From consultation-liaison psychiatry to psychosocial advocacy : Maintaining psychiatry's scope. Commentaries. Author's rejoinder.
To review the status of consultation-liaison (C-L) psychiatry and the forces shaping it, and to propose strategies for dealing with the crisis in which it finds itself.
A Medline search of C-L psychiatry and related terms, together with hand-searching of C-L psychiatry and psychosomatic journals and bibliographies of found articles, was used for the literature base.
The experience of membership of the committees of national and international C-L psychiatry organisations and their interaction with health care administrators was used as the basis for the discussion of strategies.
It is argued that patients with physical/psychiatric comorbidity and somatisation have been marginalised by application of narrow definitions of what constitutes'serious mental disorder'in the public sector.
Evidence is presented to support the argument that physical/psychiatric comorbidity is the most common form of psychiatric presentation in the community, that such comorbidity has serious consequences in terms of morbidity, mortality and health-care costs, and that even subthreshold psychiatric symptoms have serious implications when physical comorbidity exists. (...)
Mots-clés Pascal : Psychiatrie liaison, Consultation psychiatrique, Conversion somatique, Service santé, Santé mentale, Australie, Océanie, Homme, Trouble somatoforme
Mots-clés Pascal anglais : Liaison psychiatry, Psychiatric consultation, Somatic conversion, Health service, Mental health, Australia, Oceania, Human, Somatoform disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0169633
Code Inist : 002B18H05B. Création : 16/11/1999.