Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica
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Seishin Shinkeigaku Zasshi · Jan 2003
ReviewConsultation-liaison psychiatry: an international perspective.
Consultation-liaison (C-L) psychiatry is the specialty of physical/psychiatric comorbidity and somatization. As such, it addresses the commonest forms of psychiatric presentation in the community; it is mainstream psychiatry. Its name reflects the fact that most of the patients seen by C-L psychiatrists have to be managed jointly with a non-psychiatrist doctor and other professionals. ⋯ These differences permit a refreshing opportunity to re-examine the ways in which patients with physical/psychiatric comorbidity and somatization can be helped. The International Organization for Consultation-Liaison Psychiatry was formed to facilitate this process. It has identified challenges that are universal, and which if not met rapidly and efficiently will damage our ability to provide appropriate care for the patients whom we serve.
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Seishin Shinkeigaku Zasshi · Jan 2003
Review[What should general hospital psychiatry do in a community?].
Some experiences in Nagano Red Cross hospital and Nagano Prefecture are presented, and the role of general hospital psychiatry (GHP) in a community is discussed. Psychiatric services in Nagano prefecture with population 2.21 million consist of four blocks. Our unit is in north block, providing treatment for acute phase and, in 2000, 1504 cases were new outpatients, daily outpatients were 198 cases and new inpatients were 604 cases including 146 emergency inpatients. ⋯ In order to promote the above it is necessary to self-evaluate GHP concerning the difference with specialized psychiatric hospitals or clinics. From these viewpoints GHP will become a core of community psychiatry. Currently, however, preparation concerned with GHP is poor compared with other advanced countries, so an aggressive improvement in medical policy is expected.