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Psychiatric Consultations at Medical and Surgical Wards: The Role of Psychiatric Consultant
Authors:Keiko Mimoto MD  Kenshi Nishiura MD    Kunio Tominaga MD  Michito Matsushima MD    Ryosuke Kono MD    Yuji Kato MD    Ryo Ogata MD  Kotaro Hikita MD
Institution:Department of Neuropsychiatry, Kyushu University Hospital, Fukuoka;*Department of Neuropsychiatry, Oita Prefectural Hospital, Oita
Abstract:Abstract: A one-year survey was conducted on the psychiatric consultation work at Kyushu University Hospital. It was found that an organic brain syndrome was the most frequent psychiatric diagnosis of the referred patients. The most frequent purpose of request for psychiatric consultations was for the management of the patient. The main consultant functions were diagnoses and to advise on the management of the patient. The consultant functions agreed with the purposes of request in many cases, but discrepancies between the two were found about the patient disposition. The nature of the consultant role was compared with some American studies. It was deemed necessary that consultation-liaison psychiatry based on Japan's present conditions, medical and social, should be developed.
Keywords:general hospitals  referral and consultation  psychiatry
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