Meadows Graham N, Harvey Carol A, Joubert Lynette, Barton David, Bedi Gillinder
Southern Synergy, Dandenong Hospital, Dandenong, Victoria 3175, Australia.
Psychiatr Serv. 2007 Aug;58(8):1036-8. doi: 10.1176/ps.2007.58.8.1036.
This column presents the Consultation-Liaison in Primary-Care Psychiatry model, which was developed in Australia. This model is a structured approach to collaborative care of people with mental illnesses between primary care services and specialist mental health services. The first component of the model is a consultation, liaison, and education service provided by psychiatric consultants at participating general practices. The second component involves transferring selected patients from community mental health services into general practitioner-based collaborative care. In the final component a clinical case-register and reminder system managed by the specialist services is used to actively promote follow-up for transferred clients. The column also offers some evidentiary support for this care model that suggests a best-practices model for maintaining adequacy of care for patients.
本专栏介绍了在澳大利亚开发的基层医疗精神病学咨询联络模式。该模式是基层医疗服务与精神卫生专科服务之间对精神疾病患者进行协作护理的结构化方法。该模式的第一个组成部分是由参与的普通诊所的精神科顾问提供的咨询、联络和教育服务。第二个组成部分是将选定的患者从社区精神卫生服务机构转移到以全科医生为基础的协作护理中。在最后一个组成部分中,由专科服务机构管理的临床病例登记和提醒系统被用于积极促进对转诊患者的随访。本专栏还为这种护理模式提供了一些证据支持,表明这是一种维持患者充分护理的最佳实践模式。