). Alcohol was an important factor in 16% overall, and in 26% of referrals from the accident and emergency department.ConclusionIn the absence of a dedicated liaison psychiatry service, the liaison work is done by the team members of the general adult and psychiatry of older age teams. As 31% of the referrals seen were not deemed urgent by the assessing psychiatrist, there may be a role for a liaison nurse in the triage of referrals to this service.

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Huang, Fiona, Yusef Kiberu i Sreejib Das. "3 Reducing frequent attenders to the emergency department at west suffolk hospital". Postgraduate Medical Journal 96, nr 1132 (22.01.2020): 119.3–120. http://dx.doi.org/10.1136/postgradmedj-2020-fpm.3.

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IntroductionPatients who repeatedly attend the emergency department (ED) often have underlying complex social, psychological and chronic medical issues which are difficult to address in the emergency/acute medicine environment alone. Their attendances not only present a burden to the ED, but also can be a sign that the patient’s primary issue has been insufficiently addressed. At West Suffolk Hospital, we are trialling an approach to reduce frequency of ED attendances in a specific cohort of patients identified as being frequent attenders. In order to do this, we are using a multi-disciplinary approach including psychiatry services and ED clinicians.MethodsOur cohort of frequent attenders were identified as patients presenting more than 4 times to ED between March 2017 to April 2018. Exclusion criteria was if the patient is under 18 years old, has known long term medical conditions and known safeguarding concerns. With collaborative working by the emergency medicine clinician and liaison psychiatry, a letter was sent to 38 patients in May 2018, identifying them as frequent attenders and inviting them to a tailored multi-disciplinary team meeting. Initially we are assessing the impact of the letter, so 6 months after the letters were sent out, we assessed patient attendances again. 2 patients were excluded due to moving out of area and being in prison. Paired sample for means t-test was used to compare attendances pre- and post-intervention.ResultsThere were a wide range of presenting complaints to ED, most of which were psychiatric related – overdose, deliberate self harm, alcohol/drug related. The intervention letter improved the attendance rate the most in this cohort, whereas it had a negligible effect on attendances with physical complaints. The average fall in attendance was 33% in the 6 months post patients receiving the intervention letter. This reached significance level with p=0.039.ConclusionsSending frequent attender patients a letter and putting in place a care plan could significantly reduce Emergency Department attendances. However there were a small number of patients, making it difficult to assess the efficacy of our intervention especially when adjusting for patient relocation.We are hoping to disseminate the locally trialed strategy region wide across East Anglia, providing many more data points. We can also implement the model not just in patients with psychiatric background, but also patients with chronic medical problems too with additions to the multi-disciplinary team as per the needs of the patient.

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Linnemann, Calvin C., Constance Cannon, Martha DeRonde i Bruce Lanphear. "Effect of Educational Programs, Rigid Sharps Containers, and Universal Precautions on Reported Needlestick Injuries in Healthcare Workers". Infection Control & Hospital Epidemiology 12, nr 4 (kwiecień 1991): 214–19. http://dx.doi.org/10.1086/646327.

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AbstractObjective:To evaluate the effect of infection control programs on reported needlestick injuries in a general hospital.Design:Surveillance of all reported needlestick injuries at the University of Cincinnati Hospital was maintained by the infection control department for five years, from 1985 through 1989. Data on individual workers were collected, tabulated on a monthly basis, and reviewed continually to monitor trends in injuries. During this time, the effects of each of three new infection control programs on reported injuries were evaluated sequentially.Setting:A 700-bed general hospital that serves as the main teaching hospital of the University of cincinnati.Participants:All employees of University Hospital who reported to personnel health for management of needlestick injuries.Interventions:In 1986, an educational program to prevent injuries was initiated and continued throughout the surveillance period. In 1987, rigid sharps disposal containers were placed in all hospital rooms. In 1988, universal precautions were introduced with an intensive inservice.Results:Surveillance identified 1,602 needlestick injuries (320/year) or 104/1 ,000/ year. After the educational program began, reported injuries increased rather than decreased, and this was attributed to increased reporting. Subsequently, after installation of the new disposal containers, reported injuries returned to the levels seen prior to the educational program, but recapping injuries showed a significant decrease from 63/year to 30, or 20/1,000/year to 10. This decrease was observed in nurses but not in other healthcare workers. After universal precautions were instituted, total injuries increased slightly, but recapping injuries remained at 50% of the levels reported prior to the use of rigid sharps disposal containers.Conclusions: The three infection control programs failed to produce a major reduction in reported needlestick injuries, except for a decrease in recapping injuries associated with the placement of rigid sharps disposal containers in all patient rooms. These observations indicate that new approaches are needed to reduce needlestick injuries.

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Freudenreich, O., F. Smith, J. Wozniak, M. Fava i J. Rosenbaum. "The Psychiatric Morbidity and Mortality Teaching Conference to Improve Patient Safety: Lessons Learned at the Massachusetts General Hospital". European Psychiatry 41, S1 (kwiecień 2017): S298. http://dx.doi.org/10.1016/j.eurpsy.2017.02.180.

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IntroductionA morbidity and mortality (M&M) conference is a time-honored educational format in surgery and medicine to review bad patient outcomes and learn from mistakes made. However, despite the value of learning together as peers from difficult cases with unexpected outcomes, most psychiatric departments in the United States do not have an M&M conference. Several years ago, the department of psychiatry at Massachusetts's general hospital in Boston began a monthly M&M conference.ObjectivesDescribe our department's experience with the M&M format as an educational vehicle to teach patient safety and improve care in an increasingly complex care environment.AimsIntroduce the M&M format that we have developed at our department and obstacles encountered.MethodsWe reviewed the content of our four years of M&M conferences; the feedback received from participants after each conference; and changes introduced to improve the conference.ResultsOur department has successfully implemented and sustained a monthly psychiatric M&M conference that is well attended and valued. A critical decision was mandatory involvement of residents to prepare cases in conjunction with a dedicated faculty member. A structured presentation using a root cause analysis framework to guide the discussion in order to harness the wisdom of the group allows for a more comprehensive understanding of factors leading to bad outcomes, including systems-based problems.ConclusionsA psychiatric M&M conference can teach individual clinicians about patient safety. Developing a departmental mechanism to apply lessons learned in the conference to improve hospital systems is the next task.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Chapagai, M., KM Dangol, SP Ojha, M. Rana i P. Tulachan. "A Descriptive study of referral in Department of Psychiatry in Tertiary Hospital in Nepal". Journal of Psychiatrists' Association of Nepal 2, nr 2 (30.01.2014): 22–25. http://dx.doi.org/10.3126/jpan.v2i2.9721.

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Background There are many definition of liaison psychiatry. The American Academy of psychosomatic medicine has suggested the term “medical and surgical psychiatry”. Much of the literature on Consultation Liaison (C-L) Psychiatry concerns the psychiatric assessment and management of patients in a general hospital. Method This was a descriptive study consisting of all the cases referred for liaison psychiatric consultation from inpatient units of various departments of Tribhuvan University Teaching Hospital, between October 2012 to April 2013. Patients of any age and of either gender were included. Result A total of 95 patients were referred from different departments of the hospital for liaison psychiatric consultation within the 6 months period. Majority of the subjects were male .The mean age of the subjects was 42.47 years (±19.98). Neurotic and stress-related disorders were seen associated with female. Conclusion: Mainly young adults and adult between 21-50 years of age are referred for liaison. Neurotic and stress-related disorders (30.5%), organic mental disorders (27.4%) and mental and behavioral disorders due to substance use cases (16.8%) were mainly referred for liaison psychiatric consultation. DOI: http://dx.doi.org/10.3126/jpan.v2i2.9721 J Psychiatrists’ Association of Nepal Vol.2, No.2, 2013 22-25

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Honjo, Shuji, i Shinichiro Wakabayashi. "Family Violence in Japan—A Compilation of Data from the Department of Psychiatry, Nagoya University Hospital—". Psychiatry and Clinical Neurosciences 42, nr 1 (marzec 1988): 5–10. http://dx.doi.org/10.1111/j.1440-1819.1988.tb01949.x.

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Rachakatla, Shiva Kumar, Kishan Porandla, Sai Krishna Puli, Sanjay Kumar Nadigapu, Vishnu Vardhan mavillapalli, Swetha Cheriyala i Namrata Devulapally. "Pattern And Prevalence Of Psychiatry Morbidity Among Subjects Attended Psychiatric Outpatient Department In A Tertiary Care Hospital In Northern Telangana". Perspectives in Medical Research 10, nr 1 (6.05.2022): 50–53. http://dx.doi.org/10.47799/pimr.1001.09.

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Abstract Background: Mental health problem is a major public health issue all over the world including India. In India, mental disorders are the leading contributors to significant morbidity and disability amongst those affected. With changing health patterns among Indians, mental behavior and substance use disorders are coming to the forefront in health care delivery systems. Objective: This study was aimed to assess the diagnostic pattern of psychiatric morbidity among the patients attending psychiatric outpatient department in a private medical college. Methodology: This cross-sectional study was carried out in the Department of Psychiatry in Prathima Institute of Medical Sciences located at Karimnagar, Telangana, India. For this study, a total of 442 new subjects attending Psychiatry Outpatient Department (OPD) from August 2020 to July 2021 were taken. All the information including longitudinal histories of patients was recorded in files and the diagnosis was made following Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM 5). Socio-demographic parameters and family history of mental illness were collected from the record file of the individual patient. Results: In the present study, among the different age groups, the majority (28.05%) of the study subjects were of the age ranging from 21-30 years. The distribution according to gender was (62.89%) males and (37.10%) females. The majority of the study subjects belonged to the rural background (69.45%), educated up to 10th standard (28.73%), self-employed (29.86%), married (67.42%), belonged to Hindu religion (85.74%), and with a monthly family income of 5,000 to 10,000 (38.68%). The majority of the study subjects were diagnosed with Major depressive Disorders (28.05%), followed by anxiety disorders (17.87%) and Substance-Related and Addictive Disorders (16.96%). Conclusion: This study provides information about the prevalence of psychiatric morbidity among patients attending outpatient department in a private medical hospital in Northern Telangana. It helps in assessing the pattern of psychiatric problems and taking necessary steps to plan for better management of mental health care in the near future.

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Thompson, Margaret. "Child Psychiatry for Undergraduates–A Trainee's Experience in a Teaching Programme". Bulletin of the Royal College of Psychiatrists 9, nr 5 (maj 1985): 95–96. http://dx.doi.org/10.1192/s0140078900001929.

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Although the Academic Department of Child and Adolescent Psychiatry of the University of Glasgow came into being with the establishment of a Chair only in 1977, the subject had been taught to medical undergraduates since the early 60s. This was possible, even without a formal academic base, because of the long-established Scottish tradition that NHS consultants and their junior medical staff accept as a matter of course, and usually as something of a privilege, to participate in the teaching of medical students. As the Department of Child and Family Psychiatry was based in the main paediatric teaching hospital at the Royal Hospital for Sick Children, Glasgow, it was a natural development that this should also be the location for the teaching of the specialty, and throughout its development in Glasgow this course has been a part of the final year block placement of undergraduates for instruction in child health and paediatrics. Over the years there has also been some participation in the lecture course in general psychiatry which takes place in the fourth year of undergraduate study.

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Benerji, Therissa, Sarath Bodepudi, Gayathri Devi Cherukuri, Madhavi Kodali i Krishna Mohan Parvathaneni. "Diagnostic concordance in consultation liaison psychiatry – Referring physicians to psychiatrists". IP Indian Journal of Neurosciences 9, nr 4 (15.12.2023): 214–20. http://dx.doi.org/10.18231/j.ijn.2023.042.

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Psychiatric co-morbidity in patients with physical illness is known to influence the course and outcome of both conditions. Consultation liaison psychiatry [CLP] can be regarded as an essential service between psychiatry and other medical specialties. Efficient communication between different levels of care is known to have an impact on the quality of health care. To study the patterns of referrals to the department of psychiatry and diagnostic concordance between referring physicians to CL-Psychiatrist.The present study was a cross-sectional study conducted in the Department of Psychiatry of a tertiary care hospital. All the patients referred to the Psychiatry department for 4 months were taken after excluding referrals sent for disability assessment. Socio-demographic details, source of referral, reason for referral, and the psychiatric diagnosis by both the referring doctor and CL-psychiatrist were recorded. Statistical analysis was done using SPSS 25.0 software and kappa value was used to estimate the diagnostic concordance.In the sample of 100 referrals studied, the mean age of the sample was 40.96±13.42 years. The majority of the cases referred were inpatients (61%), from the department of general medicine and allied branches (85%), (General medicine -55, Neurology- 21). The most common diagnosis was alcohol dependence syndrome 24 (24%), followed by depression (18%) and phobic anxiety (18%).The concordance of the diagnosis between the referral and the psychiatry team was in perfect agreement (κ=0.81- 1.00) for paranoid schizophrenia, bipolar affective disorder, delirium, dissociative disorder, delusional disorder, and alcohol dependence syndrome. Very low concordance was observed in diagnosing obsessive-compulsive disorder (k=0) and adjustment disorder (k=0).The overall diagnostic concordance was poor for adjustment disorder, OCD, and vascular dementia, and good for paranoid schizophrenia, delirium, dissociative disorder, delusional disorder, and BPAD.

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Monzur, Md Sultan E., Mohammad Muntasir Maruf, Susmita Roy, Ramendra Kumar Singha Royle i Md Shafiqur Rahman. "Pattern of psychiatric morbidity among patients attended at psychiatry outpatient department in a private medical college hospital". Bangladesh Journal of Psychiatry 30, nr 1 (12.08.2018): 10–13. http://dx.doi.org/10.3329/bjpsy.v30i1.37856.

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Mental health problems are often unrecognized and neglected by patients, their relatives and by the society. The objective of the study was to find out the pattern of psychiatric morbidity of the patients attending at the psychiatry outpatient department. This was a cross sectional study carried out in the department of Psychiatry at North Bengal Medical College Hospital (NBMCH), Sirajganj from August, 2015 to July, 2017. For this purpose, 918 respondents attending in psychiatry outpatient department of NBMCH were enrolled in the study by using convenient sampling technique. The results showed that majority (26.3%) were from the age group of 31-40 years with female preponderance (58.7%). Among them 71.8% were married and 71.1% came from rural background. Maximum respondent’s (56.3%) monthly family income was in between 15,000-30,000 BDT. The most common psychiatric morbidity among the respondents was major depressive disorder (38.6%) followed by anxiety disorsers (25.8%). Most (85.1%) of the respondents were referred either by themselves or by their family members, friends or by relatives. The rest (14.9%) were referred by general physicians and specialists of different disciplines. The result of this study may help in the planning for better mental health service in private medical college hospitals.Bang J Psychiatry June 2016; 30(1): 10-13

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Bhardwaj, Akansha, Dimple Gupta, Rashmi Prakash i Nimmi A. Jose. "Psychiatric Referrals in a Tertiary Care Hospital in North India: A Retrospective Study". Archives of Medicine and Health Sciences 12, nr 1 (20.07.2023): 60–67. http://dx.doi.org/10.4103/amhs.amhs_120_23.

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Background and Aim: There is high prevalence of mental disorders in specialist treatment seekers across specialties. Still, psychiatry referral rates have been found to be very low. A physician refers a patient to psychiatric services for reasons like known case of mental disorder, physical symptoms without adequate explanation, or if the physician feels inadequate in dealing with psychological symptoms. A multi disciplinary approach should be encouraged for the management of such patients, facilitating early recognition and management of psychiatric problems. The aim is to study the sociodemographic variables of psychiatric referrals, reasons and diagnostic categories of psychiatric referrals, and the distribution of psychiatric diagnoses according to reasons and sources of referrals. Materials and Methods: A retrospective hospital based study was conducted in the Department of Psychiatry, Hamdard Institute of Medical Sciences and Research, New Delhi, by analyzing the recorded data of referrals to the Psychiatry Department from various other specialties from January 2019 to March 2020. All referred patients were evaluated by a Psychiatrist (MD Psychiatry) and the diagnosis was made as per the International Statistical Classification of Diseases 10 criteria. The data obtained were analyzed using descriptive statistical methods. Results: This study included 315 psychiatric referrals. The mean age and standard deviation of the entire sample were 37.75 ± 17.63. The referral rate was minimum from January to March 2020. The highest number of referrals was from Medicine Department (66.3%). Among those, the most common diagnoses were that of alcohol dependence (27%). The most common overall reason for referral was substance use (26.2%). The most common psychiatric diagnosis was alcohol dependence (24%). Hypertension was the most common physical comorbidity. The most common diagnosis for known case of psychiatric illness and follow ups were psychotic disorders (27.3% and 26.3%). Conclusion: The findings of this study give us insight that consultation liaison psychiatry should focus on early recognition and wholesome management of psychiatric disorders in patients with physical illness through consultation psychiatry services in general hospital settings.

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Youn, S., B. Park, S. Lee, C. Kim i S. Chung. "The Effect of a Sleep-hygiene Education and Sleeping Pill Reduction Program for Hospitalized Cancer Patients at a General Hospital". European Psychiatry 41, S1 (kwiecień 2017): S673. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1154.

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ObjectivesSleep disturbances are common among cancer patients. Especially during hospitalization, not only adverse medical conditions but also ward environments can affect sleep. We have developed a program of sleep-hygiene education and sleeping pill reduction for inpatients (the i-sleep program) and applied it to cancer patients. This study aimed to explore the effect of the program.MethodsIn a general hospital with 2,715 beds, we estimated the proportion of inpatients prescribed hypnotics at admission to and discharge from the department of oncology before (2014) and after (2015) the program. In addition, we estimated the proportion of inpatients prescribed hypnotics among all inpatients in the department of oncology on the first day of each month of 2014 and 2015.ResultsA total of 12,382 patients (2014, before) and 12,313 patients (2015, after) were admitted to oncology department of Asan Medical Center. The proportion of inpatients prescribed hypnotics as discharge medication among inpatients who had been prescribed them at the time of admission decreased significantly, from 76.0% (2014) to 69.8% (2015), after the program (RR = 0.92, 95% CI: 0.87–0.98). The proportion of inpatients newly prescribed sleeping pills after admission to the hospital did not significantly decrease (4.03% to 3.98%; RR = 0.99, 95% CI: 0.87–1.12). The mean prescription rate of sleeping pills per day was 10.02% in 2014 and 7.99% in 2015 (P = 0.03).ConclusionsAlthough the i-sleep program did not reduce the prescription rate of sleeping pills per day, it effectively reduced the proportion of cancer patients who continued to take sleeping pills from admission until discharge.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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