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  • Title: Timing of psychiatric consultations: the impact of social vulnerability and level of psychiatric dysfunction.
    Author: de Jonge P, Huyse FJ, Ruinemans GM, Stiefel FC, Lyons JS, Slaets JP.
    Journal: Psychosomatics; 2000; 41(6):505-11. PubMed ID: 11110114.
    Abstract:
    The authors examined the timing of patient referrals to a psychiatric consultation-liaison service in relation to the patient's social vulnerability and level of psychiatric dysfunction. One hundred consecutive patients were assessed with the INTERMED, a method to document biopsychosocial and health care-related aspects of disease. Although 30% of patients were referred within the first day of admission, 19% of requests for referrals were made after 2 weeks. Late referral was associated with high social vulnerability and early referral with severe psychiatric dysfunction. The authors illustrate the disadvantages of a psychiatric liaison model focusing on psychopathology alone and demonstrate the need for an integrated patient assessment in the general hospital, focusing on detecting frail elderly patients.
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