Child Psychiatric Consultation Service to Community Agencies: A Collaborative Approach Involving Three Community Agencies

1997 ◽  
Vol 42 (6) ◽  
pp. 656-658 ◽  
Author(s):  
Arthur Froese ◽  
Patrice Dwyer-Sepic ◽  
Kevin Parker
Keyword(s):  
Rural Areas ◽  
Early Experience ◽  
Collaborative Approach ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Safety Issues ◽  
Community Agencies ◽  
Child Psychiatric ◽  
Effective Training ◽  
Management Issues

Objective: To report the early experience of a multiagency child psychiatric consultation service. Method: The program is described, and the demographic characteristics of clients referred to the consultation program over the first 25 months of operation are presented. Referrals were examined for demographics and the questions consultees wanted to have answered. Results: In 59 of 100 consultations, physical and/or sexual abuse was proved or highly suspected. In 82 of the 100 cases, consultees had questions pertaining to management issues. Questions related to diagnostic issues numbered 62, and there were 45 questions about safety issues. Conclusion: Effective psychiatric consultations services to rural areas can be established. Once established, the questions of consultees can provide an effective training ground for future community-oriented child psychiatrists.

Prevalence of Psychiatric Diagnoses and Psychiatric Consultation Service Utilization on Inpatient Medical Units

2021 ◽  
pp. 107839032110055
Author(s):  
Bianca Reis ◽  
Jenny Hsin-Chun Tsai
Keyword(s):  
Health Care ◽  
Psychiatric Disorders ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Adult Patients ◽  
Psychiatric Diagnoses ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Icd 10 ◽  
Delivery Models

OBJECTIVE This practice improvement project sought to determine the prevalence of psychiatric diagnoses among patients admitted to a community hospital’s inpatient medical units and which diagnoses were serviced by the hospital’s psychiatric consultation service. METHOD Electronic medical record data on adult patients of five medical units admitted with a psychiatric condition between October 1, 2019, and December 31, 2019, were used. Psychiatric ICD-10 ( International Classification of Diseases, 10th Revision) codes and diagnosis names extracted were categorized into seven major diagnostic groups. A total of 687 adult patients with 82 psychiatric ICD-10 codes were analyzed using descriptive statistics. RESULTS Substance-related and addictive disorders were the most prevalent psychiatric diagnoses. Ninety-six percent ( n = 658) of patients residing on medical floors with psychiatric disorders were hospitalized for a principal medical problem. Seventy-three cases received psychiatric consultations during their stay. Sixty percent ( n = 44) of those cases had psychiatric disorders from two or more diagnostic categories. CONCLUSIONS Multidisciplinary, team-based health care delivery models that include a psychiatric nurse can provide an effective approach to treat patients in community hospitals with multiple psychiatric and medical comorbidities. Hospitals could take a significant role in providing substance use disorder treatment and equipping medical nurses with training to competently care for patients with psychiatric disorders on medical units. Further research into the prevalence and impact of patients with co-occurring and multiple psychiatric diagnoses in community hospitals is needed to implement effective health care delivery models and provide appropriate treatment options in the community.

scholarly journals Assessment of biowaste losses through unsound waste management practices in rural areas and the role of home composting

2016 ◽  
Author(s):  
Florin Constantin MIHAI
Keyword(s):  
Waste Management ◽  
Rural Areas ◽  
Management Practices ◽  
Sustainable Rural Development ◽  
Greenhouse Gasses ◽  
Waste Management Practices ◽  
Near Future ◽  
Home Composting ◽  
Management Issues

The paper examines the biowaste management issues across rural areas ofRomania in the context of poor waste management infrastructure in the lastdecade (2003-2012). Biowaste is the main fraction of municipal waste, thusa proper management is a key challenge in order to sustain a bioeconomy inthe near future. The amount of biowaste generated and uncollected by wasteoperators is generally uncontrolled disposed if not recovered through homecomposting. The paper points out the role of home composting in divertingthe biowaste from wild dumps and landfills for the regions covered or notby waste collection services. Home composting and the biowaste losses arefurther assessed based on several scenarios (worse-case, pessimistic,realistic, optimistic) where the net loads of greenhouse gasses (GHG) arecalculated at national and regional levels. The transition of homecomposting techniques, from open piles to plastic bins with respect tostandard guidelines will improve the home composting performance in termsof compost quality and net GHG’s savings, supporting a bio-based economywhich will lead towards a sustainable rural development. Regionaldisparities are revealed across Romanian counties and the paper opens newresearch perspectives regarding which options should be adopted by countiesand rural municipalities in the biowaste management process.

Child Psychiatric Consultation in Pediatrics

PEDIATRICS ◽  
1978 ◽  
Vol 62 (3) ◽  
pp. 359-364
Author(s):  
Melvin Lewis
Keyword(s):  
Primary Care ◽  
Emergency Room ◽  
Teaching Hospital ◽  
Child Psychiatry ◽  
Care Center ◽  
Primary Care Center ◽  
Future Trends ◽  
Psychiatric Consultation ◽  
Child Psychiatric ◽  
Pediatric Service

The results of a three-month study of the incidence of child psychiatric consultation requests in three different locations (emergency room, primary care center, and pediatric wards) within a pediatric service in a teaching hospital are reported here. Future trends and roles for child psychiatry and pediatric collaboration are discussed.

Outline of a School Psychiatric Service in Montreal

1965 ◽  
Vol 10 (5) ◽  
pp. 411-416 ◽  
Author(s):  
Cyril Cahill ◽  
Dorothy M. Sokolyk
Keyword(s):  
School Board ◽  
Intelligence Testing ◽  
Psychiatric Service ◽  
Psychiatric Consultation ◽  
Psychiatric Assessment ◽  
Consultation Service ◽  
Area 5

For several years a psychiatric consultation service, now involving 1 1/2 days weekly, has been given to Area 5 schools of the Protestant School Board of Greater Montreal, Area 5 having 10,000 children. Treatment is not part of the service, but cases requiring it are generally referred to appropriate physicians or clinics. Prior to actual interviews with the children, data are collected from all suitable sources and intelligence testing is done. The majority of referrals for psychiatric assessment seem warranted. This is illustrated in a Table showing the findings in 18 children from one classroom. Reports from the principals indicate their approval of the service and their wish to see it expanded.

The Attitudes of Emergency Staff Toward Attempted Suicide Patients

Crisis ◽  
2009 ◽  
Vol 30 (3) ◽  
pp. 161-165 ◽  
Author(s):  
Jaana Suokas ◽  
Kirsi Suominen ◽  
Jouko Lönnqvist
Keyword(s):  
Emergency Room ◽  
General Hospital ◽  
Attempted Suicide ◽  
Indirect Evidence ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Negative Attitudes ◽  
Before And After ◽  
Hospital Emergency Room ◽  
Attitudes Toward Suicide

Background: The staff in the emergency room of general hospitals are under heavy work pressure and seem to reveal negative attitudes toward suicide attempters. From earlier studies there is indirect evidence that the attitudes of staff who have the opportunity to consult a psychiatrist are less negative. Aims: The study compare the attitudes of emergency room staff in a general hospital toward patients who had attempted suicide before and after establishment of a psychiatric consultation service. Methods: Attitudes were measured on the Understanding Suicidal Patients (USP) Scale. A total of 100 participants returned the questionnaire. Results: General understanding and willingness to nurse patients who attempted suicide did not increase. Conclusion: The results suggest that providing a psychiatric consultation service did not significantly affect attitudes among general hospital emergency room staff toward attempted suicide patients during its first year of operation, but in general, the emergency room staff was content with the opportunity for psychiatric consultation.

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