Japanese Journal of General Hospital Psychiatry
Online ISSN : 2186-4810
Print ISSN : 0915-5872
ISSN-L : 0915-5872
Original article
Psychological intervention in consultation-liaison psychiatry; The possible use of stepped-care model
Junko TsutsuiSayaka KobayashiNoriko YamauchiShin-ichi SuzukiKatsuji NishimuraJun Ishigooka
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2015 Volume 27 Issue 2 Pages 131-138

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Abstract

There are various levels of psychological interventions required in the Consultation Liaison (CL) service. The CL service also has to take in account that the main treatment is taking place at the somatic department and that there are various mental health care professionals involved, serving as one team. The stepped-care model (SCM) may enable the CL service to clarify the role of each member. We reported 4 cases in which psychological intervention was delivered. Cases were selected so as to correspond to each level of the SCM. Psychological interventions were conducted by a clinical psychologist in every case. However, it was obvious that cases which needed only level 1 or 2 techniques could have been managed by primary care staff or expert nurses. To perform this task, an education system that provides psychological knowledge and skills according to the Stepped-care model is necessary.

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© 2015 Japanese Society of General Hospital Psychiatry
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