Frontiers in Psychiatry (Oct 2022)
Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study
- Luigi Zerbinati,
- Luigi Zerbinati,
- Laura Palagini,
- Laura Palagini,
- Matteo Balestrieri,
- Martino Belvederi Murri,
- Martino Belvederi Murri,
- Rosangela Caruso,
- Rosangela Caruso,
- Armando D’Agostino,
- Armando D’Agostino,
- Maria Ferrara,
- Maria Ferrara,
- Silvia Ferrari,
- Silvia Ferrari,
- Antonino Minervino,
- Paolo Milia,
- Maria Giulia Nanni,
- Maria Giulia Nanni,
- Stefano Pini,
- Pierluigi Politi,
- Matteo Porcellana,
- Matteo Rocchetti,
- Ines Taddei,
- Tommaso Toffanin,
- Tommaso Toffanin,
- Luigi Grassi,
- Luigi Grassi,
- Italian Society of Consultation-Liaison Psychiatry,
- Jessica Bellucci,
- Jessica Bellucci,
- Emilio Bergamelli,
- Victor Attilio Campagna,
- Melissa Cherubini,
- Melissa Cherubini,
- Federica Folesani,
- Federica Folesani,
- Marta Gancitano,
- Marta Gancitano,
- Francesca Giannetti,
- Gianluca Giovanna,
- Benedetta Gullotta,
- Benedetta Gullotta,
- Lucia Massa,
- Giulia Montardi,
- Giulia Montardi
Affiliations
- Luigi Zerbinati
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Luigi Zerbinati
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Laura Palagini
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Laura Palagini
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Matteo Balestrieri
- Psychiatric Clinic, Department of Medicine, University of Udine, Udine, Italy
- Martino Belvederi Murri
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Martino Belvederi Murri
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Rosangela Caruso
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Rosangela Caruso
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Armando D’Agostino
- Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy
- Armando D’Agostino
- Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy
- Maria Ferrara
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Maria Ferrara
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Silvia Ferrari
- Section of Psychiatry, Department of Diagnostic-Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy
- Silvia Ferrari
- Dipartimento ad Attività Integrata di Salute Mentale e Dipendenze Patologiche, USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
- Antonino Minervino
- Italian Society of Psychosomatic Medicine, Parma, Italy
- Paolo Milia
- Italian Society of Psychosomatic Medicine, Parma, Italy
- Maria Giulia Nanni
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Maria Giulia Nanni
- 0Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy
- Stefano Pini
- 0Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy
- Pierluigi Politi
- 1Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
- Matteo Porcellana
- 2Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy
- Matteo Rocchetti
- 1Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
- Ines Taddei
- 3Department of Psychiatric Sciences and Psychological Medicine, University La Sapienza, 3rd Psychiatric Clinic, Rome, Italy
- Tommaso Toffanin
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Tommaso Toffanin
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Luigi Grassi
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Luigi Grassi
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Italian Society of Consultation-Liaison Psychiatry
- Jessica Bellucci
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Jessica Bellucci
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Emilio Bergamelli
- Psychiatric Clinic, Department of Medicine, University of Udine, Udine, Italy
- Victor Attilio Campagna
- Psychiatric Clinic, Department of Medicine, University of Udine, Udine, Italy
- Melissa Cherubini
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Melissa Cherubini
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- Federica Folesani
- Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy
- Federica Folesani
- Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy
- Marta Gancitano
- Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy
- Marta Gancitano
- Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy
- Francesca Giannetti
- Section of Psychiatry, Department of Diagnostic-Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy
- Gianluca Giovanna
- Dipartimento ad Attività Integrata di Salute Mentale e Dipendenze Patologiche, USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
- Benedetta Gullotta
- Department of Health Sciences, Università Degli Studi di Milano, Milano, Italy
- Benedetta Gullotta
- Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy
- Lucia Massa
- Italian Society of Psychosomatic Medicine, Parma, Italy
- Giulia Montardi
- Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy
- Giulia Montardi
- University Hospital Psychiatry Unit, Integrated Department of Mental Health and Addictive Behavior, University S. Anna Hospital and Health Trust, Ferrara, Italy
- DOI
- https://doi.org/10.3389/fpsyt.2022.959399
- Journal volume & issue
-
Vol. 13
Abstract
IntroductionConducted under the auspices of the Italian Society of Consultation Liaison Psychiatry (SIPC) the aim of this study was to describe the characteristics of Consultation Liaison Psychiatry (CLP) activity in Italy (SIPC-2—2018) over the past 20 years by comparing with data from the first Italian nation-wide study (SIPC-1—1998).MethodsWe collected data on CLP visits of 3,943 patients from 10 Italian hospitals over a period of 1 year. Data were compared with those from the SIPC-1 1998 study (4,183 participants). Patients were assessed with the same ad hoc 60-item Patient Registration Form recording information from five different areas: Sociodemographic, hospitalization-related, consultation-related, interventions and outcome.ResultsCompared with participants from the previous study, SIPC-2-2018 participants were significantly older (d = 0.54) and hospitalized for a longer duration (d = 0.20). The current study detected an increase in the proportion of referrals from surgical wards and for individuals affected by onco-hematologic diseases. Depressive disorders still represented the most frequent psychiatric diagnosis, followed by adjustment and stress disorders and delirium/dementia. Also, CLP psychiatrists prescribed more often antidepressants (Φ = 0.13), antipsychotics (Φ = 0.09), mood stabilizers (Φ = 0.24), and less often benzodiazepines (Φ = 0.07).ConclusionCLP workload has increased considerably in the past 20 years in Italy, with changes in patient demographic and clinical characteristics. A trend toward increase in medication-based patient management was observed. These findings suggest that the psychiatric needs of patients admitted to the general hospital are more frequently addressed by referring physicians, although Italian CLP services still deserve better organization and autonomy.
Keywords
- liaison psychiatry
- hospital psychiatry
- medical psychiatry
- Italy
- Consultation-Liaison (C-L) psychiatry
