Skip to main content
×
×
Home

Comparison of liaison psychiatry service models for older patients

  • Fedza Mujic (a1), Charlotte Hanlon (a1), Danny Sullivan (a1), Gina Waters (a1) and Martin Prince (a1)...
Abstract
Aims and Method

At a London teaching hospital, the existing off-site consultation model psychiatric liaison service for older people was replaced with an on-site liaison model service in December 2000. Several indicators of the functioning of the service were audited using identical methods before and after this change.

Results

The case-load increased by 50%, but the liaison psychiatrists were more satisfied with the appropriateness of referrals. The case mix did not change. The new service achieved target waiting times more consistently, particularly for urgent referrals. Referring teams were more satisfied with the speed of response, while the new service maintained the salience and clarity of advice.

Clinical Implications

Findings are on the whole favourable, and support the wider introduction of specialist old-age liaison psychiatric services.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Comparison of liaison psychiatry service models for older patients
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Comparison of liaison psychiatry service models for older patients
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Comparison of liaison psychiatry service models for older patients
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Collinson, Y. & Benbow, S. M. (1998) The role of an old age consultation nurse. International Journal of Geriatric Psychiatry, 13, 159163.
De Leo, D., Baiocchi, A., Cipollone, B., et al (1989) Psychogeriatric consultation within a geriatric hospital: a six year experience. International Journal of Geriatric Psychiatry, 4, 135141.
Goldberg, R. L. (1989) Geriatric consultation/liaison psychiatry (Issues in geriatric psychiatry). Advances in Psychosomatic Medicine, 19, 138150.
Kisely, S. & Axten, C. (2000) Collaboration between general and old age psychiatrists in the provision of a consultation–liaison service. The Royal Australian and New Zealand College of Psychiatrists 35th Annual Congress. Adelaide, South Australia, 27–30 April 2000.
Lederberg, M. S. (1997) Making a situational diagnosis. Psychiatrist at the interface of psychiatry and ethics in the consultation-liaison setting. Psychosomatics, 38, 327328.
Lipowski, Z. J. (1983) The need to integrate liaison psychiatry and geropsychiatry. American Journal of Psychiatry, 140, 10031005.
Scott, J., Fairbairn, A. & Woodhouse, K. (1988) Referrals to a psychogeriatric consultation–liaison service. International Journal of Geriatric Psychiatry, 3, 131135.
Small, G.W. & Fawzy, F. I. (1988) Psychiatric consultation for the medically ill elderly in general hospital: need for a collaborative model of care. Psychosomatics, 29, 94103.
Starkman, M. N. & Hall, G. G. (1979) Teaching medical gerontology: utilisation of psychiatry consultation program. Journal of Medical Education, 54, 643648.
Strain, J. J., Lyons, J. S., Hammer, J. S., et al (1991) Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients. American Journal of Psychiatry, 148, 10441049.
Swanwick, G. R. J., Lee, H., Clare, A. W., et al (1994) Consultation–liaison psychiatry: a comparison of two service models for geriatric patients. International Journal of Geriatric Psychiatry, 9, 495499.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 9 *
Loading metrics...

Abstract views

Total abstract views: 31 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 23rd July 2018. This data will be updated every 24 hours.

Comparison of liaison psychiatry service models for older patients

  • Fedza Mujic (a1), Charlotte Hanlon (a1), Danny Sullivan (a1), Gina Waters (a1) and Martin Prince (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? *