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Royal College of Psychiatrists,; Eales, Sarah (2013)
Publisher: Royal College of Psychiatrists
Languages: English
Types: Book
Liaison psychiatry is a critical service that should be integral to all acute hospitals. Effective liaison psychiatry can reduce avoidable costs and ineffective or inappropriately located management of mental health problems by reduced length of stay, readmissions and investigations, and improved care of medically unexplained symptoms, dementia and long-term conditions. This report summarises the evidence, provides case examples and outlines key considerations required to set local standards.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • There are several reports recommending core principles of services (Academy of Medical Royal Colleges, 2008; Joint Commissioning Panel for Mental Health, 2012; Parsonage et al, 2012; Royal College of Psychiatrists, 2013). Common themes include:
    • Academy of Medical Royal Colleges (2008) Managing Urgent Mental Health Needs in the Acute Trust: A Guide by Practitioners, for Managers and Commissioners in England and Wales. AOMRC.
    • Academy of Medical Royal Colleges (2009) No Health Without Mental Health: The ALERT Summary Report. AOMRC.
    • Academy of Medical Royal Colleges (2010) No Health Without Mental Health: The Supporting Evidence. Academy of Medical Royal Colleges & Royal College of Psychiatrists.
    • Allaby M (2010) Screening for Depression: A Report for the UK National Screening Committee. Public Health Research Unit.
    • Babor TF, de la Fuente JR, Saunders J, et al (1989) AUDIT: The Alcohol Use Disorders Identification Test. Guidelines for Use in Primary Health Care. World Health Organization.
    • Barba R, Garay J, MartĂ­n-Alvarez H, et al (2002) Use of neuroleptics in a general hospital. BMC Geriatrics, 2, 2.
    • Bazalgette L, Bradley W, Ousbey J (2011) The Truth About Suicide. DEMOS.
    • Blunt I, Bardsley M, Dixon J (2010) Trends in Emergency Admissions in England 2004-2009. Nufefild Trust.
    • Bolton J (2012) 'We've got another one for you!' Liaison psychiatry's experience of stigma towards patients with mental illness and mental health professionals. Psychiatrist, 36, 450-4.
    • Cadieux RJ (1998) Practical management of treatment-resistant depression. American Family Physician, 58, 2059-62.
    • Care Quality Commission (2010) Use of the Mental Health Act 1983 in General Hospitals without a Psychiatric Unit. CQC.
    • Cole-King A, Gilbert P (2011) Compassionate care. Journal of Holistic Healthcare, 8, 29-36.
    • Cole-King A, Green G, Gask L, et al (2013) Suicide mitigation: a compassionate approach to suicide prevention. Advances in Psychiatric Treatment, 19, 276-83.
    • College of Emergency Medicine (2010) Emergency Medicine Consultants: Workforce Recommendations. College of Emergency Medicine.
    • College of Emergency Medicine (2013) Mental Health in Emergency Departments: A Toolkit for Improving Care. College of Emergency Medicine.
    • Creed F, Morgan R, Fiddler M, et al (2002) Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients. Psychosomatics, 43, 302-9.
    • Department of Health (2000) The NHS Plan: A Plan for Investment, A Plan for Reform. TSO (The Stationery Ofcfie).
    • Department of Health (2006) Integrated Governance Handbook: A Handbook for Executives and Non-Executives in Healthcare Organisations. Department of Health.
    • Department of Health (2008) High Quality Care for All: NHS Next Stage Review Final Report. Department of Health.
    • Department of Health (2011) No Health Without Mental Health: A Cross-Government Mental Health Strategy for People of all Ages. TSO (The Stationery Ofcfie).
    • Francis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Volume 1: Analysis of Evidence and Lessons Learned (Part 1). TSO (The Stationery Ofcfie).
    • Future Hospital Commission (2013) Future Hospital: Caring for Medical Patients. A Report from the Future Hospital Commission to the Royal College of Physicians. Royal College of Physicians.
    • Gask L, Dowrick C, Dixon C, et al (2004) A pragmatic cluster randomized controlled trial of an educational intervention for GPs in the assessment and management of depression. Psychological Medicine, 34, 63-72.
    • Gateshill G, Kucharska-Pietura K, Wattis J (2011) Attitudes towards mental disorders and emotional empathy in mental health and other healthcare professionals. Psychiatrist, 35, 101-5.
    • Guidelines and Audit Implementation Network (2010) Caring for People with a Learning Disability in General Hospital Settings. GAIN.
    • Guy W (ed.) (1976) ECDEU Assessment Manual for Psychopharmacology. US Department of Health, Education and Welfare, Public Health Service Alcohol, Drug Abuse and Mental Health Administration.
    • Hansen MS, Fink P, Søndergaard L, et al (2005) Mental illness and health care use: a study among new neurological patients. General Hospital Psychiatry, 27, 119-24.
    • Hawton K, Fagg J (1988) Suicide, and other causes of death, following attempted suicide. British Journal of Psychiatry, 152, 359-66.
    • Health Development Agency (2002) Manual for the Fast Alcohol Screening Test (FAST): Fast Screening for Alcohol Problems. Health Development Agency & University of Wales College of Medicine.
    • Heslop P, Blair P, Fleming P, et al (2013) Confidential Inquiry into Premature Deaths of People with Learning Disabilities (CIPOLD): Final Report. Norah Fry Research Centre.
    • Hickey L, Hawton K, Fagg J, et al (2001) Deliberate self-harm patients who leave the accident and emergency department without a psychiatric assessment: a neglected population at risk of suicide. Journal of Psychosomatic Research, 50, 87-93.
    • Holmes A, Handrinos D, Theologus E, et al (2011) Service use in consultation-liaison psychiatry: guidelines for baseline stafnfig. Australian Psychiatry , 19, 254-8.
    • Joint Commissioning Panel for Mental Health (2012) Guidance for Commissioners of Liaison Mental Health Services to Acute Hospitals. Volume 2: Practical Mental Health Commissioning. JCPMH.
    • Learman LA, Gerrity MS, Field DR, et al (2003) Effects of a depression education program on residents' knowledge, attitudes, and clinical skills. Obstetrics and Gynecology, 101, 167-74.
    • Lin EHB, Simon EG, Katzelnick DJ, et al (2001) Does physician education on depression management improve treatment in primary care? Journal of General Internal Medicine, 16, 614-9.
    • Mann JJ, Apter A, Bertolote J, et al (2005) Suicide prevention strategies: a systematic review. JAMA, 294, 2064-74.
    • Michael J (2008) Healthcare for All: Report of the Independent Inquiry into Access to Healthcare for People with Learning Disabilities. Department of Health.
    • Moriarty KJ, Cassidy P, Dalton P, et al (2010) Alcohol-Related Disease: Meeting the Challenge of Improved Quality of Care and Better Use of Resources. British Society of Gastroenterology.
    • National Development Team (2012) Improving the Health and Wellbeing of People with Learning Disabilities: An Evidence-Based Commissioning Guide for Clinical Commissioning Groups (CCGs). Improving Health and Lives: Learning Disability Observatory.
    • National Institute for Clinical Excellence (2004) Self-Harm: The Short-Term Physical and Psychological Management and Secondary Prevention of Self-Harm in Primary and Secondary Care. NICE.
    • NHS Confederation (2009) Healthy Mind, Healthy Body: How Liaison Psychiatry Services can Transform Quality and Productivity in Acute Settings. NHS Confederation.
    • NHS Confederation (2012) Liaison Psychiatry - The Way Ahead (Briefing paper 249) . NHS Confederation.
    • NHS London Health Programmes (2013) Quality and Safety Programme. Emergency Departments: Case for Change. NHS London Health Programmes.
    • NHS Networks (2013) Hospital admissions for intentional self-harm increase by nearly 10,000 in three years says report, which also shows seasonal variation in admission numbers. NHS Networks (http://www.networks.nhs.uk/news/hospital-admissionsfor-intentional-self-harm-increase-by-nearly-10-000-in-three-years-says-newreport-which-also-shows-seasonal-variation-in-admission-numbers).
    • Owen GS, Richardson G, David AS, et al (2008) Mental capacity to make decisions on treatment in people admitted to psychiatric hospitals: cross sectional study. BMJ, 337, a448.
    • Parliamentary and Health Service Ombudsman (2011) Care and Compassion? Report of the Health Service Ombudsman on Ten Investigations into NHS Care of Older People. TSO (The Stationery Ofcfie).
    • Parsonage M, Fossey M, Tutty C (2012) Liaison Psychiatry in the Modern NHS. Centre for Mental Health.
    • Peveler RC, Bryden KS, Neil HA, et al (2005) The relationship of disordered eating habits and attitudes to clinical outcomes in young adult females with type 1 diabetes. Diabetes Care, 28, 84-8.
    • Raymont V, Bingley W, Buchanan A, et al (2004) Prevalence of mental incapacity in medical in-patients and associated risk factors: cross-sectional study. Lancet, 364, 1421-7.
    • Royal College of General Practitioners, Royal College of Psychiatrists (2012) Improving the Health and Wellbeing of People with Learning Disabilities: An Evidence-Based Commissioning Guide for Clinical Commissioning Groups (CCGs). Royal College of General Practitioners.
    • Royal College of Physicians (2001) Alcohol - Can the NHS Afford It? Recommendations for a Coherent Alcohol Strategy for Hospitals. Royal College of Physicians.
    • Royal College of Physicians (2010) Medical workforce. Royal College of Physicians (http:// www.rcplondon.ac.uk/policy/improving-healthcare/medical-workforce).
    • Royal College of Psychiatrists (2005) Who Cares Wins: Improving the Outcome for Older People Admitted to the General Hospital. Royal College of Psychiatrists.
    • Royal College of Psychiatrists (2006) Better Services for People who Self-Harm: Quality Standards for Healthcare Professionals. Royal College of Psychiatrists.
    • Royal College of Psychiatrists (2009) Physical Health in Mental Health: Final Report of a Scoping Group (Occasional Paper OP67). Royal College of Psychiatrists.
    • Royal College of Psychiatrists (2010a) Role of the Consultant Psychiatrist: Leadership and Excellence in Mental Health Services (Occasional Paper OP74). Royal College of Psychiatrists.
    • Royal College of Psychiatrists (2010b) Self-Harm, Suicide and Risk: Helping People who Self-Harm (College Report CR158). Royal College of Psychiatrists.
    • Royal College of Psychiatrists (2012) Liaison Psychiatry and the Management of LongTerm Conditions and Medically Unexplained Symptoms (Faculty Report FR/LP/1). Royal College of Psychiatrists.
    • Royal College of Psychiatrists (2013) Whole-Person Care: From Rhetoric to Reality. Achieving Parity between Mental and Physical Health (Occasional Paper OP88). Royal College of Psychiatrists.
    • Royal College of Psychiatrists, British Association for Accident and Emergency Medicine (2004) Psychiatric Services to Accident and Emergency Departments (Council Report CR118). Royal College of Psychiatrists.
    • Royal College of Psychiatrists, Royal College of Physicians (2010) MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa (College Report CR162). Royal College of Psychiatrists.
    • Royal College of Surgeons of England (2009) The Consultant Surgeon and the ConsultantDelivered Service: Position Statement. Royal College of Surgeons of England.
    • Scally G, Donaldson LJ (1998) The NHS's 50 anniversary. Clinical governance and the drive for quality improvement in the new NHS in England. BMJ, 317, 61-5.
    • Soni M, Webb J, Palmer L, et al (eds) (2011) Quality Standards for Liaison Psychiatry Services (3rd edn). College Centre for Quality Improvement, Royal College of Psychiatrists.
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