Output cl? Please expound on what this would look like
C-L psychiatry has now transitioned into the oupatient setting including collaborative care, integrated care, OB and perinatal psychiatry, psycho-oncology, transplant psychiatry, HIV psychiatry etc. This term is used to describe different levels of care from consultation to tertiary care, primary care consultation, collaborative care (where the psychiatrist does not see any patients themselves), co-location (where psychiatrist is located in a medical or surgical clinic), and integrated care (where psychiatrist sees patients and also communicates and discusses care with care managers and referring physicians).
Work can include doing evaluations for bariatric surgery, transplant recipient evaluations, living donor evaluations, evaluations for physician assisted dying (in states that have this), perioperative psychiatric management (e.g. patients needing DBS, transplants), evaluations for spinal stimulators. It may involve using registries to provide population care. It might involve providing recommendations via chart review only. It might include have multidisciplinary meetings to discuss patients for complex care coordination. When used in the loosest sense, it might include patients treated like standard outpatients except occuring in the medical setting or patients with complex medical comorbidities. It could also include aftercare clinics for patients discharged from hospital who need specialized brief follow up afterwards.
I have a Post-COVID clinic. Patients following discharge from ICU are seen in multidisciplinary follow up clinic and are screened and those screening positive for depression, anxiety, PTSD, cognitive dysfunction, are seen by psychology and neuropsychiatry. We provide assessment and recommendations for pulmonology to institute (e..g. I don't do any of the prescribing). If they need further treatment they are referred on. Patients who have pre-existing psychopathology, as opposed to post-ICU syndrome or neuropsychiatric complications of COVID, are excluded. We also have access to neuroimmunological assessment now, if patients are suspected to have autoimmune neuropsychiatric complications of COVID.
