scholarly journals Liaison psychiatry services in Wales

2018 ◽  
Vol 43 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Tayyeb A. Tahir ◽  
Adam Watkins ◽  
Philip Slack ◽  
Phil Chick ◽  
William Lee ◽  
...  
Keyword(s):  
Public Health ◽  
Service Provision ◽  
Clinical Implications ◽  
Liaison Psychiatry ◽  
Systematic Data ◽  
Staffing Levels ◽  
The Past ◽  
Set Up ◽  
Systematic Data Collection ◽  
Health Boards

Aims and methodRecent funding from Welsh Government for mental health has helped to develop liaison psychiatry services in Wales. Systematic data collection was undertaken to map the liaison psychiatry services in Wales in collaboration with the Royal College of Psychiatrists in Wales and Public Health Wales 1000 Lives Improvement. A questionnaire was designed and circulated to all the health boards in Wales to gather information to map liaison psychiatry services in Wales. Up-to-date information was confirmed in January 2018, via email.ResultsOver the past 2 years, liaison psychiatry services have been set up in six out of seven health boards in Wales. Staffing levels have increased and the remit of services has broadened.Clinical implicationsMapping has highlighted that liaison psychiatry services in Wales continue to evolve. It will be important to continue to monitor these developments and their effects. Comparison with services in England will provide a useful comparison of service provision. A particular challenge will be to establish and monitor liaison psychiatry standards in Wales.Declaration of interestNone.

scholarly journals London's liaison psychiatry services: survey of service provision

2015 ◽  
Vol 39 (2) ◽  
pp. 65-69 ◽  
Author(s):  
Smitha Naidu ◽  
Jim Bolton ◽  
Jared Smith
Keyword(s):  
Service Provision ◽  
Service Development ◽  
Clinical Implications ◽  
Physical And Mental Health ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Staffing Levels ◽  
Similar Survey ◽  
Service Policy ◽  
The Cost

Aims and methodTo describe the liaison psychiatry services of all 30 general hospitals in Greater London and to determine whether services met national recommendations. The results were compared with a similar survey conducted 8 years previously to determine whether there had been significant service development.ResultsWe identified wide variations in service provision across London. Fifteen hospitals (50%) had 24-hour services and one had no service. There had been a significant increase in services that assessed older adults. Increases in the size of teams and consultant psychiatry staff were not significant.Clinical implicationsDespite an increasing emphasis on the effectiveness of liaison psychiatry services, no London hospital had staffing levels consistent with national recommendations. Recent evidence for the cost-effectiveness of liaison psychiatry and an emphasis on parity between physical and mental health in National Health Service policy may provide further impetus for growth.

scholarly journals Liaison psychiatry services in south England

2010 ◽  
Vol 34 (7) ◽  
pp. 270-273 ◽  
Author(s):  
Jackie Gordon ◽  
Sonia Wolf
Keyword(s):  
Royal College ◽  
Full Time ◽  
The South ◽  
Liaison Psychiatry ◽  
Hospital Size ◽  
Staffing Levels ◽  
The Past ◽  
Patient Groups ◽  
The Uk ◽  
And Function

Aims and methodTo investigate liaison psychiatry services across 38 acute trusts in the south of England. We used a telephone survey and compared the results to service structure and function as recommended by the Royal College of Physicians and the Royal College of Psychiatrists.ResultsApproximately two-thirds of trusts surveyed had a dedicated liaison service and this was not significantly related to hospital size. Most liaison teams were understaffed in all disciplines and only a third had a full-time consultant. Services for specialist patient groups were generally well provided for; 37% of teams had been created in the past 5 years and 33% were planning to increase their staffing levels in future.Clinical implicationsLiaison services in the south of England are similar to those in other parts of the UK that have been surveyed. Although the services did not meet the Colleges' recommendations, our study shows some recent growth and development in this specialty.

scholarly journals Liaison psychiatry in Scotland: the present service

1989 ◽  
Vol 13 (11) ◽  
pp. 606-608 ◽  
Author(s):  
Helen M. Anderson
Keyword(s):  
Interest Group ◽  
Royal College ◽  
Special Interest ◽  
Service Provision ◽  
Clinical Impact ◽  
Level Of Service ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Ongoing Research ◽  
Set Up

The term ‘liaison psychiatry’ is becoming increasingly popular. Indeed, the Royal College of Psychiatrists has set up a special interest group, the Liaison Psychiatry Group, which has a growing membership. There appear to be developments in training and in service provision but it is difficult to assess their clinical impact. Ongoing research is required to quantify the actual level of service provided to general hospitals.

scholarly journals Setting up a methadone maintenance clinic in a hostel in London's West End

2006 ◽  
Vol 30 (9) ◽  
pp. 337-339
Author(s):  
John Dunn ◽  
David Robertson ◽  
Paul Davis ◽  
Babak Khosrawan ◽  
Suneel Christian
Keyword(s):  
Treatment Outcomes ◽  
Substance Misuse ◽  
Methadone Maintenance ◽  
Homeless People ◽  
Clinical Implications ◽  
Original Cohort ◽  
Heroin Use ◽  
The Past ◽  
Outreach Clinic ◽  
Set Up

Aims and MethodA satellite methadone prescribing service was set up in a hostel in London's West End. The aim was to investigate if it were feasible to engage and retain these hard-to-reach, chaotic, polydrug users in treatment. A basic needs assessment was undertaken with staff and clients at the hostel. Treatment outcomes were assessed at 16 weeks using the Maudsley Addiction Profile.ResultsAt 16 weeks 87% of the original cohort (26 out of 30) were still in treatment. There were also significant reductions in mean heroin use (from 29.7 to 14.5 out of the past 30 days, P<0.001) and in the frequency of injecting (from 25.9 to 15.9 days, P<0.001).Clinical ImplicationsThis outreach clinic offers a model for developing services to homeless people with substance misuse problems.

scholarly journals The Postcode Lottery: Gender-affirming Healthcare Provision across New Zealand’s District Health Boards

2019 ◽  
Author(s):  
Gloria Fraser ◽  
Jennifer Shields ◽  
Anita Brady ◽  
Marc Wilson
Keyword(s):  
Public Health ◽  
Service Provision ◽  
Public Health Service ◽  
Healthcare Services ◽  
Health Board ◽  
Healthcare Provision ◽  
District Health ◽  
Health Service Provision ◽  
Official Information ◽  
Health Boards

Need for transgender health services has significantly increased in New Zealand, but public health service provision has lagged behind demand. Provision of transgender healthcare is further complicated by a lack of clarity around which gender-affirming healthcare services are provided by each District Health Board, and the process for accessing these services.AimsTo establish which gender-affirming healthcare services are available in each of New Zealand’s 20 districts and what process each District Health Board follows for providing these services.MethodsData were gathered using Official Information Act 1982 requests to each of the 20 District Health Boards. Two independent coders coded each response for availability of, and process for accessing, each service. Following this, interpretations of each response were returned to a District Health Board representative for an opportunity to confirm or update their response. ResultsOverall, responses showed notable inconsistency between District Health Boards regarding which services were available and funded. Four District Health Boards reported that they did not provide specific funding for any of the gender-affirming healthcare services listed. Responses to questions about the process of accessing gender-affirming healthcare produced similarly mixed results. ConclusionsThere is a need for consistency in gender-affirming healthcare provision across District Health Boards, and for the creation of clear health pathways and criteria for care.

scholarly journals Solo obstetric liaison service

1999 ◽  
Vol 23 (1) ◽  
pp. 37-40 ◽  
Author(s):  
Sue Smith
Keyword(s):  
Special Interest ◽  
Psychiatric Morbidity ◽  
Clinical Implications ◽  
Liaison Psychiatry ◽  
Senior Registrar ◽  
General Psychiatry ◽  
Set Up ◽  
Psychiatric Problems ◽  
Obstetric Department ◽  
Number Of Births

Aims and methodTo set up a liaison psychiatry service for an obstetric department and review how much of the work involved in such a service can be undertaken by a senior registrar in two special interest sessions.ResultsIt was clear there was a demand for a service for women with psychiatric problems associated with childbirth. Referrals from colleagues in general psychiatry meant that the available time was soon used up. This did therefore not allow time to develop efficient systems for referral and management or to then see the extra referrals this would have produced. The limited and temporary service was well received by other professionals and by patients. The number of referrals received fell far short of the expected morbidity.Clinical implicationsIn an area with this number of births and its consequent level of psychiatric morbidity, it would not seem possible, within two special interest sessions, to develop a more formalised or comprehensive system.

Introduction

2017 ◽  
Author(s):  
Guenter B. Risse
Keyword(s):  
Public Health ◽  
Medical Practice ◽  
Human Disease ◽  
Human Beings ◽  
The Past ◽  
Contagious Diseases ◽  
Health Initiatives ◽  
Set Up ◽  
Public Health Initiatives

This introductory chapter lays out the major themes and context that will supplement discussion in the succeeding chapters. It considers the implications of the linkages between health and politics and what they might mean for America's present and future. At the same time the chapter also turns toward the past, to San Francisco's early public health initiatives, in order to illuminate ideologies and agencies concerned with human disease, public health, and medical practice. The chapter then launches into a broader discussion on emotions and sentiment—particularly of aversive emotions such as fear and disgust—in order to set up the context upon which this study is based—on the plasticity and contingency of emotion-driven behaviors as they manifest themselves in the moral and political judgments that human beings make in confronting and seeking to control contagious diseases.

scholarly journals Mental health rehabilitation services in the UK in 2007

2009 ◽  
Vol 33 (6) ◽  
pp. 215-218 ◽  
Author(s):  
Debbie Mountain ◽  
Helen Killaspy ◽  
Frank Holloway
Keyword(s):  
Service Provision ◽  
Rapid Change ◽  
Community Services ◽  
Rehabilitation Services ◽  
Clinical Implications ◽  
Complex Needs ◽  
The Past ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation ◽  
The Uk

Aims and MethodA survey of UK consultants in rehabilitation psychiatry was carried out to investigate current service provision and changes over the past 3 years.ResultsMost services had undergone multiple changes, with an overall reduction in over half and an overall expansion in a minority. the proportion with low secure provision had doubled. Around a third reported reinvestment of rehabilitation resources into other specialist in-patient and community services.Clinical ImplicationsRehabilitation services are undergoing rapid change with diversion of resources into services that may lack rehabilitation expertise. This risks an increase in independent sector referrals for in-patient rehabilitation for those with complex needs. Expansion of community services should be balanced against the need for local in-patient rehabilitation services.

scholarly journals A survey of liaison psychiatry services in general hospitals and accident and emergency departments: do we have the balance right?

2006 ◽  
Vol 30 (7) ◽  
pp. 260-263 ◽  
Author(s):  
Tamsin Kewley ◽  
Jim Bolton
Keyword(s):  
Service Provision ◽  
Telephone Survey ◽  
Working Hours ◽  
Clinical Implications ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Accident And Emergency ◽  
Hospital Patients ◽  
Crisis Services ◽  
Patient Groups

Aims and MethodBy use of a telephone survey, we aimed to investigate liaison psychiatry services of all 29 general hospitals in Greater London. We specifically enquired about services to accident and emergency (A&E) departments.ResultsWe identified wide variations in staffing, working hours and patient groups seen. Fourteen services (48%) worked over 24 h and 4 (14%) had specific A&E teams. Twelve services (41%) had established or planned working links with community crisis services.Clinical ImplicationsGenerally staff numbers fell below national recommendations and there were frequent gaps in service provision. The recent focus on emergency care has lead to an increase in A&E services, but there is a risk that liaison psychiatry services for other general hospital patients are being neglected.

scholarly journals Providing a liaison psychiatry service in the absence of a consultant liaison psychiatrist

2008 ◽  
Vol 32 (8) ◽  
pp. 295-298
Author(s):  
Claire Flahavan ◽  
Claire Flahavan
Keyword(s):  
Service Delivery ◽  
Service Provision ◽  
Substance Misuse ◽  
Clinical Implications ◽  
Liaison Psychiatry ◽  
Local Hospital ◽  
Consultation Service ◽  
Affective Symptoms ◽  
Self Harm ◽  
Referring Physicians

Aims and MethodLiaison psychiatry services in Ireland are currently unequally distributed. In the absence of a specialist liaison psychiatry team, general adult psychiatrists may provide a consultation service to their local hospital. Demographic and clinical characteristics pertaining to all psychiatric consultations at the Louth County Hospital were collected over 12 months to examine one such local service and to highlight the challenges of this mode of service delivery.ResultsA total of 232 consults were audited. the most frequent reasons for referral were assessment following deliberate self-harm (38%), affective symptoms (28%) and alcohol or substance misuse (25%). This differs from documented referral patterns to specialist liaison teams. Referring physicians had a low diagnostic ‘hit-rate’ with respect to affective disorders. Difficulties in service provision included poor communication by referring teams and time constraints due to other sectoral commitments.Clinical ImplicationsRefinements to service delivery may be beneficial in managing the workload more effectively. Priority should be placed on fostering communication with non-psychiatric colleagues.

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