Year : 1998  |  Volume : 40  |  Issue : 3  |  Page : 224--230

Psychiatric Profiles in Medical-Surgical Populations : Need for A Focused Approach to Consultation-Uaison Psychiatry In Developing Countries


Ajit Avasthi1, Pratap Sharan2, Parmanand Kulhara3, Savita Malhotra1, Vijoy K Varma4 
1 Additional Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012, India
2 Assistant Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012, India
3 Additional Professor & Head, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012, India
4 Ex-Professor and Head, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012, India

Correspondence Address:
Ajit Avasthi
Additional Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012
India

Aim To study the profile of psychiatric disorders in medical-surgical inpatients so that subpopulations with particular mental health care needs could be identified. Findings: a retrospective analysis of 1245 referrals seen over seven years showed that psychiatric profiles in referrals from different sub-populations divided according to age, gender, source of referral and medical-surgical diagnosis, were quite dissimilar. It was felt that non-recognition of specific needs of these client groups had led to low referral rates (0.65%), and to referral practices wherein the needs of the consultee (referral for disturbed behaviour) and the consultant (management by pharmacologic agents) and certain social biases (low referrals for suicide attempts) had taken precedence over the requirements of optimal management of the cases. Implications : Financial and manpower constraints limit the advocacy for a superspecialist orientation, as a policy in India. It is recommended that while continuing with the provision of general consultation services, psychiatrists should acquire expertise in areas of C-L work, which fit in with their area of interest in general psychiatry.


How to cite this article:
Avasthi A, Sharan P, Kulhara P, Malhotra S, Varma VK. Psychiatric Profiles in Medical-Surgical Populations : Need for A Focused Approach to Consultation-Uaison Psychiatry In Developing Countries.Indian J Psychiatry 1998;40:224-230


How to cite this URL:
Avasthi A, Sharan P, Kulhara P, Malhotra S, Varma VK. Psychiatric Profiles in Medical-Surgical Populations : Need for A Focused Approach to Consultation-Uaison Psychiatry In Developing Countries. Indian J Psychiatry [serial online] 1998 [cited 2020 Sep 26 ];40:224-230
Available from: http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=1998;volume=40;issue=3;spage=224;epage=230;aulast=Avasthi;type=0