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Background <p>There is no established best practice for optimal medical consultant care to address the medical needs of psychiatric inpatients at a behavioral health center (BHC).</p> Aim <p>To evaluate the feasibility and acceptability of a hybrid on-site and virtual model of internal medicine consultative care in a BHC.</p> Setting and Participants <p>To provide continuous medical consultation availability for 233 patients in a BHC, 9 internal medicine hospitalists from the affiliated academic medical center joined 1 full-time internist and 21 medical nurse practitioners, supporting 34 psychiatry providers.</p> Program Description <p>Hospitalists performed medical evaluation prior to electroconvulsive and ketamine therapies, hybrid on-site and remote consultation for acute concerns, test results, medication effects, and chronic diseases, electrocardiogram review, and pre-admission assessments.</p> Program Evaluation <p>BHC faculty were anonymously surveyed. 8/8 hospitalists and 11/34 psychiatrists responded. Qualitative data were coded and thematically analyzed. Psychiatrists appreciated hospitalists’ expertise, communication, and collaborative problem-solving. Hospitalists found meaning in developing new clinical expertise and caring for vulnerable patients. Hospitalists credited the hybrid role with enhancing work-life integration. Challenges included handoffs, delineation of responsibilities, and virtual work impacting team cohesion.</p> Discussion <p>A hybrid consultation model allows hospitalists and psychiatrists to collaboratively care for BHC inpatients with professionally and personally rewarding work.</p>

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Hospitalists Caring for Behavioral Health Inpatients: A Hybrid Consultation Model

  • 期刊论文

  • 发表日期：

    2025年9月4日

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  • Kimberly Bloom-Feshbach,
  • Rebecca E. Berger,
  • Arthur T. Evans,
  • Margaret L. McNairy,
  • Leonardo V. Lopez,
  • Sharon J. Parish

摘要

Background

There is no established best practice for optimal medical consultant care to address the medical needs of psychiatric inpatients at a behavioral health center (BHC).

Aim

To evaluate the feasibility and acceptability of a hybrid on-site and virtual model of internal medicine consultative care in a BHC.

Setting and Participants

To provide continuous medical consultation availability for 233 patients in a BHC, 9 internal medicine hospitalists from the affiliated academic medical center joined 1 full-time internist and 21 medical nurse practitioners, supporting 34 psychiatry providers.

Program Description

Hospitalists performed medical evaluation prior to electroconvulsive and ketamine therapies, hybrid on-site and remote consultation for acute concerns, test results, medication effects, and chronic diseases, electrocardiogram review, and pre-admission assessments.

Program Evaluation

BHC faculty were anonymously surveyed. 8/8 hospitalists and 11/34 psychiatrists responded. Qualitative data were coded and thematically analyzed. Psychiatrists appreciated hospitalists’ expertise, communication, and collaborative problem-solving. Hospitalists found meaning in developing new clinical expertise and caring for vulnerable patients. Hospitalists credited the hybrid role with enhancing work-life integration. Challenges included handoffs, delineation of responsibilities, and virtual work impacting team cohesion.

Discussion

A hybrid consultation model allows hospitalists and psychiatrists to collaboratively care for BHC inpatients with professionally and personally rewarding work.