Gomes Maria Gabriela J B, De Morais Luciene V, Osório Flávia De L, Cabrera Catalina Camas, Bertuso-Pelá Elaine C, De Carlo Marysia M R, Hallak Jaime E C, Contel José Onildo B, Loureiro Sonia Regina, Chagas Marcos Hortes N, Crippa José Alexandre S
Division of Occupational Therapy, Department of Neuroscience and Behavior, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
Scand J Occup Ther. 2012 Jan;19(1):84-91. doi: 10.3109/11038128.2010.534504. Epub 2010 Nov 25.
The objective was to conduct a retrospective and comparative study of the requests for consultation-liaison (RCLs), during a period of six years, sent to the Occupational Therapy (OT) team that acts as the Consultation-liaison Service in Mental Health. During the studied period 709 RCLs were made and 633 patients received OT consultations. The comparison group was extended to 1 129 consecutive referrals to the psychiatric CL service, within the same period and that were also retrospectively reviewed. Regarding to RCLs to the OT team, most of the subjects were women with incomplete elementary schooling, with a mean age of 39.2 years, and were self-employed or retired. Internal Medicine was responsible for most of the RCLs. The mean length of hospitalization was 51 days and the mean rate of referral was 0.5%, with the most frequent reason for the request being related to the emotional aspects and the most frequent psychiatric diagnosis was mood disorder. It is concluded that there is a clear demand for the development of consultation-liaison in OT, particularly with regard to the promotion of mental health in general hospitals.
目的是对六年间发送给担任心理健康咨询联络服务的职业治疗(OT)团队的咨询联络请求(RCL)进行回顾性比较研究。在研究期间,共提出了709项RCL,633名患者接受了OT咨询。对照组扩展至同期连续转诊至精神科CL服务的1129例病例,这些病例也进行了回顾性审查。关于向OT团队提出的RCL,大多数受试者为未完成小学教育的女性,平均年龄39.2岁,自营职业或已退休。内科提出的RCL最多。平均住院时间为51天,平均转诊率为0.5%,最常见的请求原因与情绪方面有关,最常见的精神科诊断为情绪障碍。结论是,OT领域对咨询联络服务的发展有明确需求,特别是在综合医院促进心理健康方面。