Gitlin M J, Jamison K R
Hosp Community Psychiatry. 1984 Apr;35(4):363-8. doi: 10.1176/ps.35.4.363.
The authors surveyed 19 university-affiliated lithium clinics to examine their clinical practices and standards of care. Most commonly the clinics obtained lithium levels every two months and checked serum creatinine, urinalysis values, and thyroid function yearly. Psychotherapy was used in 18 of the clinics: 45 percent of the unipolar patients and 36 percent of the bipolar patients were receiving individual or group therapy. A variety of mental health personnel staffed the clinics, but in the majority of them physicians were used as the primary staff members for medication visits. The authors compare the characteristics of present-day clinics with those of the early lithium clinics of the late 1960s and early 1970s.
作者对19家大学附属锂盐诊所进行了调查，以检查其临床实践和护理标准。诊所最常每两个月检测一次锂水平，并每年检查血清肌酐、尿液分析值和甲状腺功能。18家诊所采用了心理治疗：45%的单相患者和36%的双相患者接受个体或团体治疗。各类心理健康人员在诊所工作，但大多数诊所中，医生是药物治疗问诊的主要工作人员。作者将当今诊所的特点与20世纪60年代末和70年代初早期锂盐诊所的特点进行了比较。
