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.

scholarly journals Psychiatric involvement in an Edinburgh hospice

1998 ◽  
Vol 22 (3) ◽  
pp. 172-173 ◽  
Author(s):  
John R. Mitchell
Keyword(s):  
Palliative Care ◽  
Special Interest ◽  
Psychiatric Morbidity ◽  
Terminally Ill ◽  
Marie Curie ◽  
Liaison Psychiatry ◽  
Senior Registrar ◽  
Consultation Model

Palliative care is a growing speciality. The terminally ill suffer high levels of psychiatric morbidity. The involvement of one senior registrar in setting up a liaison psychiatry service to a Marie Curie Hospice in special interest sessions is described. A liaison-consultation model developed and 29 referrals are described over six months.

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 A personal view

1987 ◽  
Vol 11 (5) ◽  
pp. 156-157
Author(s):  
Paul Dedman
Keyword(s):  
Interest Group ◽  
Royal College ◽  
Psychiatric Morbidity ◽  
District General Hospital ◽  
Full Time ◽  
Personal View ◽  
Liaison Psychiatry ◽  
Ample Evidence ◽  
High Prevalence ◽  
Set Up

There is currently considerable interest in liaison psychiatry and recently a Royal College Special Interest Group has been set up in this field. Although few psychiatrists are employed full-time in this sub-speciality, it appears that much time is spent by psychiatrists in doing liaison work and this is likely to become more important with the increasing movement of psychiatrists into the District General Hospital (DGH). There is ample evidence to suggest that there is a high prevalence of psychiatric morbidity in a DGH population which can be seen as representing potential for expansion. However, there is no consensus as to the scope of liaison psychiatry, whether expansion would indeed be desirable and whether psychiatrists possess suitable skills for the job.

scholarly journals A CBT-based approach to medically unexplained symptoms

2009 ◽  
Vol 15 (2) ◽  
pp. 146-151 ◽  
Author(s):  
Catriona Kent ◽  
Graham McMillan
Keyword(s):  
Medically Unexplained Symptoms ◽  
Behavioural Therapy ◽  
Liaison Psychiatry ◽  
General Psychiatry ◽  
Cognitive Behavioural ◽  
Medically Unexplained ◽  
Unexplained Symptoms ◽  
The Common ◽  
Common Problems ◽  
Set Up

SummaryThis article discusses a cognitive–behavioural therapy (CBT) approach to the treatment of medically unexplained symptoms that is based on the ‘five areas’ model of CBT. We describe a typical course of therapy and some of the common problems encountered during treatment. Emphasis is placed on the practical management of these conditions, and the focus is on symptoms as opposed to cause. We believe that this approach is widely applicable and could be used in a large range of settings to tackle these debilitating conditions. In writing this article we intended to provide an overview of patients with medically unexplained symptoms. The article would be of interest to staff within liaison psychiatry departments looking to set up a medically unexplained symptoms service and general psychiatry teams who may have contact with patients presenting with somatic symptoms. Psychiatric teams without access to a liaison department may also find this article interesting.

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 Senior Registrar Training in Alcoholism and Drug Dependence: Summary of a Report by a Working Party of the Dependence/Addiction Group

1984 ◽  
Vol 8 (1) ◽  
pp. 5-6 ◽  
Keyword(s):  
Royal College ◽  
Drug Dependence ◽  
Special Interest ◽  
Working Party ◽  
Advisory Council ◽  
Senior Registrar ◽  
Medical Manpower ◽  
Set Up ◽  
Registrar Training ◽  
Review Current

The working party was set up in November 1981 to review current senior registrar training in alcoholism and drug dependence, and to make recommendations for the future. It sought the views of all known consultants in alcoholism and drug dependence, and their present and past senior registrars. Attention to this question is justified for the following reasons. First, the Manpower Working Party's report, Medical Manpower in the Psychiatric Specialties (Royal College of Psychiatrists, 1982), has recommended that the average District (i.e. a population of 200,000) should allocate about four consultant sessions to the ‘dependencies', such sessions being provided by general psychiatrists with a special interest in alcohol or drug dependence or both. Secondly, appropriately trained applicants are needed for vacancies which occur in the existing regional and sub-regional alcoholism treatment units and drug dependence clinics. Thirdly, the Treatment and Rehabilitation Working Group of the government's Advisory Council on the Misuse of Drugs is likely to recommend an increase in the number of consultants specializing in drug dependence.

scholarly journals 1. Rehabilitation psychiatry

1990 ◽  
Vol 14 (11) ◽  
pp. 665-667
Author(s):  
Dawn Black ◽  
Elspeth Guthrie ◽  
Keith Bridges
Keyword(s):  
Special Interest ◽  
Career Paths ◽  
Senior Registrar ◽  
Training Requirements ◽  
Training Scheme ◽  
General Psychiatry ◽  
Training Post ◽  
Registrar Training ◽  
Limited Choice

The career paths of many trainees in psychiatry are influenced by their experience of a six month SHO/registrar training post in a particular speciality. Not all trainees, however, may be aware of the training requirements for a specialist consultant post, career prospects and most importantly of the practicalities of working on a day to day basis as a specialist consultant or a consultant with special interest or responsibility. Furthermore, some SR trainees may have a limited choice of placement in a SR training scheme and with the diminishing availability of pure general psychiatry consultant posts, a year's training at senior registrar level may determine a trainee's whole career.

scholarly journals Recommendations on Training in Social and Community Psychiatry in SHO| Registrar training schemes

1987 ◽  
Vol 11 (6) ◽  
pp. 213-213 ◽  
Keyword(s):  
Community Psychiatry ◽  
Working Party ◽  
Companion Paper ◽  
Senior Registrar ◽  
General Psychiatry ◽  
Training Schemes ◽  
Set Up ◽  
Training Programmes ◽  
Registrar Training ◽  
Made In

1. These recommendations are derived from the report of a working party on education and training set up by the Section for Social and Community Psychiatry in 1984. A companion paper deals with recommendations for Senior Registrar posts in Rehabilitation and in General Psychiatry. The recommendations for the most part do not represent new departures, but are mainly explicit descriptions of what is currently included in good training programmes, developments which are already increasing or recommendations made in previous documents. With the forthcoming expansion of psychiatric care in the community, appropriate training is increasingly required.

scholarly journals Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

2021 ◽  
Vol 18 (2) ◽  
pp. 749
Author(s):  
Mattia Marchi ◽  
Federica Maria Magarini ◽  
Giorgio Mattei ◽  
Luca Pingani ◽  
Maria Moscara ◽  
...  
Keyword(s):  
General Hospital ◽  
Depressive Disorders ◽  
Psychiatric Morbidity ◽  
Clinical Signs ◽  
Kappa Statistics ◽  
Comorbid Depression ◽  
Liaison Psychiatry ◽  
Consultation Liaison Psychiatry ◽  
Psychiatric Conditions ◽  
Diagnostic Concordance

Consultation–liaison psychiatry (CLP) manages psychiatric care for patients admitted to a general hospital (GH) for somatic reasons. We evaluated patterns in psychiatric morbidity, reasons for referral and diagnostic concordance between referring doctors and CL psychiatrists. Referrals over the course of 20 years (2000–2019) made by the CLP Service at Modena GH (Italy) were retrospectively analyzed. Cohen’s kappa statistics were used to estimate the agreement between the diagnoses made by CL psychiatrist and the diagnoses considered by the referring doctors. The analyses covered 18,888 referrals. The most common referral reason was suspicion of depression (n = 4937; 32.3%), followed by agitation (n = 1534; 10.0%). Psychiatric diagnoses were established for 13,883 (73.8%) referrals. Fair agreement was found for depressive disorders (kappa = 0.281) and for delirium (kappa = 0.342), which increased for anxiety comorbid depression (kappa = 0.305) and hyperkinetic delirium (kappa = 0.504). Moderate agreement was found for alcohol or substance abuse (kappa = 0.574). Referring doctors correctly recognized psychiatric conditions due to their exogenous etiology or clear clinical signs; in addition, the presence of positive symptoms (such as panic or agitation) increased diagnostic concordance. Close daily collaboration between CL psychiatrists and GH doctors lead to improvements in the ability to properly detect comorbid psychiatric conditions.

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