Department of Psychiatry, University of Michigan, 1500 E. Medical Center Dr., 9814 University Hospital, Ann Arbor, MI, 48109, USA.
Curr Psychiatry Rep. 2024 Nov;26(11):626-634. doi: 10.1007/s11920-024-01535-y. Epub 2024 Sep 21.
Psychosocial considerations in transplant candidacy evaluation, waitlist, and post-transplant period is tremendously important to overall transplant care. Integration of mental health services in multidisciplinary transplant teams improves adherence to medical regimens, enhances quality of life, and reduces the risk of post-transplant complications.
Despite this, psychiatrists are often under-utilized by transplant centers, with engagement typically limited to transplant candidacy evaluations or reactive consults in a traditional CL model. In this review, we aim to 1) highlight the relevance of psychiatry throughout the transplant course, 2) outline the role of a CL psychiatrist in advancing patient care and supporting multidisciplinary teams in transplant, 3) develop an understanding of CL service models in both the inpatient and ambulatory setting and 4) consider the utility of innovating current transplant psychiatry practices.
在移植候选评估、等待名单和移植后期间,心理社会因素的考虑对整体移植护理非常重要。将心理健康服务纳入多学科移植团队可以提高对医疗方案的依从性,提高生活质量,降低移植后并发症的风险。
尽管如此,精神科医生在移植中心的利用率往往较低,参与度通常仅限于移植候选评估或传统 CL 模式下的反应性咨询。在这篇综述中,我们旨在 1)强调精神病学在整个移植过程中的相关性,2)概述 CL 精神科医生在推进患者护理和支持移植多学科团队方面的作用,3)了解住院和门诊环境中的 CL 服务模式,以及 4)考虑创新当前移植精神病学实践的实用性。