Proactive Psychiatric Consultation Services Reduce Length of Stay for Admissions to an Inpatient Medical Team

Psychosomatics

Volumn 52, Issue 6, 2011, Pages 513-520

  Desan, Paul H ^a,b   Zimbrean, Paula C ^a,b   Weinstein, Andrea J ^a   Bozzo, Janis E ^b   Sledge, William H ^a,b  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b YALE NEW HAVEN HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONSULTATION; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; FEMALE; FOLLOW UP; HEALTH CARE COST; HEALTH CARE PERSONNEL; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; MENTAL HEALTH SERVICE; MENTAL PATIENT; PSYCHIATRIST; AGED; CLINICAL TRIAL; COST BENEFIT ANALYSIS; ECONOMICS; GENERAL HOSPITAL; MENTAL DISEASE; MIDDLE AGED; NEEDS ASSESSMENT; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT REFERRAL; PSYCHIATRY; PSYCHOTHERAPY; PUBLIC RELATIONS; STATISTICS; TIME;

ADULT; AGED; COST-BENEFIT ANALYSIS; FEMALE; HOSPITALS, GENERAL; HUMANS; INTERPROFESSIONAL RELATIONS; LENGTH OF STAY; MALE; MENTAL DISORDERS; MIDDLE AGED; NEEDS ASSESSMENT; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT ADMISSION; PATIENT CARE TEAM; PSYCHIATRY; PSYCHOTHERAPEUTIC PROCESSES; REFERRAL AND CONSULTATION; TIME FACTORS;

EID: 84857397257     PISSN: 00333182     EISSN: 15457206     Source Type: Journal    
DOI: 10.1016/j.psym.2011.06.002     Document Type: Article

References (28)

1. Silverstone P.H. Prevalence of psychiatric disorders in medical inpatients. J Nervous Mental Dis 1996, 184:43-51.
2. Wancata J., Windhaber J., Bach M., et al. Recognition of psychiatric disorders in nonpsychiatric hospital wards. J Psychosom Res 2000, 48:149-155.
3. Hansen M.S., Fink P., Frydenberg M., et al. Mental disorders among internal medical inpatients: prevalence, detection, and treatment status. J Psychosom Res 2001, 50:199-204.
4. Fulop G., Strain J.J., Fahs M.C., et al. A prospective study of the impact of psychiatric comorbidity on length of hospital stays of elderly medical-surgical inpatients. Psychosomatics 1998, 39:273-280.
5. Saravay S.M. Psychiatric interventions in the medically ill. Outcome and effectiveness research. Psychiatr Clin North Am 1996, 19:467-480.
6. Zolneirek C.D. Non-psychiatric hospitalization of people with mental illness: systematic review. J Adv Nurs 2009, 65:1570-1583.
7. Bourgeois J.A., Kremen W.S., Servis M.E., et al. The impact of psychiatric diagnosis on length of stay in a university medical center in the managed care era. Psychosomatics 2005, 46:431-439.
8. Bourgeois J.A., Wegelin J.A. Lag time in psychosomatic medicine consultations for cognitive disorder patients: association with length of stay. Psychosomatics 2009, 50:622-625.
9. Kishi Y., Meller W.H., Kathol R.G., et al. Factors affecting the relationship between the timing of psychiatric consultation and general hospital length of stay. Psychosomatics 2004, 45:470-476.
10. Lyons J.S., Hammer J.S., Strain J.J., et al. The timing of psychiatric consultation in the general hospital and length of hospital stay. Gen Hosp Psychiatry 1986, 8:159-162.
11. Billings E.G., McNary W.S., et al. Financial importance of general hospital psychiatry to hospital administrator. Hospitals 1937, 11:40-44.
12. Levitan S.J., Kornfeld D.S. Clinical and cost benefits of liaison psychiatry. Am J Psychiatry 1981, 138:790-793.
13. Strain J.J., Lyons J.S., Hammer J.S., et al. Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients. Am J Psychiatry 1991, 148:1044-1049.
14. Levenson J.L., Hamer R.M., Rossiter L.F. A randomized controlled study of psychiatric consultation guided by screening in general medical inpatients. Am J Psychiatry 1992, 149:631-637.
15. McCullagh P., Nelder J.A. Generalized linear models 1989, Chapman and Hall/CRC, London; New York.
16. Huyse F.J., Herzog T., Lobo A., et al. Consultation-liaison psychiatric service delivery: results from a European study. Gen Hosp Psychiatry 2001, 23:124-132.
17. Wallen J., Pincus H.A., Goldman H.H., et al. Psychiatric consultations in short-term general hospitals. Arch Gen Psychiatry 1987, 44:163-168.
18. Katon W., Von Korff M., Lin E., et al. Distressed high utilizers of medical care : DSM-III-R diagnoses and treatment needs. Gen Hosp Psychiatry 1990, 12:355-362.
19. Boone C.R., Coulton C.J., Keller S.M. The impact of early and comprehensive social work services on length of stay. Soc Work Health Care 1981, 7:1-9.
20. Farren E.A. Effects of early discharge planning on length of hospital stay. Nursing Economics 1991, 9:25-30.
21. Sells D., Sledge W.H., Wieland M., et al. Cascading crises, resilience, and social support within the onset and development of multiple chronic conditions. Chronic Illness 2009, 5:92-102.
22. Billings E.G. Value of psychiatry to the general hospital. Hospitals 1941, 15:30-34.
23. Slaets J.P., Kauffmann R.H., Duivenvoorden H.J., et al. A randomized trial of geriatric liaison intervention in elderly medical inpatients. Psychosom Med 1997, 59:585-591.
24. Camus V., Viret C., Porchet A., et al. Effect of changing referral mode to C-L psychiatry for noncognitively impaired medical inpatients with emotional disorders. J Psychosom Res 2003, 54:579-585.
25. de Jonge P., Latour C.H., Huyse F.J. Implementing psychiatric interventions on a medical ward: effects on patients' quality of life and length of hospital stay. Psychosom Med 2003, 65:997-1002.
26. Gater R.A., Goldberg D.P., Evanson J.M., et al. Detection and treatment of psychiatric illness in a general medical ward: a modified cost-benefit analysis. J Psychosom Res 1998, 45:437-448.
27. Hengeveld M.W., Ancion F.A., Rooijmans H.G. Psychiatric consultations with depressed medical inpatients: a randomized controlled cost-effectiveness study. Int J Psychiatry Med 1988, 18:33-43.
28. Kathol R.G., Kunkel E.J., Weiner J.S., et al. Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface. Psychosomatics 2009, 50:93-107.