Skip to main content
×
×
Home

A standard liaison psychiatry service structure?: A study of the liaison psychiatry services within six strategic health authorities

  • Rachel Ruddy (a1) and Allan House (a2)
Abstract
Aims and Method

We surveyed all psychiatric services in the six northeast strategic health authorities to determine how the provision of liaison psychiatry services related to College recommendations and the size of the general hospital trusts served.

Results

Thirty-six (100%) services provided usable data, 8% of general hospital trusts had no liaison psychiatry service, 41% of teams were not multidisciplinary with their only staff being nurses, only 38% of services had dedicated consultant psychiatry time and only a quarter met the recommended minimum standard of 0.5 whole-time equivalents. No teams contained clinical psychologists. Disorder-specific out-patient clinic provision was idiosyncratic.

Clinical Implications

There is a lack of rational planning of liaison psychiatry services and as a result, many services are not needs-based and do not comply with College recommendations. One indication of this is the lack of multidisciplinary teams.

  • 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.

      A standard liaison psychiatry service structure?
      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.

      A standard liaison psychiatry service structure?
      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.

      A standard liaison psychiatry service structure?
      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
Crawford, M. J. & Wesseley, S. (1998) Does initial management affect the rate of repetition of deliberate self harm? Cohort study. BMJ, 317, 985.
Department of Health (2002) Bed availability and occupancy, NHS organizations in England, 2001–02, website: http://www.doh.gov.uk.
Holmes, J., Bentley, K. & Cameron, I. (2002) Between Two Stools: Psychiatric Services for Older People in General Hospitals. Leeds: University of Leeds.
House, A. & Hodgson, G. (1994) Estimating needs and meeting demands. In Liaison Psychiatry: Defining Needs and Planning Services (eds Benjamin, S., House, A. & Jenkins, P.). London: Gaskell.
Howe, A., Hendry, J. & Potokar, J. (2003) A survey of liaison psychiatry services in the south-west of England. Psychiatric Bulletin, 27, 9092.
Mayou, R. A., Anderson, H., Feinmann, C., et al (1990) The present state of consultation and liaison psychiatry. Psychiatric Bulletin, 3, 321325.
Royal College of Physicians & Royal College of Psychiatrists (2003) The Psychological Care of Medical Patients: A Practical Guide. 2nd Edition (Council Report CR108). London: Royal College of Physicians & Royal College of Psychiatrists.
Royal College of Psychiatrists & British Association of Accident and Emergency Medicine (1996) Psychiatric Services to Accident and Emergency Departments (Council Report CR43). London: Royal College of Psychiatrists & British Association of Accident and Emergency Medicine.
Secretary of State for Health (1998) A First Class Service: Quality in the New NHS. London: HMSO.
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: 11 *
Loading metrics...

Abstract views

Total abstract views: 52 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 21st July 2018. This data will be updated every 24 hours.

A standard liaison psychiatry service structure?: A study of the liaison psychiatry services within six strategic health authorities

  • Rachel Ruddy (a1) and Allan House (a2)
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? *