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How to write a psychiatric consultation

T R Garrick, N L Stotland

The American Journal of Psychiatry

|July 1, 1982

Summary

This summary is machine-generated.

This study presents a framework for improving psychiatric consultation notes, enhancing communication between healthcare providers and patient care. It details how to optimize the content and style of these essential medical records.

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Area of Science:

Psychiatry
Medical Communication
Healthcare Documentation

Background:

The written psychiatric consultation note is a critical, universal component of the consultation process.
It serves as the official, permanent record of psychiatric assessments and recommendations.
Opportunities exist to improve both the service and teaching aspects of this documentation.

Purpose of the Study:

To provide a conceptual and practical scheme for consultants.
To guide decision-making regarding content, style, and wording in written psychiatric consultations.
To enhance the effectiveness of consultation documentation for improved patient care and interprofessional communication.

Main Methods:

Analysis of the components of a written psychiatric consultation document.

Related Experiment Videos

Consideration of headings, openings, history, examination, and formulations.

Evaluation of the impact of document components on the consultant-consultee relationship and patient management.

Main Results:

A structured approach to crafting psychiatric consultation notes is proposed.
Specific guidance is offered for optimizing each section of the consultation document.
The importance of document structure in facilitating effective communication and patient care is highlighted.

Conclusions:

Effective written psychiatric consultations are crucial for optimal patient care and interdisciplinary collaboration.
The proposed scheme offers a practical tool for enhancing the quality and impact of consultation documentation.
Improving the clarity and content of these records can significantly benefit both the consultee and the patient.