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The Academy of Psychosomatic Medicine Practice Guidelines for Psychiatric Consultation in the General Medical Setting

From the Division of Consultation and Behavioral Medicine, Department of Psychiatry, Mt. Sinai Hospital, New York; Merck-Medco Managed Care, LLC, Montvale, New Jersey; the Department of Psychiatry, Jefferson Medical College, Philadelphia, Pennsylvania; the Division of Consultation-Liaison Psychiatry, Columbia-Presbyterian Medical Center, New York; the Department of Psychiatry, Allegheny University Medical Center, Philadelphia, PA; the Department of Psychiatry, University of Oklahoma Health Sciences Center, Tulsa, Oklahoma; the Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California; the Avery D. Weisman, M.D., Psychiatry Consultation Service, Massachusetts General Hospital, Boston, Massachusetts; and the Emory Central Clinic-Section of Psychiatry, Atlanta, Georgia. Address reprint requests to Dr. Bronheim, 1155 Park Avenue, New York, NY 10028.

This practice guideline seeks to provide guidance to psychiatrists who regularly evaluate and manage patients with medical illnesses. The guideline is intended to delineate the knowledge base, professional expertise, and integrated clinical approach necessary to effectively manage this complex and diverse patient population. This guideline was drafted by a work group consisting of psychiatrists with clinical and research expertise in the field, who undertook a comprehensive review of the literature. The guideline was reviewed by the executive council of the Academy of Psychosomatic Medicine and revised prior to final approval. Some of the topics discussed include qualifications of C-L consultants, patient assessment, psychiatric interventions (e.g., psychotherapy, pharmacotherapy), medicolegal issues, and child and adolescent consultations.

Key Words: supplement • practice guidelines • medical setting • CL psychiatry

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