scholarly journals Psychogeriatric Liaison: A Service to a District General Hospital

1986 ◽  
Vol 10 (11) ◽  
pp. 312-314
Author(s):  
R. M. Fraser ◽  
Rosemary Healy
Keyword(s):  
Health Care ◽  
Psychiatric Disorders ◽  
General Hospital ◽  
District General Hospital ◽  
Psychiatric Practice ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Health Care Institutions

Liaison psychiatry has been an influential element in hospital psychiatric practice for over a decade now. It is concerned with the ‘diagnosis, treatment, study, and prevention of psychiatric disorders among patients in non-psychiatric health care institutions, especially in general hospitals’. This paper describes and evaluates a project in which the principles of liaison psychiatry were incorporated into a psychogeriatric service.

scholarly journals Substance use and psychiatric disorders in patients referred to consultation-liaison psychiatry within a regional general hospital

2021 ◽  
Author(s):  
Murray Tucker ◽  
Harry Hill ◽  
Emma Nicholson ◽  
Steven Moylan
Keyword(s):  
Substance Use ◽  
Psychiatric Disorders ◽  
General Hospital ◽  
Psychiatric Diagnosis ◽  
Diagnostic Category ◽  
Adjustment Disorder ◽  
Post Traumatic Stress ◽  
Liaison Psychiatry ◽  
Hospital Patients ◽  
Consultation Liaison Psychiatry

Abstract Little is known about clinically important differences between patients depending on the number of comorbid psychiatric disorders, or the presence or absence of a substance use disorder (SUD) comorbidity. This study investigated for differences in psychosocial disadvantage, psychiatric disorders, and health service amongst 194 general hospital patients referred to consultation-liaison psychiatry (CLP) with no psychiatric diagnosis, single psychiatric diagnosis, multiple (non-SUD) psychiatric diagnoses, or psychiatric diagnosis plus SUD comorbidity. The results showed that SUDs were the commonest diagnostic category (34%). The SUD comorbidity group had more disadvantaged housing, were prescribed most psychoactive medications, and 20% prematurely self-discharged against medical advice. Increased SUDs were associated with reduced length of stay, men, younger age, increased investigations, and reduced private health insurance subscription. Patients with SUD comorbidity versus multiple psychiatric diagnosis had reduced odds of Adjustment Disorder, Somatic Symptom Disorder, and Insomnia Disorder. Post Traumatic Stress Disorder was the strongest predictor of multiple SUDs, followed by Cluster B personality disorders. In conclusion, SUDs have become a leading clinical focus for CLP. The presence or absence of SUDs amongst patients with multiple psychiatric disorders has important clinical implications for engagement, diagnosis, prescribing, and outpatient follow-up.

Psychiatric Units in District General Hospitals and Traditional Mental Hospitals: Some Recent Evidence

1982 ◽  
Vol 140 (2) ◽  
pp. 160-165 ◽  
Author(s):  
S. Mahadevan ◽  
D. P. Forster
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Mental Hospital ◽  
Routine Data ◽  
District General Hospital ◽  
Organizational Structures ◽  
General Hospitals ◽  
Psychiatric Units ◽  
Patient Service ◽  
The Way

SummaryUsing routine data from the Mental Health Enquiry, the work of two district general hospital (DGH) units and a mental hospital was examined. There was a marked difference in the way the two DGH units operated and between the way the mental hospital worked as support hospital or as independent complete in-patient service. The operational policy practised by psychiatrists is more important than the structure of the system. It is important to establish sensitive policies for a wide variety of organizational structures.

De Nieuwe Bijbelvertaling en geestelijke zorgverlening: Een kritische evaluatie

2005 ◽  
Vol 59 (4) ◽  
pp. 329-342
Author(s):  
Johan Bouwer
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
The Netherlands ◽  
Religious Practices ◽  
General Hospitals ◽  
Protestant Church ◽  
Testing Ground ◽  
Health Care Institutions ◽  
Good Purpose

The synod of the Protestant Church in the Netherlands recently released the NBV for ‘testing’ in the parishes for a period of 5 years. Although religious practices can be identified in health care institutions due to the work official spiritual caregivers do, health care was not specifically mentioned as a testing ground for the reception of the NBV. Research indicated that spiritual caregivers working in the fields of general hospitals and nursing homes highly valued the NBV for its hermeneutical and communicative competencies (readability and ecumenical impact); make use of it in liturgical celebrations and their preparation for it, regard it as an adequate ‘tool’ in their work, but generally speaking do not use it for obtaining personal inspiration. The respondents do not regard the NBV as a replacement of existing translations and deal with it in a pragmatic way. Where it can serve a good purpose, it is used. Otherwise it is neglected.

Pitfalls and Pratfalls in Consultation-Liaison Psychiatry in a General Hospital

1988 ◽  
Vol 33 (4) ◽  
pp. 294-298 ◽  
Author(s):  
Cheryl J. Rowe ◽  
Ronald F. Billings ◽  
E. Ralph Pohlman ◽  
Ivan L. Silver
Keyword(s):  
General Hospital ◽  
Health Professionals ◽  
Allied Health ◽  
Mutual Respect ◽  
Liaison Psychiatry ◽  
Allied Health Professionals ◽  
General Hospitals ◽  
Consultation Liaison Psychiatry

As Consultation-Liaison Services continue to develop and expand in general hospitals, psychiatrists must be aware of pitfalls and pratfalls inherent in dealing with medical colleagues and other allied health professionals, as well as with the patients. Practical considerations in answering consultation requests are discussed with respect to “hidden agendas” of the consultee, role and expectations of the psychiatrist, and problem referrals. It is only through mutual respect and collaboration that Consultation-Liaison Services can truly be effective.

A Psychiatric Liaison Service in a General Hospital Referrals and Their Appropriateness

1994 ◽  
Vol 39 (5) ◽  
pp. 141-144 ◽  
Author(s):  
D.J. Hall
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
Psychiatric Problem ◽  
Prior Training ◽  
Liaison Psychiatry ◽  
Deliberate Self Harm ◽  
Intensive Training ◽  
Psychiatric Referral ◽  
Self Harm

Referrals to a liaison psychiatry service, based in a District General Hospital, were studied over a six month period. 190 [89%] of the 214 referrals were for assessment following an episode of deliberate self harm. An excess of these referrals were male [57%] and a large proportion particularly of the males [36%] were diagnosed as having a significant alcohol problem. Many were felt to have no significant psychiatric problem [31%], and a large proportion were discharged with no psychiatric follow-up [28%]. Patterns of diagnosis and disposal differed between the sexes. Referring junior medical staff when asked to give their opinions on the likely management and overall need for psychiatric referral of patients were found to reach reasonable agreement with the assessing psychiatrist, even without prior training, and to be more cautious in their assessment. In many centres the trend is towards selective referral of deliberate self harm patients, and this appears a safe and appropriate development which can be achieved without intensive training or major alterations to working patterns, and which will result in modest but important reductions in inappropriate referrals.

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