Consultation-Liaison Psychiatry (CLP), as a specific psychiatric area dealing with the psychological care of medically ill patients and the relation between medical and psychiatric disorders, has remarkably developed over the last 30 years in many countries. Some issues related to its relationship with psychosomatic medicine, the sparse application of CLP guidelines and result have been to objects of investigation and the different organization in different countries remain unsolved problems. The paper examines the recent progress and challenges of CLP in the United Kingdom, Italy and Japan. The experience in specific areas of CLP are described in these three countries, particularly in the settings of general hospital psychiatry (e.g. psychiatric consultation and liaison in medical and surgical wards), CLP in emergency unit (e.g. self-harm), psychiatric and psychosocial care in oncology (e.g. psycho-oncology) and palliative care liaison psychiatry. In all three countries, however, it is considered that the provision of CLP service is insufficient, and the application of officially acknowledged standards of care is necessary.
Consultation-Liaison Psychiatry in the General hospital. The experience of UK, Italy and Japan
GRASSI, Luigi;CARUSO, Rosangela;NANNI, Maria Giulia;
2015
Abstract
Consultation-Liaison Psychiatry (CLP), as a specific psychiatric area dealing with the psychological care of medically ill patients and the relation between medical and psychiatric disorders, has remarkably developed over the last 30 years in many countries. Some issues related to its relationship with psychosomatic medicine, the sparse application of CLP guidelines and result have been to objects of investigation and the different organization in different countries remain unsolved problems. The paper examines the recent progress and challenges of CLP in the United Kingdom, Italy and Japan. The experience in specific areas of CLP are described in these three countries, particularly in the settings of general hospital psychiatry (e.g. psychiatric consultation and liaison in medical and surgical wards), CLP in emergency unit (e.g. self-harm), psychiatric and psychosocial care in oncology (e.g. psycho-oncology) and palliative care liaison psychiatry. In all three countries, however, it is considered that the provision of CLP service is insufficient, and the application of officially acknowledged standards of care is necessary.I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
