Asunto(s)
Amitriptilina/análogos & derivados , Antidepresivos Tricíclicos/efectos adversos , Psicosis Inducidas por Sustancias/etiología , Adulto , Amitriptilina/administración & dosificación , Amitriptilina/efectos adversos , Antidepresivos Tricíclicos/administración & dosificación , Depresión/tratamiento farmacológico , Femenino , HumanosRESUMEN
Administrators and clinicians must find ways to effectively and efficiently use psychiatric resources without compromising the quality of care. The author outlines a model for setting benchmarks for allocating psychiatrists' time in a community mental health service setting. After the percentage of time for direct-care activities is agreed on (for example, 60 percent), the amounts of time necessary for three direct-care clinical activities-assessment of new patients, follow-up of stable patients, and follow-up of unstable patients and emergencies--are established. Time for documentation should be included in each task. At the end of six months, workloads are evaluated, and benchmarks are reset as appropriate.
Asunto(s)
Benchmarking/métodos , Centros Comunitarios de Salud Mental , Admisión y Programación de Personal/normas , Psiquiatría , Carga de Trabajo , Canadá , Centros Comunitarios de Salud Mental/normas , Eficiencia Organizacional/normas , Guías como Asunto , Asignación de Recursos para la Atención de Salud/normas , Humanos , Modelos Organizacionales , Psiquiatría/normas , Recursos HumanosRESUMEN
A woman 46 years old presented with recurrent, brief, sudden-onset episodes of confusion, aimless motor overactivity and lability of mood, from which she recovered completely. She was admitted on each occasion to a medical unit with a provisional diagnosis of organic mental disorder and thoroughly examined. No organic etiology was identified. This patient meets the criteria for cycloid psychosis. The implications for diagnosis, investigations and management are discussed.