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May 8, 2017 · Liaison psychiatry is a subspecialty within psychiatry that provides psychiatric assessment and treatment for patients who might be experiencing distress on medical wards or in the emergency department. The liaison psychiatry team—which usually comprises psychiatrists, specialist nurses, social workers, occupational therapists, and clinical ...
- Metrics
Liaison psychiatry is a subspecialty within psychiatry that...
- Metrics
Liaison psychiatry services address the mental needs of people who are being treated primarily for physical health problems or symptoms. At present liaison mental health services are mostly provided to patients attending general and acute hospitals, but there is also a major – as yet under-developed
Liaison Psychiatry services are dedicated psychiatry teams based in general hospitals, providing assessment and treatment of mental health problems in the emergency department and on medical wards.
- Sample Characteristics
- The Nature of The Liaison Teams
- Coordinated Transitions in Care Across The Continuum
- Patient Focused Care
- Primary Care Network Structures in Place
- Inter-Professional Team Working and Team Effectiveness
- Physician Integration Within Care Teams and Across Sectors
- Differences in Views from Staff in Different Hospital Clusters
Seventy three in-depth qualitative interviews were conducted with professionals from the liaison services (n = 60) and acute trust colleagues (n= 13), who had experience of working with the liaison teams. Services were of varied size and had diverse configurations and staffing levels, as indicated by membership of the 4 different clusters. The numb...
As is common nationally, the liaison psychiatry services in our sample were provided by Mental Health Trusts but served Acute Hospital Trusts. The liaison psychiatry services were teams of psychiatrists and liaison practitioners - most commonly mental health nurses, sometimes with one or more psychologist, social worker, therapist, or physician ass...
Problems with coordinated transitions in care emerged in relation to referrals to the liaison teams from the acute hospital teams, and from the liaison teams to community/primary care services. 1. i)Problems with referrals to the liaison services Some acute trust professionals described frustration with a perceived lack of responsiveness from liais...
Liaison staff valued highly the role of detailed psychosocial assessments as part of their work, and assessments were viewed as an important step to ensuring patients received the best possible care. Assessments were described as typically lasting up to an hour and involved exploring reasons for admission, the person’s view of their own circumstanc...
Liaison staff described gaps in service provision after discharge. This was particularly evident for patients with medically unexplained symptoms (MUS). Several staff expressed concern about no suitable services for this group of patients, who had persistent and disabling symptoms, and who required more intensive treatment than the brief, shorter t...
Generally, staff described good working relationships with colleagues from different specialties. Close working relationships were described between liaison psychiatry services and acute hospital colleagues, especially those that had developed over years. This sort of relationship was underpinned by the liaison service having credibility through a ...
Different hierarchies operated in Acute and Mental Health Trusts. Liaison psychiatry staff typically felt that Acute Trusts were generally more hierarchical than their own Mental Health Trusts. In Acute Hospitals, particularly EDs, liaison nurse practitioners tended to assess uncomplicated new referrals and develop plans independently of consultant...
There was little evidence of major differences in responses between the different types of liaison services. More concerns about specialism were expressed in larger services with separate components (e.g. older adults team), in comparison to the other service types, and there also appeared to be greater confusion about referral processes. However, ...
- Keeble Jasmin, Andrew Walker, Elspeth Guthrie, Peter Trigwell, Alan Quirk, Jenny Hewison, Carolyn Cz...
- 2019
Liaison psychiatry, also known as consultation–liaison psychiatry (CLP), psychosomatic medicine, or psychiatry of the medically ill, is a branch of psychiatry operating at the interface of the somatic disciplines and psychiatry.
Background. In acute hospitals in the UK, the purpose of assistance from liaison psychiatry includes: support to patients, families and treating medical teams. advice about clinical care or diagnosis in hospital. advice and support on mental health and mental capacity law.
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Abstract. Objectives To describe the current provision of hospital-based liaison psychiatry services in England, and to determine different models of liaison service that are currently operating in England. Design Cross-sectional observational study comprising an electronic survey followed by targeted telephone interviews.
