Consultation-liaison psychiatry in an Australian oncology unit.
To provide an overview of the work of a consultation-liaison (C-L) psychiatry service to an oncology unit in a university affiliated teaching hospital, with the aid of a comprehensive clinical database.
The MICROCARES prospective clinical database system was used to record data on all oncology inpatients referred to C-L psychiatry, and the hospital clinical database was used to compare referred inpatients with all oncology inpatients.
Two hundred and seventy-one referrals were made in the 3 years from 1991 to 1993, a referral rate of 10.4%. The referred patients were younger but there was no bias in sex and marital status.
The mean length of stay was twice that for all other oncology admissions, day cases excluded.
The most frequent reasons for referral were coping problems, depression, terminal illness issues and anxiety.
The most common psychiatric diagnoses were Systemic Family Problems (V codes, 24%), Mood Disorders (23%), Adjustment Disorders (16%) and Organic Mental Disorders (10%). Management involved family conferences in half of the patients and antidepressant medication in one-quarter.
Concordance with pharmacological recommendations was 98%. Existential issues and family-centred care are discussed.
Both individual and family-centred care is required in an oncology service ; a dedicated liaison attachment offers considerable staff support. (...)
Mots-clés Pascal : Organisation santé, Milieu hospitalier, Psychiatrie liaison, Australie, Océanie, Service hospitalier, Cancérologie, Trouble psychiatrique, Homme
Mots-clés Pascal anglais : Public health organization, Hospital environment, Liaison psychiatry, Australia, Oceania, Hospital ward, Cancerology, Mental disorder, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0327337
Code Inist : 002B18H05B. Création : 10/04/1997.