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A brief diagnostic screening instrument for mental disturbances in general medi...
Fink, P; Ørnbøl, E; Huyse, F; Jonge, P; Lobo, A; Herzog, T; Slaets, J; Arolt, V; Cardoso, G; Rigatelli, M; Hansen, MOBJECTIVE: Mental illness is prevalent among general hospital ward patients but often goes unrecognised. The aim of this study was to validate the SCL-8d as a brief questionnaire for mental disturbances for use in general hospitals. METHODS: The study included 2040 patients, 18 years or older, consecutively admitted to 11 general internal medicine wards in seven European countries. All patients were screened on...
Consultation-Liaison psychiatric service delivery: results from a European study
Huyse, F; Herzog, T; Lobo, A; Malt, U; Opmeer, B; Stein, B; Jonge, P; Dijck, R; Creed, F; Crespo, MD; Cardoso, GThe reported findings of the European Consultation-Liaison Workgroup (ECLW) Collaborative Study describe consultation-liaison service delivery by 56 services from 11 European countries aggregated on a C-L service level. During the period of 1 year (1991), the participants applied a standardized, reliability tested method of patient data collection, and data were collected describing pertinent characteristics of...
Mental disturbances and perceived complexity of nursing care in medical inpatie...
Jonge, P; Zomerdijk, M; Huyse, F; Fink, P; Herzog, T; Lobo, A; Slaetz, J; Harolt, V; Balogh, N; Cardoso, G; Rigatelli, MAIMS AND OBJECTIVES: The relationship between mental disturbances - anxiety and depression, somatization and alcohol abuse - on admission to internal medicine units and perceived complexity of care as indicated by the nurse at discharge was studied. The goal was to study the utility of short screeners for mental disturbances to select patients for case-management on admission. DESIGN: The study had a cohort des...
COMPRI--an instrument to detect patients with complex care needs: results from ...
Huyse, F; Jongue, P; Slaets, J; Lobo, A; Herzog, T; Lyons, J; Opmeer, B; Stein, B; Arolt, V; Cardoso, GThe authors developed a screening instrument to detect patients in need of complex care coordination at admission to a general hospital. On the basis of a series of risk factors for care complexity, the authors constructed a short, care complexity prediction instrument (COMPRI) and assessed its qualities. The COMPRI is an easily administered screening instrument that detects patients at risk for complex care ne...
Risk factors for complex care needs in general medical inpatients: results from...
de Jonge, P; Huyse, F; Herzog, T; Lobo, A; Slaets, J; Lyons, J; Opmeer, B; Stein, B; Arolt, V; Balogh, N; Cardoso, GThe authors linked admission risk factors to a series of indicators for complex care delivery to enable detection of patients in need of care coordination at the moment of admission to the general hospital. The authors found 13 risk factors to be predictive of more than one indicator of care complexity. An admission risk screening procedure to detect patients in need of care coordination should focus on these r...
European Consultation-Liaison Psychiatric Services: the ECLW Collaborative Study
Huyse, F; Herzog, T; Lobo, A; Malt, U; Opmeer, B; Stein, B; Creed, F; Crespo, MD; Cardoso, G; Guimarães-Lopes, R; Mayou, R; van Moffaert, MOBJECTIVE: To describe the patterns of organization of consultation-liaison (C-L) services in 11 European countries in relation to hospital characteristics and national approaches to C-L psychiatry. METHOD: Cross-sectional survey. RESULTS: Services can best be described in terms of their size and seniority of their staff and whether or not they are multidisciplinary. Single-discipline services are based upon th...
European consultation-liaison services and their user populations: the European...
Huyse, F; Herzog, T; Lobo, A; Malt, U; Opmeer, B; Stein, B; Cardoso, GThe authors identified variations in the characteristics of patients referred to 56 consultation-liaison (C-L) services in 11 European countries. The authors found differences in the types of patients referred to the services, and there were significant differences between countries. The first difference lays in whether services saw patients for deliberate self-harm and for substance abuse. German psychosomatic...
The ECLW Collaborative study II: patient registration form (PRF) instrument, tr...
Lobo, A; Huyse, F; Herzog, T; Malt, U; Opmeer, B; ECLW Coordination Center; Cardoso, GThis paper describes the development and testing of the Patient Registration Form (PRF), a standardized instrument for the description of patients seen by consultation-liaison (C-L) psychiatrists and psychosomatists in general hospitals, the referral patterns, the C-L interventions and their outcomes. The PRF study is part of a large multi-centre. European investigation on the effectiveness of mental health ser...
The ECLW Collaborative Study: III. Training and reliability of ICD-10 psychiatr...
Malt, U; Huyse, F; Herzog, T; Lobo, A; Rijssenbeek, A; ECLW Coordination Center; Cardoso, GA comprehensive training program for reliable use of the ICD/10 in Consultation-Liaison (C-L) psychiatry was conducted with 220 psychiatrists and psychologists from 14 European countries. The training included rating of written test cases and development of a coding manual to avoid diagnostic pitfalls not addressed in the ICD-10 manual. Following this training, all consultants rated 13 written case histories. O...
The European Consultation-Liaison Workgroup (ECLW) Collaborative Study. I. Gene...
Huyse, F; Herzog, T; Malt, U; Lobo, A; ECLW Coordination Center; Cardoso, GPrevious C-L psychiatric service research is seriously limited by its parochial nature; very few results can be generalized outside of the hospital in which the original study was performed because of differences in the nature of the hospital and the type of C-L service. This article presents the general outline and methodology of a European multicentered C-L service delivery study effected by the European Cons...
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