Bernstein R A
Gen Hosp Psychiatry. 1980 Jun;2(2):141-7. doi: 10.1016/0163-8343(80)90028-6.
Liaison psychiatry is traditionally practiced on the medical and surgical floors of the general hospital. The need for liaison psychiatry on the inpatient psychiatric unit as opposed to its usual setting was realized when the medical care requirements of hospitalized psychiatric patients was assessed. In many general hospitals this medical care is provided by a psychiatrist in consultation with medical and surgical colleagues. Over a three-year period at the Medical Center Hospital of Vermont 563 medical/surgical consultations were provided to the inpatient psychiatric unit. To utilize these consultations most effectively, the role best suited for the psychiatrist was that of liaison-consultee. Case examples are used to demonstrate the effectiveness of employing liaison skills in the treatment of somatic problems on the inpatient psychiatric unit. The educational implications of learning the liaison model in this context are discussed.
传统上，联络精神病学是在综合医院的内科和外科病房开展的。当评估住院精神科患者的医疗护理需求时，人们意识到与通常环境不同，住院精神科病房也需要联络精神病学服务。在许多综合医院，这种医疗护理由精神科医生与内科和外科同事协商提供。在佛蒙特州医学中心医院的三年时间里，为住院精神科病房提供了563次内科/外科会诊。为了最有效地利用这些会诊，最适合精神科医生的角色是联络咨询者。文中通过案例来证明运用联络技巧治疗住院精神科病房躯体问题的有效性。并讨论了在此背景下学习联络模式的教育意义。
