[Consultation or liaison psychotherapy service--what difference does it make for an outpatient XXXX clinic?].

@entity1 @entity308 @entity1245 @entity158 @entity1118
OBJECTIVES: Even if the effectiveness of psychotherapy emphasising a cognitive behavioral approach is clearly shown by randomised controlled trials, it is difficult to motivate @entity1118 @entity1 to use this type of treatment. We compared the effectiveness of consultation and liaison models of co-operation between an outpatient @entity158 clinic and a psychosomatic department in creating motivation to psychotherapy. METHODS: In a retrospective design we collected data of all @entity1 seen in the @entity158 clinic during two periods of 6 months before ( N=165) and after ( N=277) changing from a consultation to a liaison model. Clinical data were documented by the MASK system (Hildebrandt u. Pfingsten 1993). @entity308 was screened using a @entity308 scale (vgl. Zerssen 1973), somatic complaints by listing of complaints (vgl. Zerssen u. Koeller 1976) and two short screening questionnaires. RESULTS: In the liaison model diagnostic sessions with the consulting psychotherapist were significantly more often recommended by physicians from anaesthesia departments (25.6% vs 13.9%; p<0.01) and accepted by @entity1 (63.3 vs 30.4%; p<0.01). In both systems 80% of the @entity1 accepted the suggested psychotherapy. After changing to the liaison type of co-operation, there was a significant decrease in the prescription of opioid and @entity1245 drugs. CONCLUSIONS: The liaison model of co-operation was significantly more effective to enhance physician's and @entity1 's motivation for a psychosomatic approach to @entity158 treatment. Psychotherapy is better accepted by @entity1 suffering from @entity1118 if it is offered in a multidisciplinary context and in the familiar surroundings of the @entity158 clinic.
