Abstract
After reviewing 731 cases in which the CLT at Tokyo Women's Medical University Hospital had intervened, we identified differences among those cases with intervention by single function care providers and a team deploying multiple functions. From the 731 cases, we further reviewed the details and structures of 63 cases that involved the psychiatric liaison nurses and clinical psychotherapists. Patients with sleep disorders were treated by physicians; patients with adjustment disorders were treated by the psychiatric liaison nurses; more patients with impaired psychic functions (e.g., deliria) before transplant or with Axis IV were treated by the multiple functions teams than those treated by single function care providers. By emphasizing the educational and emotional support to other medical care providers, the psychiatric liaison nurses and clinical psychotherapists have been promoting cooperation both within and outside the team. Characteristically, the liaison nurses mediated conflicts within the nursing team, assessed self-care and provided assurance and sympathy through active listening; the latter assessed the psychological state of the patients by utilizing objective tools and providing the patients demonstrating severe psychopathological disorders with systematic psychotherapy. It is possible for care providers to offer treatment intervention from an interdisciplinary point of view, by indexing the psychological problems according to medical and psychosocial complexity and the difficulties in performing the jobs of the medical care personnel.
