Psychosomatic Medicine Practice Guidelines for Psychiatric Consultation in the General Medical Setting
The Academy of Psychosomatic Medicine Practice Guidelines for Psychiatric Consultation in the General Medical Setting HAROLD E. BRONHEIM, M.D., GEORGE FULOP, M.D. ELISABETH J. KUNKEL, M.D., PHILIP R. MUSKIN, M.D. BARBARA A. SCHINDLER, M.D., WILLIAM R. YATES, M.D. RICHARD SHAW, M.D., HANS STEINER, M.D. THEODORE A. STERN, M.D., ALAN STOUDEMIRE, M.D. This practice guideline seeks to provide guidance to psychiatrists who regularly evaluate and manage patients with medical illnesses. The guideline is intended to delineate the knowledge base, professional expertise, and integrated clinical approach necessary to effectively manage this complex and diverse patient population. This guideline was drafted by a work group consisting of psychiatrists with clinical and research expertise in the ®eld, who undertook a comprehensive review of the literature. The guideline was reviewed by the executive council of the Academy of Psychosomatic Medicine and re- vised prior to ®nal approval. Some of the topics discussed include quali®cations of C-L consultants, patient assessment, psychiatric interventions (e.g., psychotherapy, pharma- cotherapy), medicolegal issues, and child and adolescent consultations. (Psychosomatics 1998; 39:S8±S30) he purpose in developing psychiatric con- and guide practitioners who care for patients Tsultation guidelines is to broadly instruct with psychiatric symptoms in a general medical setting. These guidelines will review the assess- From the Division of Consultation and Behavioral Medicine, Department of Psychiatry, Mt. Sinai Hospital, ments and interventions that are necessary for New York; Merck-Medco Managed Care, LLC, Montvale, management of patients with comorbid medical New Jersey; the Department of Psychiatry, Jefferson Medi- and psychiatric conditions.
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