Department of Child and Adolescent Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Psychosomatics. 2011 May-Jun;52(3):210-7. doi: 10.1016/j.psym.2011.01.044.
Although most individuals with intellectual disability (ID) currently reside in the community and receive their health care in general medical settings, there is no specific literature on psychiatric consultation to those requiring inpatient medical or surgical care.
The authors discuss the specialized features of the consultation-liaison (C-L) evaluation and common requests for psychiatric consultation in the hospitalized ID population.
This article reviews the literature on general psychiatric care in this population and presents the experience of practitioners in the ID-Psychiatry field who have followed their patients through episodes of inpatient non-psychiatric care.
The C-L clinician must adapt the interview to accommodate a patient's cognitive, sensory, and language capacities; integrate information from collateral sources; and serve as a liaison between multiple parties.
ID should not be a barrier to the delivery of appropriate health care. This article provides evidence and recommendations on C-L assessment, management, and liaison for hospitalized individuals with ID.
尽管大多数智障（ID）患者目前居住在社区中，并在一般医疗环境中接受医疗保健，但对于需要住院医疗或手术护理的患者，尚无关于精神病学咨询的特定文献。
作者讨论了咨询联络（C-L）评估的专业特点以及住院 ID 人群中常见的精神病学咨询请求。
本文回顾了该人群的一般精神保健文献，并介绍了 ID-精神病学领域的从业者的经验，他们通过非精神病住院护理的发作来跟踪他们的患者。
C-L 临床医生必须调整访谈以适应患者的认知、感官和语言能力；整合来自旁证来源的信息；并充当多方之间的联络人。
智障不应成为提供适当医疗保健的障碍。本文提供了有关住院 ID 患者的 C-L 评估、管理和联络的证据和建议。
