Despite developments in general hospital liaison psychiatry over the past 20 years, joint care still remains underdeveloped in Europe.
Psychiatry continues to move from the mental hospital to the general hospital unit without the parallel evolution of combined medical and psychiatric.
An inpatient unit that provides both medical and psychiatric care may provide an essential integration of care that can benefit a select group of patients.
The aims of this study were to prospectively evaluate the profile, treatment, and follow-up of patients admitted to the joint-care unit, and to examine the difficulties associated with the treatment of these patients on a joint unit.
Eighty-nine patients were admitted to the joint care unit over a 6-month period.
Their median length of stay was 2 days (range 1-52 days).
Fifty-six (50%) were female.
The majority (68) (76%) of the group were admitted following acts of deliberate self-harm.
The overall predominant psychiatric diagnosis was depression (41) (46%). During admission, 23 (26%) patients were found to have behavioral and psychiatric problems that were difficult to manage on the ward.
Eleven patients caused difficulties for staff relating to the management of their physical illness.
Thirty-six (33%) patients were referred for further psychiatric inpatient care from the joint-care unit.
The extra burden of these patients'care was felt to fall on the staff working on the psychiatric unit. (...)
Mots-clés Pascal : Trouble psychiatrique, Hospitalisation, Service hospitalier, Psychiatrie, Maladie, Organisation santé, Irlande, Europe, Admission hôpital, Santé mentale, Homme, Santé physique
Mots-clés Pascal anglais : Mental disorder, Hospitalization, Hospital ward, Psychiatry, Disease, Public health organization, Ireland, Europe, Hospital admission, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0307074
Code Inist : 002B18I09. Création : 27/11/1998.