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Mind–Body Issues in the Consultation-Liaison Service in Pediatric Hospitals

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Handbook of Mind/Body Integration in Child and Adolescent Development

Abstract

This chapter describes the interaction between mental health professionals and various pediatric services in hospital settings. There are several types of consultation, some centered on the child and/or family, some on the physician treating a particular child or adolescent, and some focused on a medical team. In the USA, the main emphasis is on the expectation of a prompt diagnosis and psychopharmacological interventions. We describe the liaison model in which the mental health professional establishes a longstanding collaborative relationship with various medical teams. We address some common scenarios that require consultation. These often involve agitation, delirium, aggressive behavior, suicidal ideation or intent, noncompliance with medical treatment on the part of a child or adolescent. With families, there may be mistrust between the family and treaters, conflict with medical personnel, complaints or multiple demands that may be unreasonable as well as intrafamiliar conflict or tension. The expertise of a physician versed on the various medical conditions, effects of medications, the effects of the medical condition itself, and the interface with the emotions of children, parents and treaters, are all required to arrive at a complex diagnostic understanding and to offer appropriate treatment interventions.

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References

  • Büchi, S., Berney, A., & Kurt, H. (2010). La psychiatrie de consultation et de liaison en Suisse, aujourd’hui et demain. Bulletin des médecins suisses|Schweizerische Ärztezeitung| Bollettino dei medici svizzeri, 91(4), 121–122.

    Google Scholar 

  • Cotencin, O., Versaevel, C., & Goudemand, M. (2006). Por une visión systemique de la psychiatrie de liaison. L’Encephale., 32, 305–314.

    Article  Google Scholar 

  • Diefenbacher, A., & Arolt, V. (2004). Konsiliarpsychiatrische Versorgung-Enwicklung und Perspektiven. In V. Arold & A. Diefenbacher (Eds.), Psychiatrie in der klinschen Medizin (pp. 54–85). Darmstadt.

    Google Scholar 

  • Duverger, P., Chocard, A. S., Malka, J., & Ninus, A. (2011). Psychopathologie en service de pediatrie. Issy-les-Molineux, France. Elsevier Masson.

    Google Scholar 

  • Fegert, J. M., & Goldbeck, L. (2004). Kinder-und jugendpsychiatrischer Konsiliar-und Liaisondienst. In V. Arolt & A. Diefenbacher (Eds.), Psychiatrie in der klinischen Medizin (pp. 223–238). Steinkopff.

    Chapter  Google Scholar 

  • Frank, R. (2002). Aufgaben eines Konsiliar- und Liaisondiensts. Monatsschrift Kinderheilkunde, 150(2), 186–191.

    Article  Google Scholar 

  • Graindorge, C. (2005). Maladie somatique et l’enfant, psychiatrie de liaison: pour quoi faire ? Neuropsychiatrie de l’enfance et de l’adolescence, 52, 275–276.

    Article  Google Scholar 

  • Guerrero, A., & Matsu, C. (2008). Children and adolescents. In A. Leigh & J. Streltzer (Eds.), Handbook of consultation-liaison psychiatry (pp. 316–340). Springer.

    Google Scholar 

  • Häuser, W., & Stein, B. (2006). Psychiatrische und psychosomatische Konsiliar- und Liaisonleistungen im deutschen Fallpauschalensystem. Psychosomatik Und Konsiliarpsychiatrie, 1(1), 47–51.

    Article  Google Scholar 

  • Holmes, A. C. N., Judd, F. K., Lloyd, J. H., Dakis, J., Crampin, E. F., & Katsenos, S. (2000). The development of clinical indicators for a consultation-liaison service. Australian and New Zealand Journal of Psychiatry, 34(3), 496–503.

    Article  PubMed  Google Scholar 

  • Kapfhammer, H.P. (2011). Konsiliar und liaison Psychiatrie. In H. J. Müeller, G. Laux, & H. P. Kapfhammer (Hrsg.) Psychiatrie, Psychosomatik, Psychotherapie (pp. 1297–1318). Springer Verlag.

    Google Scholar 

  • Kirchen-Peters, S., Fehrenbach, R. A., & Diefenbacher, A. (2012). Wie arbeiten ambulante Konsiliar-und Liaisondienste und was bewirken sie? Psychiatrische Praxis, 39, 394–399.

    Article  PubMed  Google Scholar 

  • Lenoir, P., Maloy, J., Desombre, H., Abert, B., Taleb, M. O., & Sauvage, D. (2009). La psychiatrie de liaison en pediatrie: resources et contraintes d’une collaboration interdisciplinaire. Neuropsychiatrie de l’enfance et de l’adolescence., 57, 75–84.

    Article  Google Scholar 

  • Lucas, T., Koester-Lück, M., & Kunert, D. (2020). Psychosoziale Versorgung von Kindern und Jugendlichen in Kliniken für Kinder- und Jugendmedizin und Kinderchirurgie. Monatsschrift Kinderheilkund., 168, 1040–1042.

    Article  Google Scholar 

  • Lücke, C., & Müller, H. H. O. (2018). Versorgungsmodelle der Konsiliar-Liaison-Psychiatrie im Vergleich. Psychopraxis. Neuropraxis, 21, 14–18.

    Article  Google Scholar 

  • Macleod, S. (2002). Consultation-liaison psychiatry hits a midlife crisis. Australasian Psychiatry, 10(3), 229–231.

    Article  Google Scholar 

  • Marcelli, D., Braconnier, A., & Tadonnet, L. (2018). Adolescence et psychopathologie. Elsevier Masson.

    Google Scholar 

  • Rießland-Seifert, A., Höcher, Z., & Erbert, S. (2006). Pflegepersonal in psychiatrisch-psychosomatischen Konsiliar-Liaison-Diensten. Psychosomatik Und Konsiliarpsychiatrie, 1(1), 40–46.

    Article  Google Scholar 

  • Turkel, S., & Pao, M. (2010). Children’s reactions and consequences of illness and hospitalization and transition of care from pediatric to adult settings. In J. J. Amos & R. G. Robinson (Eds.), Psychosomatic medicine. An introduction to consultation -liaison psychiatry (pp. 249–258). Cambridge University Press.

    Chapter  Google Scholar 

  • Wellen, M., & Wise, T. (2010). Demoralization in the medical setting. In J. J. Amos & R. G. Robinson (Eds.), Psychosomatic medicine (pp. 235–241). Cambridge University Press.

    Chapter  Google Scholar 

  • Wolf, M., Arolt, V., Burian, R., & Diefenbacher, M. B. A. (2013). Konsiliar-liaison Psychiatrie und Psychosomatik. Nervenarzt, 84, 639–650.

    Article  PubMed  Google Scholar 

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Correspondence to Shankar Nandakumar .

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Nandakumar, S., Maldonado-Duran, J.M., Sauceda-Garcia, J.M., Nibras, S., Yerramsetti, A., Nguyen, VS. (2023). Mind–Body Issues in the Consultation-Liaison Service in Pediatric Hospitals. In: Maldonado-Duran, J.M., Jimenez-Gomez, A., Saxena, K. (eds) Handbook of Mind/Body Integration in Child and Adolescent Development. Springer, Cham. https://doi.org/10.1007/978-3-031-18377-5_24

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