Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study.

Consultation-Liaison (C-L) psychiatry Italy hospital psychiatry liaison psychiatry medical psychiatry

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 01 06 2022
accepted: 27 09 2022
entrez: 31 10 2022
pubmed: 1 11 2022
medline: 1 11 2022
Statut: epublish

Résumé

Conducted under the auspices of the Italian Society of Consultation Liaison Psychiatry (SIPC) the aim of this study was to describe the characteristics of Consultation Liaison Psychiatry (CLP) activity in Italy (SIPC-2-2018) over the past 20 years by comparing with data from the first Italian nation-wide study (SIPC-1-1998). We collected data on CLP visits of 3,943 patients from 10 Italian hospitals over a period of 1 year. Data were compared with those from the SIPC-1 1998 study (4,183 participants). Patients were assessed with the same Compared with participants from the previous study, SIPC-2-2018 participants were significantly older ( CLP workload has increased considerably in the past 20 years in Italy, with changes in patient demographic and clinical characteristics. A trend toward increase in medication-based patient management was observed. These findings suggest that the psychiatric needs of patients admitted to the general hospital are more frequently addressed by referring physicians, although Italian CLP services still deserve better organization and autonomy.

Identifiants

DOI: 10.3389/fpsyt.2022.959399 PMID: 36311528 PMC: PMC9614237
pubmed: 36311528
doi: 10.3389/fpsyt.2022.959399
pmc: PMC9614237
doi:

Types de publication

Journal Article

Langues

eng

Pagination

959399

Informations de copyright

Copyright © 2022 Zerbinati, Palagini, Balestrieri, Belvederi Murri, Caruso, D’Agostino, Ferrara, Ferrari, Minervino, Milia, Nanni, Pini, Politi, Porcellana, Rocchetti, Taddei, Toffanin, Grassi and Italian Society of Consultation-Liaison Psychiatry.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Luigi Zerbinati (L)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Laura Palagini (L)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Matteo Balestrieri (M)

Psychiatric Clinic, Department of Medicine, University of Udine, Udine, Italy.

Martino Belvederi Murri (M)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Rosangela Caruso (R)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Armando D'Agostino (A)

Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy.
Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy.

Maria Ferrara (M)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Silvia Ferrari (S)

Section of Psychiatry, Department of Diagnostic-Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy.
Dipartimento ad Attività Integrata di Salute Mentale e Dipendenze Patologiche, USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Antonino Minervino (A)

Italian Society of Psychosomatic Medicine, Parma, Italy.

Paolo Milia (P)

Italian Society of Psychosomatic Medicine, Parma, Italy.

Maria Giulia Nanni (MG)

University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.
Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy.

Stefano Pini (S)

Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy.

Pierluigi Politi (P)

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

Matteo Porcellana (M)

Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.

Matteo Rocchetti (M)

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

Ines Taddei (I)

Department of Psychiatric Sciences and Psychological Medicine, University La Sapienza, 3rd Psychiatric Clinic, Rome, Italy.

Tommaso Toffanin (T)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Luigi Grassi (L)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Jessica Bellucci (J)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Emilio Bergamelli (E)

Psychiatric Clinic, Department of Medicine, University of Udine, Udine, Italy.

Victor Attilio Campagna (V)

Psychiatric Clinic, Department of Medicine, University of Udine, Udine, Italy.

Melissa Cherubini (M)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Federica Folesani (F)

Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy.
Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy.

Marta Gancitano (M)

Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy.
Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy.

Francesca Giannetti (F)

Section of Psychiatry, Department of Diagnostic-Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy.

Gianluca Giovanna (G)

Dipartimento ad Attività Integrata di Salute Mentale e Dipendenze Patologiche, USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Benedetta Gullotta (B)

Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy.
Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy.

Lucia Massa (L)

Italian Society of Psychosomatic Medicine, Parma, Italy.

Giulia Montardi (G)

Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy.

Classifications MeSH