[Initial experiences with the development of a psychiatric consultation service in relation to "psychiatry in crises...

The integration of psychiatrists in a general hospital leads to the expectation that psychiatric and psychosocial crisis situations are encountered in a different way than the traditional hospitalization in a psychiatric clinic. The presented evaluation shows in which proportion of referred patients a crisis intervention took place. Without beds assigned as such for psychiatry patients there were more crisis interventions handled within the structures of the somatic wards than in the psychiatric outpatient service alone. The necessity of hospitalisation in a psychiatric clinic was discussed in 40% of all the cases of both the consultation-liaison service and the outpatient service of the social psychiatry team. Due to crisis intervention hospitalization in a psychiatric clinic was avoided for approximately 100 patients a year.