Unified Protocol for psychiatric and psychological assessment of candidates for transplantation of organs and tissues, PSI-CAT.
BACKGROUND
Transplantation is the treatment option that offers improved survival and quality of life as compared to organ failure. Psychiatric and psychological aspects of transplant candidates are important, especially in the pre-assessment stage, as the influence of these factors can hinder post-surgical outcome in both the implanted organ survival and the quality of life of the transplanted person. Of particular importance, are the factors related to pathology due to substance use, psychopathology, and psychosocial support. There are currently few guidelines on the correct evaluation of patients eligible for these complex procedures.


METHODS
Nineteen psychiatrists and clinical psychologists from six public hospitals in Catalonia conducted a systematic consensus to determine the design of a Unified Protocol psychological and psychiatric evaluation. An annual work plan was implemented, during which; the objectives were defined, a literature review was conducted, the inclusion and exclusion criteria were discussed, questionnaires were selected, and a structured interview was developed.


RESULTS
With the implementation of the work plan, the Assessment Protocol presented in this article was designed.


CONCLUSIONS
systematic work and improving cooperation between psychiatrists and clinical psychologists, has led to homogeneity and consensus on a unified evaluation protocol.
Servicio de Psiquiatría, Hospital Universitario Vall d'Hebron, Barcelona, España. Electronic address: sgfidel@vhebron.net.
Sara Guila
SG
Fidel Kinori
Servicio de Psiquiatría, Hospital Universitario Arnau de Vilanova, Lleida, España.
Antonio
A
Alcántara Tadeo
Servicio de Psiquiatría, Hospital Santa Maria de Lleida, Lleida, España.
Esther
E
Castan Campanera
Servicio de Psiquiatría, Hospital Universitario Vall d'Hebron, Barcelona, España.
Gemma
G
Costa Requena
Servicio de Psiquiatría, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.
Crisanto
C
Diez Quevedo
Servicio de Psiquiatría, Hospital Clínic, Barcelona, España.
Anna
A
Lligoña Garreta
Servicio de Psiquiatría, Hospital Clínic, Barcelona, España.
Ana
A
Lopez Lazcano
Fundació Puigvert, Barcelona, España.
Montserrat
M
Martínez del Pozo
Servicio de Psiquiatría, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.
Teresa
T
Rangil Muñoz
Servicio de Psiquiatría, Hospital Clínic, Barcelona, España.
Josep María
JM
Peri Nogués
D002985:Clinical Protocols; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis*; D016377:Organ Transplantation / Q000523:psychology*; D018579:Patient Selection; D010551:Personality; D011300:Preoperative Care / Q000379:methods* / Q000592:standards; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011788:Quality of Life; D012944:Social Support
Evaluación psiquiátrica y psicológica; Protocol; Protocolo; Psychiatric and psychological assessment; Transplant; Trasplante