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Psychiatr Serv 58:1036-1038, August 2007
doi: 10.1176/appi.ps.58.8.1036
© 2007 American Psychiatric Association
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Column

Best Practices: The Consultation-Liaison in Primary-Care Psychiatry Program: A Structured Approach to Long-Term Collaboration

Graham N. Meadows, M.D., F.R.A.N.Z.C.P., Carol A. Harvey, M.D., F.R.A.N.Z.C.P., Lynette Joubert, M.A., D.Lit.&Phil., David Barton, M.B.B.S., F.R.A.N.Z.C.P. and Gillinder Bedi, D.Psych.

This column presents the Consultation-Liaison in Primary-Care Psychiatry model, which was developed in Australia. This model is a structured approach to collaborative care of people with mental illnesses between primary care services and specialist mental health services. The first component of the model is a consultation, liaison, and education service provided by psychiatric consultants at participating general practices. The second component involves transferring selected patients from community mental health services into general practitioner-based collaborative care. In the final component a clinical case-register and reminder system managed by the specialist services is used to actively promote follow-up for transferred clients. The column also offers some evidentiary support for this care model that suggests a best-practices model for maintaining adequacy of care for patients.


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