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New models of care: a liaison psychiatry service for medically unexplained symptoms and frequent attenders in primary care

  • Janine Bestall (a1), Najma Siddiqi (a2) (a3), Suzanne Heywood-Everett (a1) (a3), Charlotte Freeman (a4), Paul Carder (a5) (a6), Mick James (a5) (a6), Brendan Kennedy (a5) (a6), Angela Moulson (a5) (a6) and Allan House (a1)...
Abstract
Aims and method

This paper describes the process of setting up and the early results from a new liaison psychiatry service in primary care for people identified as frequent general practice attenders with long-term conditions or medically unexplained symptoms. Using a rapid evidence synthesis, we identified existing service models, mechanisms to identify and refer patients, and outcomes for the service. Considering this evidence, with local contingencies we defined options and resources. We agreed a model to set up a service in three diverse general practices. An evaluation explored the feasibility of the service and of collecting data for clinical, service and economic outcomes.

Results

High levels of patient and staff satisfaction, and reductions in the utilisation of primary and secondary healthcare, with associated cost savings are reported.

Clinical implications

A multidisciplinary liaison psychiatry service integrated in primary care is feasible and may be evaluated using routinely collected data.

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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
Janine Bestall (j.bestall@leeds.ac.uk)
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Declaration of interest

J.B. was funded by NHS Airedale, Wharfdale and Craven Commissioning Group to write the report for this study. N.S. provided clinical expertise to the service described in this study.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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New models of care: a liaison psychiatry service for medically unexplained symptoms and frequent attenders in primary care

  • Janine Bestall (a1), Najma Siddiqi (a2) (a3), Suzanne Heywood-Everett (a1) (a3), Charlotte Freeman (a4), Paul Carder (a5) (a6), Mick James (a5) (a6), Brendan Kennedy (a5) (a6), Angela Moulson (a5) (a6) and Allan House (a1)...
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