scholarly journals Origins of a Section: liaison psychiatry in the College

2001 ◽  
Vol 25 (8) ◽  
pp. 313-315 ◽  
Author(s):  
Geoffrey G. Lloyd
Keyword(s):  
Psychiatric Disorder ◽  
General Hospital ◽  
Psychological Problems ◽  
Surgical Patients ◽  
Liaison Psychiatry ◽  
High Prevalence ◽  
Abundant Evidence ◽  
Hospital Patients ◽  
The Uk

Why has liaison psychiatry been slow to develop in the UK? The asylum mentality and the current flight into the community have focused psychiatric resources on chronic psychotic illnesses, neglecting the psychological problems of general hospital patients. Nevertheless, there is abundant evidence that medical and surgical patients have a high prevalence of psychiatric disorder that can be effectively treated with psychological or pharmacological methods.

A Survey of Liaison Psychiatry in the United Kingdom and Eire

1985 ◽  
Vol 9 (11) ◽  
pp. 214-217 ◽  
Author(s):  
Richard Mayou ◽  
Geoffrey Lloyd
Keyword(s):  
United Kingdom ◽  
Psychiatric Disorder ◽  
General Hospital ◽  
Clinical Teaching ◽  
Surgical Patients ◽  
Liaison Psychiatry ◽  
Medical Specialties ◽  
Teaching And Research ◽  
The United Kingdom ◽  
Ideal Term

The recent formation of a Liaison Psychiatry Group within the College reflects the growing integration of psychiatry with other medical specialties in the general hospital. The Group was established to foster the development of psychiatry in relation to medical and surgical patients, including its clinical, teaching and research components. The title, Liaison Psychiatry, is not an ideal term but has become firmly established in other countries to denote that area of psychiatry where the psychiatrist has particular skills to contribute to the care of the physically ill, and to those in whom psychiatric disorder presents in somatic terms.1

A General Hospital Patient is Not a NUT

1979 ◽  
Vol 9 (1-2) ◽  
pp. 67-74 ◽  
Author(s):  
D.J.W. Striimpfer
Keyword(s):  
General Hospital ◽  
Physical Illness ◽  
Psychological Problems ◽  
Physical Disorder ◽  
Academic Training ◽  
Psychological Disturbance ◽  
Affective Distress ◽  
Psychological Reactions ◽  
Adaptive Value ◽  
Hospital Patients

Psychological problems of general hospital patients are related to physical illness and disability, and/or physical disorder produced by affective distress. The typical emphasis on psychopathology during academic training, and the orientation towards psychiatry during internships maladapt clinical psychologists for work with such patients. This argument is supported by diverse illustrations: psychological disturbance in pregnant women, psychological problems of patients in intensive care units, the inappropriateness of a psychopathological approach to the psychological aspects of coronary heart disease, and the adaptive value of denial in some instances of physical illness. Psychological reactions to medical conditions can be understood better in terms of developmental crisis. Implications for training are mentioned.

scholarly journals The present state of consultation and liaison psychiatry

1990 ◽  
Vol 14 (6) ◽  
pp. 321-325 ◽  
Author(s):  
Richard Mayou ◽  
Helen Anderson ◽  
Charlotte Feinmann ◽  
Gail Hodgson ◽  
Peter L. Jenkins
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Morbidity ◽  
Liaison Psychiatry ◽  
Major Pathway ◽  
Lower Priority ◽  
Strategic Plans ◽  
Hospital Patients ◽  
Hospital Doctors

Although referral by general hospital doctors is a major pathway to specialist psychiatric care, and there is known to be much clinically unrecognised psychiatric morbidity among general hospital patients, consultation and liaison services have received much less emphasis than community care. A 1984 survey found that consultation liaison services were haphazard (Mayou & Lloyd, 1985). Despite recent evidence of increasing clinical and academic interest, few local strategic plans refer to consultation and liaison services; even when mentioned they are given a lower priority than community developments (Kingdon, 1989).

scholarly journals Liaison psychiatry or psychological medicine?

2003 ◽  
Vol 183 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Geoffrey G. Lloyd ◽  
Richard A. Mayou
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Liaison Psychiatry ◽  
Hospital Patients ◽  
Psychological Medicine ◽  
Substantial Progress ◽  
Delivery Of Medical Care ◽  
The Uk ◽  
Psychiatric Profession ◽  
Behavioural Aspects

Liaison psychiatry has been recognised in many countries as a special interest or sub-speciality of psychiatry concerned with the management of general hospital patients with psychological problems. However, despite increasing awareness of the emotional and behavioural aspects of illness, it has yet to achieve substantial influence within psychiatry and, more importantly, has had only modest effects on the delivery of medical care by physicians and other specialists. Recognition of its potential by planners and commissioners has been disappointing. Regrettably, in the UK and elsewhere, recent changes in the organisation of health care could hinder its development. This paper argues that in order to make substantial progress there is a compelling need to solve a fundamental obstacle – the separation between psychiatric and general medical care. This requires:(a) convincing the psychiatric profession that consultation-liaison is a distinct sub-speciality;(b) continuing efforts by liaison psychiatrists to define their special expertise and to demonstrate that their services are effective and acceptable to medical colleagues and to patients;(c) persuading those who organise health care that liaison psychiatry services need to be provided and administered as an integral component of comprehensive medical care.

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.

scholarly journals The Manchester advanced course in liaison psychiatry

1996 ◽  
Vol 20 (12) ◽  
pp. 736-737
Author(s):  
Alison Puffett ◽  
Bill Williams
Keyword(s):  
Training Programme ◽  
Management Skills ◽  
Case Discussion ◽  
Liaison Psychiatry ◽  
Hospital Patients ◽  
Specialist Knowledge ◽  
The Uk ◽  
Supervision And Training ◽  
Training Opportunities ◽  
And Training

Liaison psychiatry is a relatively new and expanding speciality in the UK. A survey conducted in 1990 revealed widespread inadequacies in the training opportunities and resources in consultation liaison services (Mayou et al, 1990). In spite of a growing recognition of the need for more consultants with designated responsibility for general hospital patients, there is currently no formal training programme and many psychiatric schemes fail to provide satisfactory supervision and training opportunities in liaison psychiatry (House & Creed, 1993). The Manchester University liaison psychiatry course was developed in 1993 and is currently the only advanced liaison training course in the UK. Lasting five days, it provides an opportunity for senior psychiatric trainees to improve their specialist knowledge and to develop clinical, research and management skills in liaison psychiatry. The course does not give a comprehensive review of all aspects of liaison psychiatry but aims to generate ideas and discussion through skills based seminars, case discussion and workshop exercises.

scholarly journals A Sense of Proportion: The Place of Psychiatry in Medicine

1996 ◽  
Vol 89 (10) ◽  
pp. 563-567 ◽  
Author(s):  
G G Lloyd
Keyword(s):  
Psychiatric Disorders ◽  
Alternative Methods ◽  
Surgical Patients ◽  
Liaison Psychiatry ◽  
High Prevalence ◽  
The Future ◽  
Psychiatric Facilities

Psychiatric disorders have a high prevalence in medical and surgical patients and the need for an effective liaison psychiatry service is widely accepted. However, the development of liaison psychiatry may be jeopardised by the trend towards establishing psychiatric facilities in the community rather than in hospitals. Alternative methods of funding may need to be established if the future of liaison psychiatry is to be safeguarded.

Consultation-liaison psychiatry hits a midlife crisis

2002 ◽  
Vol 10 (3) ◽  
pp. 229-231
Author(s):  
Sandy Macleod
Keyword(s):  
General Hospital ◽  
Future Development ◽  
Psychiatric Services ◽  
New Work ◽  
Work Skills ◽  
Job Descriptions ◽  
Liaison Psychiatry ◽  
Midlife Crisis ◽  
Hospital Patients ◽  
Consultation Liaison Psychiatry

Objective: To illustrate the crisis affecting consultation-liaison psychiatry and its practitioners. Conclusions: There are several options that may be taken, or have already been taken, to secure a future for this psychiatric subspecialty. The need is apparent, and clinicians are willing, but funders are reluctant. The College's response has been critically important, but psychiatrists also need to develop new work skills and innovative job descriptions to ensure the continuation and future development of psychiatric services to general hospital patients.

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