General hospital psychiatry
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The purpose of this study was to examine the methods by which emergency departments (EDs) manage clients who present with psychiatric and substance abuse issues. ⋯ Further research is needed to identify best-practice standards to enable EDPES to provide optimal patient and organizational outcomes.
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Gen Hosp Psychiatry · Nov 2007
Randomized Controlled TrialStepped Care for Affective Disorders and Musculoskeletal Pain (SCAMP) study: design and practical implications of an intervention for comorbid pain and depression.
Depression and pain are common comorbid conditions that have reciprocal adverse effects on disability and treatment outcomes. The objective of this article is to describe a study that tests the effectiveness of a stepped-care approach using a combined medication-behavioral intervention. ⋯ When completed, SCAMP will test whether optimized antidepressant management improves outcomes in patients with comorbid depression and pain and whether PSM produces additional benefits. The findings will be important for both primary care and mental health clinicians confronted by the prevalent depression-pain dyad.