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Indian J Psychiatry. 1998 Jul-Sep; 40(3): 224–230.
PMCID: PMC2966596

PSYCHIATRIC PROFILES IN MEDICAL-SURGICAL POPULATIONS : NEED FOR A FOCUSED APPROACH TO CONSULTATION-UAISON PSYCHIATRY IN DEVELOPING COUNTRIES

Abstract

Aim To study the profile of psychiatric disorders in medical-surgical inpatients so that subpopulations with particular mental health care needs could be identified. Findings: a retrospective analysis of 1245 referrals seen over seven years showed that psychiatric profiles in referrals from different sub-populations divided according to age, gender, source of referral and medical-surgical diagnosis, were quite dissimilar. It was felt that non-recognition of specific needs of these client groups had led to low referral rates (0.65%), and to referral practices wherein the needs of the consultee (referral for disturbed behaviour) and the consultant (management by pharmacologic agents) and certain social biases (low referrals for suicide attempts) had taken precedence over the requirements of optimal management of the cases. Implications : Financial and manpower constraints limit the advocacy for a superspecialist orientation, as a policy in India. It is recommended that while continuing with the provision of general consultation services, psychiatrists should acquire expertise in areas of C-L work, which fit in with their area of interest in general psychiatry.

Keywords: Medical surgical, sub-populations, consultation-liaison psychiatry, developing countries

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Anstee BH. The pattern of psychiatric referrals in a general hospital. Br J Psychiatry. 1972 Jun;120(559):631–634. [PubMed]
  • Bridges PK, Koller KM, Wheeler TK. Psychiatric referrals in a general hospital. Acta Psychiatr Scand. 1966;42(2):171–182. [PubMed]
  • Eilenberg MD. Survey of in-patient referrals to an American psychiatric department. Br J Psychiatry. 1965 Dec;111(481):1211–1214. [PubMed]
  • Kearney TR. Psychiatric consultations in a general hospital. Br J Psychiatry. 1966 Dec;112(493):1237–1240. [PubMed]
  • Maguire GP, Julier DL, Hawton KE, Bancroft JH. Psychiatric morbidity and referral on two general medical wards. Br Med J. 1974 Feb 16;1(5902):268–270. [PMC free article] [PubMed]
  • Malhotra S, Malhotra A. Liaison psychiatry in an Indian general hospital. Gen Hosp Psychiatry. 1984 Oct;6(4):266–270. [PubMed]
  • Macleod JG, Walton HJ. Liaison between phsicians and psychiatrists in a teaching hospital. Lancet. 1969 Oct 11;2(7624):789–792. [PubMed]
  • Popkin MK, Mackenzie TB, Callies AL. Psychiatric consultation to geriatric medically ill inpatients in a university hospital. Arch Gen Psychiatry. 1984 Jul;41(7):703–707. [PubMed]
  • Wig NN, Shah DK. Psychiatric unit in a general hospital in India: patterns of inpatient referrals. J Indian Med Assoc. 1973 Feb 1;60(3):83–86. [PubMed]

Articles from Indian Journal of Psychiatry are provided here courtesy of Medknow Publications