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Chapter 10 - Psychosis in General Hospital Settings

Published online by Cambridge University Press:  04 January 2024

By
Seri Abraham ,
Daniel Kaitiff ,
Samira Malik ,
Annalie Clark  and
Rachel Thomasson
Edited by
Rachel Thomasson ,
Elspeth Guthrie  and
Allan House
Rachel Thomasson
Affiliation:
Manchester Centre for Clinical Neurosciences
Elspeth Guthrie
Affiliation:
Leeds Institute of Health Sciences
Allan House
Affiliation:
Leeds Institute of Health Sciences
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Summary

Psychosis is a core area of practice across all psychiatric sub-specialties, each with its own challenges. This chapter illustrates some of the complexities involved in assessment and treatment of psychosis in general hospital settings. The intersection between schizophrenia and physical health risks is highlighted as a starting point before examining the approach to diagnosis and the range of presentations in different areas of the general hospital. Management of common queries is discussed, taking a bio-psycho-social approach. Finally, legal aspects of treating patients with psychosis are outlined using practical tips.

Keywords

psychosisschizophreniaantipsychotics
Type
Chapter
Information
Seminars in Consultation-Liaison Psychiatry , pp. 158 - 171
Publisher: Cambridge University Press
Print publication year: 2024

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References

Nordentoft, M, Wahlbeck, K, Hallgren, J et al. Excess mortality, causes of death and life expectancy in 270,770 patients with recent onset of mental disorders in Demark, Finland and Sweden. PLoS One. 2013;8(1):e55176.CrossRefGoogle Scholar
Jayatilleke, N, Hayes, RD, Chang, CK, Stewart, R. Acute general hospital admissions in people with serious mental illness. Psychol Med. 2018;48(16):2676–83.CrossRefGoogle ScholarPubMed
World Health Organization. International Classification of Diseases – 11th revision.2023. https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f1683919430.Google Scholar
Pollak, TA, Lennox, BR, Müller, S et al. Autoimmune psychosis: An international consensus on an approach to the diagnosis and management of psychosis of suspected autoimmune origin. Lancet Psychiatry. 2020;7(1):93–108.CrossRefGoogle Scholar
Bonnot, O, Herrera, PM, Tordjman, S, Walterfang, M. Secondary psychosis induced by metabolic disorders. Front Neurosci. 2015;19(9):177.Google Scholar
NHS England. Implementing the Five-Year Forward View for Mental Health. 2017. www.england.nhs.uk/publication/implementing-the-fyfv-for-mental-health.Google Scholar
Royal College of Midwives. Specialist mental health midwives: What they do and why they matter. 2018. www.rcm.org.uk/media/2370/specialist-mental-health-midwives-what-they-do-and-why-they-matter.pdf.Google Scholar
Walker, A, Barrett, JR, Lee, W et al. Organisation and delivery of liaison psychiatry services in general hospitals in England: Results of a national survey. BMJ Open. 2018;8(8):e023091.CrossRefGoogle ScholarPubMed
Mansour, H, Mueller, C, Davis, KAS et al. Severe mental illness diagnosis in English general hospitals 2006–2017: A registry linkage study. PLoS Med. 2020;17(9):e1003306.CrossRefGoogle ScholarPubMed
Bolton, J. ‘We’ve got another one for you!’: Liaison psychiatry’s experience of stigma towards patients with mental illness and mental health professionals. The Psychiatrist. 2012;36(12):450–4.CrossRefGoogle Scholar
Schizophrenia and related psychoses. In Taylor, DM, Barnes, TRE, Young, HY (eds.), The Maudsley Prescribing Guidelines, 14th ed. Chichester; 2018, pp. 3–204.Google Scholar
Hepatic and renal impairment. In Taylor, DM, Barnes, TRE, Young, HY (eds.), The Maudsley Prescribing Guidelines, 14th ed. Chichester; 2018, pp. 635–60.Google Scholar
Detke, HC, McDonnell, DP, Brunner, E et al. Post-injection delirium/sedation syndrome in patients with schizophrenia treated with olanzapine long-acting injection, I: Analysis of cases. BMC Psychiatry. 2010;10:43.CrossRefGoogle ScholarPubMed
Hynes, C, Keating, D, McWilliams, S et al. Development and validation of a clozapine-specific side-effects scale. Schizophr Res. 2015;168(1–2):505–13.CrossRefGoogle ScholarPubMed
Department of Health and Social Care. Code of practice: Mental Health Act 1983. 2017. www.gov.uk/government/publications/code-of-practice-mental-health-act–1983.Google Scholar
Guthrie, E, McMeekin, A, Thomasson, R et al. Opening the ‘black box’: Liaison psychiatry services and what they actually do. BJPsych Bull. 2016;40(4):175–80.CrossRefGoogle Scholar
Department of Health and Social Care. Modernising the Mental Health Act: Final report from the independent review. 2019. www.gov.uk/government/publications/modernising-the-mental-health-act-final-report-from-the-independent-review.Google Scholar
Department of Health and Social Care. Electronic forms for use under the Mental Health Act. 2020. www.gov.uk/government/collections/electronic-forms-for-use-under-the-mental-health-act.Google Scholar

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