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Psychiatric consultation and referral.

R F Avant1

  • 1Department of Family Medicine, Mayo Clinic, Rochester, Minnesota.

The Medical Clinics of North America
|July 1, 1988
PubMed
Summary

Primary care physicians often manage psychiatric issues. Enhancing communication and consultation with psychiatrists improves care for patients with mental health conditions in primary care settings.

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Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Health Services Research

Background:

  • Over 50% of patients with psychiatric conditions are initially seen by primary care physicians (PCPs).
  • Effective management of mental health issues in primary care is crucial due to the high prevalence of psychiatric symptoms in these settings.
  • PCPs play a vital role in the initial assessment and ongoing care of patients with mental health concerns.

Purpose of the Study:

  • To highlight the importance of psychiatric consultation for patients with unclear diagnoses or treatment resistance in primary care.
  • To emphasize the benefits of improved communication between PCPs, consulting psychiatrists, and patients.
  • To explore the growing role and potential of consultation-liaison psychiatry services within primary care.

Main Methods:

  • Review of current practices and benefits of psychiatric consultation in primary care.
  • Discussion of specific clinical scenarios warranting psychiatric referral.
  • Analysis of the impact of consultation-liaison psychiatry services on patient care and physician collaboration.

Main Results:

  • Psychiatric consultation significantly benefits patients when diagnoses are uncertain or treatments are ineffective.
  • Key indicators for consultation include patient requests, diagnostic ambiguity, treatment non-response, and psychiatric crises.
  • Consultation-liaison psychiatry services enhance communication and collaboration between PCPs and psychiatrists.

Conclusions:

  • Strengthening the psychiatrist's role in primary care settings can substantially improve the quality of care for patients with psychiatric problems.
  • Facilitating open communication and easy access to psychiatric consultation makes patient care more effective and rewarding for PCPs.
  • The integration of psychiatric services into primary care is essential for addressing the mental health needs of a large patient population.

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