A Mixed-method Study on the Implementation of a Medical Psychiatric Care Unit
By:
References
- 1Molnar G, Fava GA, Zielezny MA. Medical-psychiatric unit patients compared with patients in two other services. Psychosomatics. 1985;26(3):193–209. DOI: 10.1016/S0033-3182(85)72874-5
- 2Stoudemire A, Brown JT, McLeod M, Stewart B, Houpt JL. The combined medical specialties unit: an innovative approach to patient care. N C Med J. 1983;44(6):365–7.
- 3White EM. The use of a medical support group on a medical/psychiatric unit. Issues in Mental Health Nursing. 1988;9(4):353–62. DOI: 10.3109/01612848809140937
- 4Fogel BS, Stoudemire A, Houpt JL. Contrasting models for combined medical and psychiatric inpatient treatment. The American journal of psychiatry. 1985;142(9):1085–9. [in eng]. DOI: 10.1176/ajp.142.9.1085
- 5Dekker L, Heller HM, van der Meij JE, Toor AEJ, Geeraedts LMG. A mixed psychiatric and somatic care unit for trauma patients: 10 years of experience in an urban level I trauma center in the Netherlands. European Journal of Trauma and Emergency Surgery. 2020;46(5):1159–65. DOI: 10.1007/s00068-019-01088-3
- 6Leue C, Driessen G, Strik JJ, Drukker M, Stockbrügger RW, Kuijpers PM, et al. Managing complex patients on a medical psychiatric unit: An observational study of university hospital costs associated with medical service use, length of stay, and psychiatric intervention. Journal of Psychosomatic Research. 2010;68(3):295–302. DOI: 10.1016/j.jpsychores.2009.04.010
- 7Kishi Y, Kathol RG. Integrating medical and psychiatric treatment in an inpatient medical setting: The type IV program. Psychosomatics. 1999;40(4):345–55. DOI: 10.1016/S0033-3182(99)71230-2
- 8Stoudemire A, Kahn M, Brown JT, Linfors E, Houpt JL. Masked depression in a combined medical-psychiatric unit. Psychosomatics. 1985;26(3):221–4, 7–8. DOI: 10.1016/S0033-3182(85)72875-7
- 9Honig A, Visser I, Heller H, Kieviet N, Boenink AD. Medisch-psychiatrische unit in algemeen ziekenhuis: effectieve gecombineerde somatische en psychiatrische zorg? [A medical-psychiatric unit in a general hospital: effective combined somatic and psychiatric care?]. Ned Tijdschr Geneeskd. 2014;158(5):A6520. [in Dutch]
- 10Caarls PJ, van Schijndel MA, Kromkamp M, Wierdsma AI, Osse RJ, van der Hoeven G, et al. Need analysis for a new high acuity medical psychiatry unit: which patients are considered for admission? BMC Health Serv Res. 2019;19(1):139. DOI: 10.1186/s12913-019-3967-7
- 11Pinto C, Fabbricotti IN, van Wijngaarden J, Hoogendijk WJG, Alsma J, van Busschbach JJ, van Schijndel MA. Moving Beyond the Status Quo of Integrated Inpatient Medical and Psychiatric Care Units: The Path to Real-World Evaluation. Psychiatr Serv. 2022;73(5):555–60. DOI: 10.1176/appi.ps.202000811
- 12Caarls P, Van Schijndel M, Berk Gvd, Boenink A, Boerman D, Lijmer J, et al. Factors influencing the admission decision for Medical Psychiatry Units: a concept mapping approach. Plos One. 2019;14(9):
e0221807 . DOI: 10.1371/journal.pone.0221807 - 13Maarten A. van Schijndel MDPD, Jeroen DH, van Wijngaarden PD, Joris J, van de Klundert PD. Organization and Outcomes of Integrated Inpatient Medical and Psychiatric Care Units: A Systematic Review. Psychiatric Services. 2022;73(1):64–76. DOI: 10.1176/appi.ps.202000416
- 14Bachynsky N. Implications for policy: The Triple Aim, Quadruple Aim, and interprofessional collaboration. Nurs Forum. 2020;55(1):54–64. DOI: 10.1111/nuf.12382
- 15Kathol RG. Cost outcomes on a medical psychiatry unit. Journal of Psychosomatic Research. 2010;68(3):293–4. DOI: 10.1016/j.jpsychores.2009.06.012
- 16Hussain M, Seitz D. Integrated Models of Care for Medical Inpatients With Psychiatric Disorders: A Systematic Review. Psychosomatics. 2014;55(4):315–25. DOI: 10.1016/j.psym.2013.08.003
- 17Chan AC, Burke CA, Coffey EM, Hilden DR, Coira DL, Warner-Cohen J, et al. Integrated Inpatient Medical and Psychiatric Care: Experiences of 5 Institutions. Ann Intern Med. 2018;168(11):815–7. DOI: 10.7326/M17-3186
- 18Alberque C, Gex-Fabry M, Whitaker-Clinch B, Eytan A. The Five-Year Evolution of a Mixed Psychiatric and Somatic Care Unit: A European Experience. Psychosomatics. 2009;50(4):354–61. DOI: 10.1176/appi.psy.50.4.354
- 19Eytan A, Bovet L, Gex-Fabry M, Alberque C, Ferrero F. Patients’ satisfaction with hospitalization in a mixed psychiatric and somatic care unit. Eur Psychiatry. 2004;19(8):499–501. DOI: 10.1016/j.eurpsy.2004.09.004
- 20Jansen L, Hunnik F, Busschbach JJV, Lijmer JG. Measuring outcomes on a Medical Psychiatric Unit: HoNOS, CANSAS and costs. Psychiatry Res. 2019;280:112526. DOI: 10.1016/j.psychres.2019.112526
- 21Jansen LAW, Somanje-Bolweg RRJ, Wierdsma AI, Busschbach JJV, Lijmer JG. Evaluation of opening a type III/IV medical psychiatric unit. Int J Psychiatry Clin Pract. 2021;25(2):147–51. DOI: 10.1080/13651501.2021.1881973
- 22Wittink MN, Cross W, Goodman J, Jackson H, Lee HB, Olivares T, et al. Taking the Long View in an Inpatient Medical Unit: A Person-Centered, Integrated Team Approach for Patients With Severe Mental Illnesses. Psychiatr Serv. 2020;71(9):885–92. DOI: 10.1176/appi.ps.201900385
- 23Padrino SL, Chan AC, van Schijndel M, Wittink MN. Medical Psychiatry Units: A Delphi Consensus Approach to Defining Essential Characteristics. J Acad Consult Liaison Psychiatry; 2024. DOI: 10.1016/j.jaclp.2024.09.004
DOI: https://doi.org/10.5334/ijic.8964 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jul 29, 2024
Accepted on: Jul 16, 2025
Published on: Jul 28, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2025 Chedwa Pinto, Maaike Meeder, Jan Busschbach, Witte Hoogendijk, Jelmer Alsma, Isabelle Fabbricotti, Maarten van Schijndel, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.