General Hospital Psychiatry
Volume 23, Issue 3 , Pages 124-132 , May 2001

Consultation-Liaison psychiatric service delivery: results from a European study

  • Frits J Huyse, M.D., Ph.D.

      Affiliations

    • Head Department of Consultation-Liaison Psychiatry, Hospital of the Free University, Amsterdam, The Netherlands
    • Corresponding Author InformationCorresponding author. PCD AZVU, de Boelelaan 1117, 1007MB Amsterdam, the Netherlands. Tel.: +31-20-444 0196; fax: 31-20-444-0197
    • ,
  • Thomas Herzog, M.D.

      Affiliations

    • Abteilung für Psychosomatik und Psychotherapeutische Medizin, Klinikum der Universität, Freiburg, Germany
    • ,
  • Antonio Lobo, M.D., Ph.D.

      Affiliations

    • Servicio de Psicosomatica, Hospital Clinico Universitario, Zaragoza, Spain
    • ,
  • Ulrik F Malt, M.D., Ph.D.

      Affiliations

    • Head Department of Psychosomatic and Behavioural Medicine, National Hospital, Oslo, Norway
    • ,
  • Brent C Opmeer, Ph.D.

      Affiliations

    • Department of Consultation-Liaison Psychiatry, Hospital of the Free University Hospital, Amsterdam, The Netherlands
    • ,
  • Barbara Stein, Ph.D.

      Affiliations

    • Abteilung für Psychosomatik und Psychotherapeutische Medizin, Klinikum der Universität, Freiburg, Germany
    • ,
  • Peter de Jonge, Ph.D.

      Affiliations

    • Department of Consultation-Liaison Psychiatry, Hospital of the Free University Hospital, Amsterdam, The Netherlands
    • ,
  • Richard van Dijck, M.D., Ph.D.

      Affiliations

    • Department of Psychiatry, Free University of Amsterdam, Amsterdam, The Netherlands
    • ,
  • Francis Creed, M.D., Ph.D.

      Affiliations

    • Department of Psychiatry, Manchester Royal Infirmary, Manchester, Great Britain UK
    • ,
  • Maria Dolores Crespo, M.D.

      Affiliations

    • Servico de Psiquiatria, Hospital Ramon Y Cayal, Madrid, Spain
    • ,
  • Graca Cardoso, M.D.

      Affiliations

    • Serviço de Psiquiatria, Hospital Amadora–Sintra, Amadora, Portugal
    • ,
  • Raoul Guimaraes-Lopes, M.D.

      Affiliations

    • Serviço de Psiquiatria, Hospital Amadora–Sintra, Amadora, Portugal
    • ,
  • Richard Mayou, M.D., Ph.D.

      Affiliations

    • University Department of Psychiatry, Warneford Hospital, Oxford, Great Britain UK
    • ,
  • Myriam van Moffaert, M.D.

      Affiliations

    • Psychiatrische Kliniek, Akademisch Ziekenhuis Rijksuniversiteit, Gent, Belgium
    • ,
  • Marco Rigatelli, M.D., Ph.D.

      Affiliations

    • Consultation-Liaison Psychiatry Service, Modena, Italy
    • ,
  • Paul Sakkas, M.D.

      Affiliations

    • Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Athens, Greece
    • ,
  • Pekka Tienari, M.D., Ph.D.

      Affiliations

    • Department of Psychiatry, University of Oulu, Oulu, Finland

References 

  1. Wise TN, Freyberger H. Consultation-liaison throughout the world. Adv Psychosomatic Med 1983;11:1–214.
  2. Mayou R, Huyse FJ. , and the ECLW Consultation-Liaison Psychiatry in Western Europe. General Hospital Psychiatry. 1991;13:188–208
  3. Huyse FJ, Herzog T, Malt UF. C-L Psychiatry in international perspective. In:  Rundell JR,  Wise M editor. Textbook Consultation-Liaison Psychiatry, Chapter 14. Washington, DC: Am Psychiatric Press; 1996;p. 228–255
  4. Huyse FJ, Herzog T, Malt UF, Lobo A. , and the European Consultation-Liaison Workgroup (ECLW). The European Consultation-Liaison Workgroup (ECLW) Collaborative Study. I. General Outline. General Hospital Psychiatry. 1996;18:44–55
  5. Lobo A, Huyse FJ, Herzog T, Malt UF, Opmeer BC, and the European Consultation-Liaison Worgroup (ECLW). The European Consultation-Liaison Workgroup (ECLW) Collaborative Study. II. Patient Registration Form (PRF) instrument, training and reliability. J Psychosomatic Res 1996;40:143–56.
  6. Malt UF, Huyse FJ, Herzog T, Lobo A, Rijssenbeek AJMM, and the European Consultation-Liaison Workgroup (ECLW). The European Consultation-Liaison Workgroup (ECLW) Collaborative Study. III. Training and Reliability of ICD-10 psychiatric diagnoses in the general hospital setting—an investigation of 220 consultants from 14 European countries. J Psychosomatic Res 1996;41:451–64.
  7. Wallen J, Pincus HA, Goldman HH, Marcus SE. Psychiatric consultations in short-term general hospitals. Arch Gen Psychiatry. 1987;44:163–168
  8. Hengeveld MW, Rooijmans HGM, Vecht-Van den Bergh R. Psychiatric consultations in a Dutch university hospital. A report on 1814 referrals, compared with a literature review. General Hospital Psychiatry. 1984;6:271–279
  9. Saravay S, Lavin M. Psychiatric morbidity, and length of stay in the general hospital. A critical review of outcome studies. Psychosomatics. 1994;35:233–252
  10. Strain JJ. Liaison psychiatry. In: Rundell JR, Wise M, editors. Textbook of Consultation-Liaison Psychiatry, Chapter 4. Am Psychiatric Press, Washington DC, 1996. p. 38–52.
  11. Norusis MJ. SPSS-X. Advanced Statistics Guide. New York: McGraw Hill; 1985;
  12. Huyse FJ, Herzog T, Lobo A, Malt UF, Opmeer BC, Stein B, et al. European Consultation-Liaison Psychiatric Services. the ECLW Collaborative Study. Acta Psychiatrica Scand. 2000;101:360–366
  13. Smalls G, Mast van der RC, Speckens AE, Schudel WJ. Alcohol abuse among general hospital inpatients according to the Munich Alcoholism Test (MALT). General Hospital Psychiatry. 1994;16:125–130
  14. Hackett TP, Cassem NH. Massachusetts General Hospital Handbook of General Hospital Psychiatry. St Louis: Mosby; 1979;
  15. Huyse FJ, Herzog T, Lobo A, Malt UF, Opmeer BC, Stein B, et al. European Consultation-Liaison Services, and Their User Populations. The European Consultation-Liaison Workgroup Collaborative Study. Psychosomatics. 2000;41:330–338
  16. Huyse FJ, Herzog T, Malt UF, Huyse FJ, Herzog T, Lobo A, Slaets JPJ, Cardoso G, Fink P, Rigatelli M, Balogh N. A screening instrument for the detection of psychosocial riskfactors in patients admitted to general hospital wards. In Baert, et al., editors. Biomedical and Health Research. Ohmsha: IOS Press, 1995. p. 496–7.
  17. Huyse FJ. From consultation to complexity of care prediction, and health service needs assessment. Ed J Psychosomatic Res. 1997;43:233–240
  18. Huyse FJ, Lyons JS, Stiefel FC, Slaets JPJ, Jonge de P, Fink P, Gans ROB, Guex P, Herzog T, Lobo A, Smith GC, Strack van Schijndel R. “INTERMED”. A method to assess health service needs. I. Development and reliability. General Hospital Psychiatry 1999;18:39–48.
  19. de Jonge P, Huyse FJ, Lobo A, Slaets JPJ, Herzog T, Lobo A, et al. Care Complexity in the general hospital. Results from a European Study. Psychosomatics. 2001;42:204–212
  20. de Jonge P, Huyse FJ, Herzog T, Lobo A, Slaets JPJ, Lyons JS, et al. Risk factors for complex care needs in general medical inpatients. Results from a European Study. Psychosomatics. 2001;42:213–221
  21. Huyse FJ, de Jonge P, Slaets JPJ, Lobo A, Herzog T, Lyons JS, et al. COMPRI—an instrument to detect patients with complex care needs. results from a European Study. Psychosomatics. 2001;42:222–228
  22. Stiefel FC, de Jonge P, Huyse FJ, Guex P, Slaets JPJ, Lyons JS, et al. “INTERMED”. A method to assess health service needs. II. First results on its validity and clinical use. General Hospital Psychiatry. 1999;21:49–56
  23. Stiefel FC, de Jonge P, Huyse FJ, Slaets JPJ, Guex P, Lyons JS, et al. “INTERMED”. An assessment and classification system for case complexity. Results in patients with low back pain. Spine. 1999;24:378–385
  24. Huyse FJ, Lyons JS, Stiefel F, Slaets JPJ, de Jonge P, Latour C. Operationalizing the biopsychosocial model. The INTERMED. Psychosomatics. 2001;42:5–13
  25. Kathol R, Harsh HH, Hall RCW, Shakespeare A, Cowart T. Categorization of types of medical/psychiatry units based on level of acuity. Psychosomatics. 1992;33:376–386
  26. Stoudemire A. The emergence of medical psychiatry, its relevance to consultation-liaison, and general hospital psychiatry. Psychosomatics. 1998;39:219–224
  27. Stein BM. Psychiatrische und Psychosomatische Konsiliare. Untersuchungen zu ihrer beruflichen Entwicklung und Konsilpraxis. Frankfurt am Main Deutschland: Peter Lang; 1999;
  28. Huyse FJ. The organisation of psychiatric services for general hospital departments. In: Gelder MG, Lopez-Ibor JJ, Andreasen N, editors. New Oxford Textbook of Psychiatry, Vol 2. Oxford: Oxford University Press, 2000 p. 1235–42.
  29. Huyse FJ, de Jonge P, Lyons JS, Stiefel FC, Slaets JPJ. INTERMED. A tool for controlling for confounding variables, and designing multimodel treatment. [Letter to the Editor]. J Psychosomatic Res. 1999;4:401–402
  30. de Jonge P, Huyse FJ, Ruinemans GM, Stiefel FC, Lyons JS, Slaets JPJ. Timing of psychiatric consultations. The impact of social vulnerability and level of psychiatric dysfunction. Psychosomatics. 2000;6:505–511
  31. de Jonge P, Huyse FJ, Stiefel FC, Slaets JPJ, Gans ROB. INTERMED—A clinical instrument for biopsychosocial assessment. Psychosomatics 2001;42:106–9.

PII: S0163-8343(01)00139-6

General Hospital Psychiatry
Volume 23, Issue 3 , Pages 124-132 , May 2001

Article Tools

* Image Usage & Resolution