Department of Psychiatry, University of Michigan, Ann Arbor, MI; Department of Surgery, University of Michigan, Ann Arbor, MI.
Department of Psychiatry, University of Michigan, Ann Arbor, MI.
Psychosomatics. 2020 May-Jun;61(3):238-253. doi: 10.1016/j.psym.2019.12.004. Epub 2019 Dec 19.
Alcohol-related liver disease (ALD) is prevalent and deadly and increasingly affects younger people and women. No single discipline is adequately equipped to manage its biopsychosocial complexity.
Depict the scope of the ALD problem, provide a narrative review of other integrated care models, share our experience forming and maintaining a multidisciplinary ALD clinic for over a year, and provide recommendations for replication elsewhere.
Critical evaluation of clinic implementation and its first year of operation.
The clinical rationale for multidisciplinary ALD treatment is clear and supported by the literature. Such models are feasible although surprisingly rare and vulnerable to various surmountable challenges.
Successful ALD clinics must be built by teams with solid personal and professional relationships, supported by institutional leadership, and must use a new kind of multidisciplinary paradigm and training. Consultation-liaison psychiatry is uniquely positioned to lead future efforts in the care and study of ALD.
酒精相关性肝病（ALD）普遍存在且致命，且其患病人群正逐渐年轻化和女性化。没有任何单一学科能够充分应对其涉及的生物-心理-社会的复杂性。
描绘 ALD 问题的范围，叙述其他综合护理模式的相关内容，分享我们组建并维持多学科 ALD 诊所一年多的经验，并为在其他地方复制提供建议。
对诊所实施情况及其第一年运营情况进行批判性评估。
ALD 多学科治疗的临床原理是明确的，并且有文献支持。这种模式是可行的，尽管它出人意料地罕见且容易受到各种可克服的挑战的影响。
成功的 ALD 诊所必须由具有牢固的个人和职业关系的团队建立，得到机构领导层的支持，并且必须使用一种新的多学科模式和培训。联络精神病学具有独特的优势，可以引领未来 ALD 的护理和研究工作。
