Skip to main content Accessibility help
×
Home

Practicalities of care closer to home: seven key questions for community psychiatrists

  • Prasanna N. de Silva (a1)

Summary

This article aims to clarify what ‘care closer to home’ means to a community psychiatrist. Care closer to home can be operationalised as primary care liaison and the article reviews experience across England of how a liaison service can work with the recently organised primary care networks. Key competencies needed for liaising with primary care are discussed using seven questions, including bias mitigation, reducing bed-days, consultation skills, knowledge of emerging treatments and reducing administrative overheads while improving access.

Copyright

References

Hide All
Andersen, JL, Schjerling, P, Anderson, LL, et al. (2003) Resistance training and insulin action in humans: effect of de-training. Journal of Physiology, 551: 1049–53.
Bell, A (2018) The Economics of Liaison Psychiatry. Centre for Mental Health (https://www.rcpsych.ac.uk/docs/default-source/old-website-pdf's/economics-of-liasion-psychiatry.pdf?sfvrsn=d2e32e38_2).
Bergström, T, Seikkula, J, Alakare, B, et al. (2018) The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen-year outcomes. Psychiatry Research, 270: 168–75.
Cambridgeshire and Peterborough NHS Foundation Trust (2017) What is the Primary Care Mental Health Service? CPFT (https://www.cpft.nhs.uk/services/primary-care-mental-health-service.htm). Accessed 1 November 2018.
Celikbilek, A, Celikbilek, M, Bozkurt, G (2018) Cognitive assessment of patients with non-alcoholic fatty liver disease. European Journal of Gastroenterology & Hepatology, 30: 944–50.
Cole-King, A, Green, G, Gask, L, et al. (2013) Suicide mitigation: a compassionate approach to suicide prevention. Advances in Psychiatric Treatment, 19: 276–83.
Cuervo, AM, Bergammi, E, Brunk, UT, et al. (2005) Autophagy and aging: the importance of maintaining ‘clean’ cells. Autophagy, 1(3): 131–40.
de Silva, PN (2010) Avoiding Clinical Bias in Psychiatry (last reviewed: June 2019) (CPD online module). Royal College of Psychiatrists (http://www.psychiatrycpd.co.uk/learningmodules/avoidingclinicalbiasinpsyc.aspx).
de Silva, PN (2013) Applying SBARD to electronic notes, letters and reports in old age psychiatry. Progress in Neurology and Psychiatry, 17: 10–2. doi: 10.1002/pnp.271.
de Silva, PN (2018a) Use of appropriate technology to improve mental health delivery. British Journal of Hospital Medicine, 79: 682–4.
de Silva, PN (2018b) Closing the mortality gap in patients with major psychiatric conditions. British Journal of Hospital Medicine, 79: 444–8.
De Vries, TJ, Shaham, Y, Homberg, JR, et al. (2001) A cannabinoid mechanism in relapse to cocaine seeking. Nature Medicine, 7: 1151–4.
Dolan, H, Crain, B, Troncoso, J, et al. (2010) Atherosclerosis, dementia and Alzheimer's disease in the BLSA cohort. Annals of Neurology, 68: 231–40.
Elwing, JE, Lustman, PJ, Wang, HL, et al. (2006) Depression, anxiety, and nonalcoholic steatohepatitis. Psychosomatic Medicine, 68: 563–9.
Elliott, S, Allan, T (2018) Evaluation of the Primary Care Service for Mental Health (PRISM): Stage One. Cambridgeshire and Peterborough NHS Foundation Trust (https://www.cpft.nhs.uk/PDF/Miscellaneous/York%20Evaluation%20Report%20Nov%202018.pdf).
Feachem, RGA, Sekhri, NK, White, KL (2002) Getting more for the dollar: a comparison of the NHS with California's Kaiser Permanente. BMJ, 324: 135–43.
Freeman, AM, Tribe, RH, Stott, JCH, et al. (2018) Open dialogue: a review of the evidence. Psychiatric Services, 70: 4659.
Fuhrmeister, J, Zota, A, Sijmonsma, TP, et al. (2016) Fasting-induced liver GADD45β restrains hepatic fatty acid uptake and improves metabolic health. EMBO Molecular Medicine, 8: 654–69.
Grall-Bronner, M, Sauvaget, A (2014) The use of repetitive transcranial magnetic stimulation for modulating craving and addictive behaviours: a critical literature review of efficacy, technical and methodological considerations. Neuroscience & Biobehavioral Reviews, 47: 592613.
Haglund, A, Lysell, H, Larsson, H, et al. (2019) Suicide immediately after discharge from psychiatric inpatient care: a cohort study of nearly 2.9 million discharges. Journal of Clinical Psychiatry, 80(2): 18m12172.
Ho, CSH, Zhang, MWB (2014) Metabolic syndrome in psychiatry: advances in understanding and management. Advances in Psychiatric Treatment, 20: 101–12.
Hopper, EK, Bassuk, EI, Olivet, J (2010) Shelter from the storm: trauma-informed care in homelessness services settings. Open Health Services and Policy Journal, 3(special issue): 80100.
Janelidze, S, Mattsson, N, Stomrud, E, et al. (2018) CSF biomarkers of neuroinflammation and cerebrovascular dysfunction in early Alzheimer's disease. Neurology, 91: 867–77.
Jones, S, Howard, L, Thornicroft, G (2008) ‘Diagnostic overshadowing’: worse physical healthcare for people with mental illness. Acta Psychiatrica Scandinavica, 118: 169–71.
King's Fund (2019) Primary care networks explained. The King's Fund (https://www.kingsfund.org.uk/publications/primary-care-networks-explained). Accessed 3 March 2019.
Large, M, Kaneson, M, Myles, N, et al. (2016) Meta-analysis of longitudinal cohort studies of suicide risk assessment among psychiatric patients: heterogeneity in results and lack of improvement in time. PLoS One, 11(6): e0156322.
Lim, AS, Mietus-Snyder, M, Valente, A, et al. (2010) The role of fructose in the pathogenesis of NAFLD and the metabolic syndrome. Nature Reviews Gastroenterology & Hepatology, 7: 251–64.
Loomba, R, Cortez-Pinto, H (2015) Exercise and improvement of NAFLD: practical recommendations. Journal of Hepatology, 63: 10–2.
Lund, S, Richardson, A, May, C (2010) Barriers to Advance Care Planning at end of life; an explanatory systematic review of implementation studies. PLoS One, 10(2): e0116629.
Madhava, H (2010) Hybrid consultants. BMJ, 340: c240.
Martin, B, Golden, E, Egan, JM, et al. (2007) Reduced energy intake: the secret to a long and healthy life? IBS Journal of Science, 2: 35–9.
McCartney, M (2017) The disappearing act of mental health beds: a rational NHS management plan? BMJ, 359: j5407.
Miller, ML, Ren, Y, Szutorisz, H, et al. (2018) Ventral striatal regulation of CREM mediates impulsive action and drug addiction vulnerability. Molecular Psychiatry, 23: 1328–35.
Mullee, A, Romaguera, D, Pearson-Stuttard, J, et al. (2019) Association between soft drink consumption and mortality in 10 European countries. JAMA Internal Medicine, Sep 3: doi:10.1001/jamainternmed.2019.2478 [Epub ahead of print].
Myers, MG, Heymsfield, SB, Haft, C, et al. (2012) Defining leptin resistance – challenges and opportunities. Cell Metabolism, 15: 150–6.
National Collaborating Centre for Mental Health (2019) The Community Mental Health Framework for Adults and Older Adults. NHS England.
National Confidential Inquiry into Suicide and Safety in Mental Health (2018) National Confidential Inquiry into Suicide and Safety in Mental Health: Annual Report: England, Northern Ireland, Scotland, Wales. October 2018. University of Manchester.
NHS England (2016) New Care Models: Vanguards – Developing a Blueprint for the Future of NHS and Care Services. NHS England.
NHS England (2019) The NHS Long Term Plan. NHS.UK.
NHS Improvement (2015) Moving healthcare closer to home. NHS Improvement (https://www.gov.uk/guidance/moving-healthcare-closer-to-home). Accessed 9 September 2015.
O'Shea, N (2019) A New Approach to Complex Needs: Primary Care Psychological Medicine. First Year Evaluation (Centre for Mental Health Briefing). Centre for Mental Health.
O'Sullivan, ED, Schofield, SJ (2018) Cognitive biases in clinical medicine. Journal of the Royal College of Physicians Edinburgh, 48: 225–32.
Parolaro, D, Realini, N, Vigano, D, et al. (2010) The endocannabinoid system and psychiatric disorders. Experimental Neurology, 224: 314.
Parsonage, M, Hard, E, Rock, B (2019) Managing Patients with Complex Needs: Evaluation of the City and Hackney Primary Care Psychotherapy Consultation Service (Centre for Mental Health Report). Centre for Mental Health.
Rada, P, Avena, NM, Hoebel, BG (2005) Daily binging on sugar repeatedly releases dopamine in the accumbens shell. Neuroscience, 134: 737–44.
Reimers, CD, Knapp, G, Reimers, AK (2012) Does physical activity increase life expectancy? A review of the literature. Journal of Aging Research, 2012: 243958.
Reynolds, J, Croft, S (2010) How to implement the Gold Standards Framework to ensure continuity of care. Nursing Times, 106(32): 10–3.
Sanna, C, Rosso, C, Marietti, M (2016) Non-alcoholic fatty liver disease and extra-hepatic cancers. International Journal of Molecular Sciences, 17(5): 717.
Shoelson, SE, Lee, J, Goldfine, AB (2006) Inflammation and insulin resistance. Journal of Clinical Investigation, 116: 1793–801.
Solanas, G, Peixoto, PO, Perdignero, E, et al. (2017) Aged stem cells reprogram their daily rhythmic function to adapt to stress. Cell, 170: 678–92.
Soliman, HM, Waigh, HM, Algaidi, SA, et al. (2013) Histological evaluation of the role of atypical antipsychotic drugs in inducing non-alcoholic fatty liver disease in male albino rats (light and electron microscopic study). Folia Biologica (Praha), 59: 173–80.
Sweeney, A, Clement, S, Filson, B, et al. (2016) Trauma-informed mental healthcare in the UK: what is it and how can we further its development? Mental Health Review Journal, 21: 174–92.
Tyrka, AR, Price, LH, Kao, H, et al. (2010) Childhood maltreatment and telomere shortening: primary support for the effect of early stress on cellular aging. Biological Psychiatry, 67: 531–4.
Yau, PL, Castro, MG, Tagani, A (2012) Obesity, metabolic syndrome and functional and structural brain impairments in adolescents. Pediatrics, 130: 856–64.
Wei, M, Brandhorst, S, Shelehichi, M, et al. (2017) Fasting mimicking diet and markers/risk factors for ageing, diabetes, cancer and cardiovascular disease. Science Translational Medicine, 9(377): eaai8700.
Wang, X, Hu, X, Yang, Y, et al. (2006) Nicotinamide mononucleotide protects against beta amyloid oligomer induced cognitive impairment and neuronal death. Brain Research, 164: 19.
Warr, J, Page, M, Crossen-White, H (2005) The Appropriate Use of Closed Circuit Television (CCTV) Observation in a Secure Unit. Bournemouth University.

Keywords

Practicalities of care closer to home: seven key questions for community psychiatrists

  • Prasanna N. de Silva (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Practicalities of care closer to home: seven key questions for community psychiatrists

  • Prasanna N. de Silva (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *