Who should see the elderly in general hospitals — Old age or consultation — Liaison psychiatry?

2000 ◽  
Vol 34 (s1) ◽  
pp. A19-A19
Author(s):  
B Draper
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Consultation Liaison Psychiatry

Principles of service provision in old age psychiatry

2020 ◽  
pp. 281-306
Author(s):  
Tom Dening ◽  
Kuruvilla George
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Religion And Spirituality ◽  
Liaison Psychiatry ◽  
Memory Assessment ◽  
Challenges And Opportunities ◽  
Recent Developments ◽  
Old Age Psychiatry ◽  
Consultation Liaison Psychiatry

Globally increasing numbers of older people bring both challenges and opportunities for old age psychiatry services. This chapter outlines the history, underlying principles, and policy context for contemporary mental health services for older people. It discusses components of services, including community health teams, memory assessment services, consultation-liaison psychiatry, and in-patient mental health care, as well as newer types of service, such as crisis teams and outreach to care homes. Other recent developments include various models of case management and emphasis on post-diagnostic support. Equally important are issues of equality and access, and the chapter covers several key areas, such as age, gender, sexual orientation, religion and spirituality, and rurality. Major challenges to old age psychiatry come from limited resources and non-recognition of the distinct needs of older adults, as well as the demands of the growing older population, advances in science and technology, and the need to attract talented psychiatrists into this field.

scholarly journals The Importance Of A Consultation Liaison Psychiatry Service In General Hospitals: A Brazilian 6-Years Experience

2021 ◽  
Author(s):  
Yoichi Takaki Konno ◽  
Fernanda Menezes de Faria ◽  
Gisele Zocoller Seno ◽  
Vinicius dos Santos Sguerri ◽  
Ana Carolina Gonçalves Olmos ◽  
...  
Keyword(s):  
Medical Records ◽  
Treatment Plan ◽  
Demographic Data ◽  
Liaison Psychiatry ◽  
Chi Square ◽  
General Hospitals ◽  
Significant Difference ◽  
Chi Square Test ◽  
Consultation Liaison Psychiatry ◽  
Level Of Significance

Abstract Background: The importance of consultation-liaison psychiatry (CLP) services have been progressively growing in all general hospitals.Methods: Data were collected from medical records of patients treated by the CLP service, from 2014 to 2020, including clinical-demographic data, characteristics of hospitalization, reason for request, treatment plan, and clinical outcome. For these analyses, the chi-square test, z-test, and Kruskal-Wallis test were used. The level of significance was set at 5%.Results: A total of 2,742 consultation requests were evaluated by the psychiatry team. The number of requests made grew by 109.64% over the years. In 58.21% of cases, the patient was in the ward, and 33% were requested by Internal Medicine. There was a statistically significant difference (p <0.001) in the distribution of reasons for request according to patients' characterization variables.Conclusions: This study sought to analyze the functioning and growth of CLP in a tertiary Brazilian general hospital. The present findings reinforce the importance of this service and the need to implement and develop CLP in general hospitals.

Liaison old age psychiatry

2020 ◽  
pp. 347-360
Author(s):  
Fiona Thompson ◽  
Elena Baker-Glenn
Keyword(s):  
Old Age ◽  
Older Adult ◽  
Screening Tools ◽  
Physical And Mental Health ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Old Age Psychiatry ◽  
The Uk ◽  
Hospital Team

Liaison psychiatry is a sub-specialty of psychiatry that specializes in the interface between physical and mental health, and involves treating patients who are attending general hospitals. This chapter provides an overview of the development of old age liaison psychiatry with consideration of the commissioning and funding of services. It discusses the importance of liaison psychiatry services being integrated within the general hospital team. It outlines different models of liaison psychiatry and provides examples of different services in the UK. It describes common conditions seen within older adult liaison psychiatry and considers screening tools and outcomes. Finally, it covers other aspects of the role of liaison psychiatry, such as teaching, training, governance and accreditation of services and considers interfaces with other services and the future of liaison psychiatry.

scholarly journals Service evaluation in old age psychiatry: using the general practitioner's view

1988 ◽  
Vol 12 (10) ◽  
pp. 428-430 ◽  
Author(s):  
Eric Gehlhaar
Keyword(s):  
Old Age ◽  
Mentally Ill ◽  
The Elderly ◽  
Service Evaluation ◽  
Psychiatric Services ◽  
Community Based ◽  
General Hospitals ◽  
Specialist Services ◽  
Old Age Psychiatry ◽  
The Government

Psychiatric services for the elderly are evolving rapidly. The Government has recently reiterated that this area needs special attention. The reasons for upheaval are well-known: the changing age structure of the population, the historical neglect of the elderly mentally ill and a growing emphasis on community-based approaches in place of traditional institutional solutions. In the London area and elsewhere, adjustment has been complicated by geographical transplantation from old suburban mental hospitals to locally situated units, often within district general hospitals. New specialist services also suffer from the effects of financial stringency and inadequate recruitment. These and other changes have ensured that the process of restructuring services has been difficult. Planners have had few precedents to fall back on, and have been heavily dependent on available guidelines. There has been comparatively little information available about how effectively services work in practice.

Consultation–Liaison Psychiatry in General Hospitals: Improvement in Physicians’ Detection Rates of Alcohol Use Disorders

2009 ◽  
Vol 50 (6) ◽  
pp. 599-604
Author(s):  
Alexander Diehl ◽  
Helmut Nakovics ◽  
Bernhard Croissant ◽  
Iris Reinhard ◽  
Falk Kiefer ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Detection Rates ◽  
Consultation Liaison Psychiatry

scholarly journals Observations of a traveling fellow: consultation–liaison psychiatry versus joint units for delirium management

2013 ◽  
Vol 25 (7) ◽  
pp. 1204-1206
Author(s):  
Anne P. F. Wand ◽  
James George
Keyword(s):  
United Kingdom ◽  
Older People ◽  
Royal College ◽  
Specialist Care ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
The United Kingdom ◽  
Psychiatric Units ◽  
Delirium Management ◽  
Consultation Liaison Psychiatry

There are various approaches to providing specialist care for patients with delirium in general hospitals. Those described in the literature include joint geriatric/psychiatric units and consultation–liaison (CL) psychiatry services. The Ferdinande Johanna Kanjilal Travelling Fellowship, from the Royal College of Psychiatrists, UK, provided an opportunity to more fully understand each model. This letter outlines observations of the Australian Fellow (AW) of different service structures in the care of hospitalized older people with delirium in the United Kingdom and Ireland.

The North Dublin Old Age Psychiatry service — survey of patients referred in the first six months

1990 ◽  
Vol 7 (2) ◽  
pp. 135-137 ◽  
Author(s):  
Margo M. Wrigley ◽  
Miriam A. Gannon
Keyword(s):  
Elderly People ◽  
Old Age ◽  
Government Policy ◽  
Community Setting ◽  
The Elderly ◽  
General Hospitals ◽  
Demographic Pressure ◽  
The North ◽  
Old Age Psychiatry ◽  
The Republic

AbstractIn Ireland, the demographic pressure of greater numbers of elderly people surviving longer with an attendant increase in the prevalence of dementia and depression compounded by the running down of old mental hospitals and the closure of smaller general hospitals has provoked debate on the need for Old Age Psychiatry (Psychogeriatric) Services.The first Old Age Psychiatry service in the Republic of Ireland started in North Dublin in January 1989. Detailed information on all referrals (173) assessed in the first six months of operation was collected and is presented. The findings are discussed in the context of the stated government policy of caring for the elderly within the community setting.

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