Need for and use of a university clinic mental health liaison service

Der Nervenarzt
K FritzscheM Wirsching

Abstract

Little is known about the complex decision-making process involving recognition of psychosocial stress, its diagnosis, and psychotherapeutic intervention within the framework of a psychosomatic consulting and liaison service. Psychosocial stress was recorded using a psychometric questionnaire for 392 patients on admission to hospital, the estimated need of psychotherapeutic treatment, and the application of a psychosomatic liaison service. Of the examined patients, 44% presented with at least one mental disorder requiring treatment according to ICD-10 criteria. According to the expert opinions, a need for psychotherapeutic treatment was present in 41%, while 54% were themselves motivated for at least one of the psychotherapeutic treatments offered. Psychotherapy was actually received by 35% of the patients. While mental disorders and emotional distress were significant predictors of the need for treatment as rated by experts, they played no genuine role in determining indication or whether a patient accepts the use of psychotherapy Psychotherapeutic interventions in the liaison service are not always effective or related to the indication.

References

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Citations

Nov 6, 2009·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Yesim ErimRainer Kimmig
Apr 19, 2013·Der Nervenarzt·M WolfA Diefenbacher

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