scholarly journals The Impact of COVID-19 on Financing of Psychiatric Services

2021 ◽  
Author(s):  
Laurence H. Miller ◽  
Joseph Parks ◽  
Rebecca Yowell
Keyword(s):  
Psychiatric Services ◽  
The Impact

The Impact of Screening Psychiatric Comorbidity and High-risk Feedback on Liaison Psychiatric Consultation Rates and Clinicians’ Attitudes on a Neurology Ward

2017 ◽  
Vol 41 (S1) ◽  
pp. S53-S53
Author(s):  
R. Van Damme ◽  
G. Portzky ◽  
P. Boon ◽  
G.M.D. Lemmens
Keyword(s):  
High Risk ◽  
Psychiatric Comorbidity ◽  
Psychiatric Services ◽  
Study Phase ◽  
Neurological Patients ◽  
Screening Protocol ◽  
Competing Interest ◽  
The Impact ◽  
Neurological Ward ◽  
Feedback Phase

IntroductionLifetime prevalence of psychiatric comorbidity in neurological patients is as high as 55%, but it remains often undetected and therefore untreated in hospital settings. Further, clinicians tend to make little use of the consultative and liaison psychiatric team for detection and treatment of anxiety and mood disorders in neurological patients. The current study aimed to investigate whether the implementation of a stepped screening protocol with high risk feedback to the clinician had an influence on the use of consultative and liaison psychiatric services.MethodAll patients admitted to the neurological ward were assessed using a stepped screening protocol for depression, anxiety and substance use during 15 months. Positive screening resulted in feedback to the clinicians depending on the study phase (e.g. feedback vs. no feedback).ResultsNo differences were found in the use of consultative and liaison psychiatric services during the non-feedback and feedback phase.ConclusionScreening and high risk feedback of psychiatric comorbidity in neurological patients does not increase psychiatric referral rates. It points to the necessity of a more integrated collaborative care model for detection and treatment of psychiatric comorbidity.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Impact of COVID-19 on referrals for physical and mental health care

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S88-S89
Author(s):  
Petros Lekkos ◽  
Joanna Thorpe ◽  
Janet Obeney-Williams ◽  
Fiona Xing
Keyword(s):  
Mental Health ◽  
Psychiatric Services ◽  
Physical And Mental Health ◽  
Contributing Factors ◽  
Health Seeking ◽  
College Hospital ◽  
Cancer Services ◽  
Rate Of Recovery ◽  
Population Demographic ◽  
The Impact

AimsTo determine the effect of the COVID-19 pandemic on referrals to mental health and physical health services.MethodWe analysed referral data from three psychiatric services in the boroughs of Camden and Islington across 2018-2020: Early Intervention Services (for patients with a 1st episode of psychosis), Crisis Resolution Teams and inpatient admissions. We also analysed GP referral data to Cancer Services (two-week wait referrals) to Whittington Hospital, Royal Free Hospital and University College Hospital (all of North Central London). We examined the impact of the COVID-19 pandemic on these referrals and compared the findings between physical and mental health. We chose to use EIS and Cancer services as comparable services since they both operate with the two-week target of achieving diagnosis of psychosis and cancer respectively.ResultThe number of referrals to EIS and CRT both decreased to 61% in April 2020 with respect to their baseline; EIS referrals continued to decrease to 48% in May before starting to recover. Inpatient admissions saw a smaller reduction to 87% in April 2020. The number of cancer two-week wait referrals similarly decreased and reached a trough of 37% in April 2020. The rate of recovery back to the baseline number of referrals and admissions relative to previous years differed between services, with acute care recovering faster. Referrals to CRT and inpatient admissions recovered by 98% and 115% respectively by June 2020; comparatively, referrals to EIS recovered to 102% by December 2020. In contrast, cancer two-week wait referrals returned to 106% by September 2020, a rate faster than EIS, but slower than CRT and inpatient admissions.ConclusionThe reduction in the number of referrals across all examined services correlated with the first wave of the COVID-19 pandemic. The rate of decrease was similar across all services, coinciding with the peak of COVID-19 infections. However, the ultimate degree of decrease and following rate of recovery in numbers differed across both psychiatric and non-psychiatric services. These differences likely have multifactorial origins. The authors discuss contributing factors, such as changes in health seeking behaviours observed during the pandemic, potential impact of reduction in face to face consultations in primary care, as well as temporary changes in the population demographic of Camden and Islington resulting in absent target groups (i.e. students who make up a large proportion of referrals to EIS opting to return home). It remains important to not neglect mental health and face a hidden epidemic once COVID-19 pandemic settles.

scholarly journals The impact of ‘Working for Patients’ on psychiatric services

1990 ◽  
Vol 14 (3) ◽  
pp. 172-173
Author(s):  
Benjamin Hugh Green
Keyword(s):  
Psychiatric Services ◽  
The Impact

scholarly journals The impact of a hospital audit on psychiatrists' letters to general practitioners

1995 ◽  
Vol 19 (9) ◽  
pp. 544-547 ◽  
Author(s):  
Premal J. Shah ◽  
Ian Pullen
Keyword(s):  
General Practitioners ◽  
Psychiatric Services ◽  
Written Communication ◽  
Health Records ◽  
Access To Health ◽  
The Impact

The quality of written communication between psychiatrists and general practitioners has become increasingly important, with the introduction of the Access to Health Records Act as well as with demands placed by the purchasers of psychiatric services. We investigated if a hospital-based audit could be used to monitor the quality of written communications with general practitioners, and if ‘closing the audit loop’ could improve the standards. We found that audit may have helped improve standards, particularly in making letters less potentially offensive and easier to read by non-psychiatrists. A method of measuring the quality of letters is described.

Impact of Cognitive Remediation on the Use of Psychiatric Services and Patterns of Care of Patients With Psychoses

2017 ◽  
Vol 41 (S1) ◽  
pp. S48-S48
Author(s):  
A. Vita
Keyword(s):  
Psychosocial Functioning ◽  
Cognitive Remediation ◽  
Psychosocial Interventions ◽  
Preliminary Evidence ◽  
Psychiatric Services ◽  
Patterns Of Care ◽  
Community Treatment ◽  
Competing Interest ◽  
The Individual ◽  
The Impact

Cognitive remediation (CR) has proved to be effective in improving cognition, symptoms and psychosocial functioning in schizophrenia and other psychoses, but its impact on the use of psychiatric services and patterns of care of patients suffering from these diseases is still scarcely known. In fact, it would be particularly relevant to know if such intervention may have any modifying effect on use of services and costs of treatments. There is preliminary evidence that such an impact does exist, with possible reduction of number and duration of hospitalizations and of long-term residential stays and consequent reduced costs of inpatient treatment. On the other hand, community treatment costs could be increased as an effect of a shift of psychiatric and psychosocial interventions from inpatient to outpatient activities. A critical review of the existing literature on the issue will be provided, together with a discussion of the impact of this shift towards the attainment of increased functional and social recovery in the individual patient.Disclosure of interestThe author declares that he has no competing interest.

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