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An analysis of whether a working-age ward-based liaison psychiatry service requires the input of a liaison psychiatrist

  • Elspeth A. Guthrie (a1), Aaron T. McMeekin (a2), Sylvia Khan (a3), Sally Makin (a4), Ben Shaw (a5) and Damien Longson (a6)...
Abstract
Aims and method

This article presents a 12-month case series to determine the fraction of ward referrals of adults of working age who needed a liaison psychiatrist in a busy tertiary referral teaching hospital.

Results

The service received 344 referrals resulting in 1259 face-to-face contacts. Depression accounted for the most face-to-face contacts. We deemed the involvement of a liaison psychiatrist necessary in 241 (70.1%) referrals, with medication management as the most common reason.

Clinical implications

A substantial amount of liaison ward work involves the treatment and management of severe and complex mental health problems. Our analysis suggests that in the majority of cases the input of a liaison psychiatrist is required.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Aaron T. McMeekin (aaronmcmeekin@nhs.net)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Tadros, G, Salama, RA, Kingston, P, Mustafa, N, Johnson, E, Pannel, R, et al. Impact of an integrated rapid response psychiatric liaison team on quality improvement and cost savings: the Birmingham RAID model. Psychiatrist 2013; 37: 410.
2 Barrett, J, Aitken, P, Lee, W. Report of the 2nd Annual Survey of Liaison Psychiatry in England. Royal College of Psychiatrists, 2015 (crisiscareconcordat.org.uk/wp-content/uploads/2015/10/2a-Report-of-the-2nd-Annual-Survey-of-Liaison-Psychiatry-in-England-20-.pdf).
3 Aitken, P, Robens, S, Emmens, T. Liaison Psychiatry Services – Guidance. Devon Partnership NHS Trust, 2014.
4 World Health Organization. ICD-10 Classification of Mental and Behavioural Disorders Clinical Descriptions and Diagnostic Guidelines. WHO, 1992.
5 Creed, F, Guthrie, E, Black, D, Tranmer, M. Psychiatric referrals within the general hospital: comparison with referrals to general practitioners. Br J Psychiatry 1993; 162: 204–11.
6 Who Cares Wins. Improving the Outcome for Older People Admitted to the General Hospital: Guidelines for the Development of Liaison Mental Health Services for Older People. Royal College of Psychiatrists, 2005.
7 Aitken, P, Robens, S, Emmens, T, (eds). Model Service Specifications for Liaison Psychiatry Services – Guidance for Commissioning Support. Devon Partnership NHS Trust, 2014. Available at http://mentalhealth partnerships.com/resource/model-service-specifications-for-liaison-psychiatry-services/ (accessed 5 September 2016).
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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An analysis of whether a working-age ward-based liaison psychiatry service requires the input of a liaison psychiatrist

  • Elspeth A. Guthrie (a1), Aaron T. McMeekin (a2), Sylvia Khan (a3), Sally Makin (a4), Ben Shaw (a5) and Damien Longson (a6)...
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