0
ARTICLE |

Toward Better Integration of Medical and Psychiatric Care FREE

Mark L. Teitelbaum, MD
JAMA. 1982;248(8):977-977. doi:10.1001/jama.1982.03330080059032
Text Size: A A A
Published online

The article by Dr Hoffman in this issue of The Journal (p 964) is timely and important. Efforts to integrate medical and psychiatric care of patients such as described underscore how poorly medical and psychiatric care of patients is sometimes integrated. This lack of integration persists despite the awareness, since ancient times, of the association between physical and psychological disturbance and, more recently, epidemiologic work that clearly demonstrates this association.1 It has been estimated that of the 15% of the population of the United States that is psychiatrically ill and in need of mental health services, approximately 60% are seen in the general health care setting.2 Epidemiologic surveys report the prevalence of psychiatric disorder to be anywhere from 30% to 60% among medical inpatients and from 50% to 80% among medical outpatients.3 Studies conducted at The Johns Hopkins Hospital have shown that anywhere from 29% to 37%

REFERENCES

Eastwood MR: The Relation Between Physical and Mental Illness . Toronto, University of Toronto Press, 1975;.
Regier DA, Goldberg ID, Taube CA:  The de facto US mental health system . Arch Gen Psychiatry 1978;;35:685-693.
Lipowski ZJ:  Review of consultation psychiatry and psychomatic medicine: II. Clinical aspects . Psychosom Med 1967;;29:201-224.
Knights EB, Folstein MF:  Unsuspected emotional and cognitive disturbance in medical patients . Ann Intern Med 1977;;87:723-724.
DePaulo JR, Folstein MF:  Psychiatric disturbance in neurological patients: Detection, recognition, and hospital course . Ann Neurol 1981;;4:225-228.
Noren JN, Frazier T, Altman I, et al:  Ambulatory medical care . N Engl J Med 1980;;302:11-16.
LaBruzza A:  Physical illness presenting as psychiatric disorder: Guidelines for differential diagnosis . J Operat Psychiatry 1981;;12:24-31.
Koranyi EK:  Morbidity and rate of undiagnosed physical illness in a psychiatric clinic population . Arch Gen Psychiatry 1979;;36:414-419.
Goldberg ID, Krantz G, Locke BZ:  Effect of a short-term outpatient psychiatric therapy benefit on the utilization of medical services in a prepaid group practice medical program . Med Care 1970;;8:419-428.
Meyer E, Derogatis LR, Miller MJ, et al:  Addition of time-limited psychotherapy to medical treatment in a general medical clinic . J Nerv Ment Dis 1981;;169:780-790.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Eastwood MR: The Relation Between Physical and Mental Illness . Toronto, University of Toronto Press, 1975;.
Regier DA, Goldberg ID, Taube CA:  The de facto US mental health system . Arch Gen Psychiatry 1978;;35:685-693.
Lipowski ZJ:  Review of consultation psychiatry and psychomatic medicine: II. Clinical aspects . Psychosom Med 1967;;29:201-224.
Knights EB, Folstein MF:  Unsuspected emotional and cognitive disturbance in medical patients . Ann Intern Med 1977;;87:723-724.
DePaulo JR, Folstein MF:  Psychiatric disturbance in neurological patients: Detection, recognition, and hospital course . Ann Neurol 1981;;4:225-228.
Noren JN, Frazier T, Altman I, et al:  Ambulatory medical care . N Engl J Med 1980;;302:11-16.
LaBruzza A:  Physical illness presenting as psychiatric disorder: Guidelines for differential diagnosis . J Operat Psychiatry 1981;;12:24-31.
Koranyi EK:  Morbidity and rate of undiagnosed physical illness in a psychiatric clinic population . Arch Gen Psychiatry 1979;;36:414-419.
Goldberg ID, Krantz G, Locke BZ:  Effect of a short-term outpatient psychiatric therapy benefit on the utilization of medical services in a prepaid group practice medical program . Med Care 1970;;8:419-428.
Meyer E, Derogatis LR, Miller MJ, et al:  Addition of time-limited psychotherapy to medical treatment in a general medical clinic . J Nerv Ment Dis 1981;;169:780-790.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.