Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-745bb68f8f-s22k5 Total loading time: 0 Render date: 2025-01-28T23:32:54.709Z Has data issue: false hasContentIssue false

Chapter 21 - The Evidence Base for Consultation-Liaison Psychiatry

Published online by Cambridge University Press:  04 January 2024

By
Elspeth Guthrie
Edited by
Rachel Thomasson ,
Elspeth Guthrie  and
Allan House
Rachel Thomasson
Affiliation:
Manchester Centre for Clinical Neurosciences
Elspeth Guthrie
Affiliation:
Leeds Institute of Health Sciences
Allan House
Affiliation:
Leeds Institute of Health Sciences
Get access

Summary

This chapter will focus on the evaluation of liaison services, including the evidence regarding what liaison services actually do (activity), the types of clinical problems they manage and how they effect change and service outcomes. Liaison services in different settings, including the acute hospital, emergency department (ED) and primary care, will be discussed. Individual psychological or pharmacological treatments for specific conditions are covered elsewhere in this book. Interventions for self-harm are discussed in Chapter 5 and psychological treatments for persistent physical symptoms and co-morbid depression and physical disease are discussed in Chapter 15. The challenges and complexities involved in the assessment of liaison services are explained in Chapter 20.

Type
Chapter
Information
Seminars in Consultation-Liaison Psychiatry , pp. 345 - 355
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Huyse, FJ, Herzog, T, Lobo, A et al. European consultation-liaison psychiatric services: The ECLW collaborative study. Acta Psychiatr Scand. 2000;101(5):360–6.CrossRefGoogle ScholarPubMed
Saraiva, S, Guthrie, E, Walker, A et al. The nature and activity of liaison mental services in acute hospital settings: A multi-site cross sectional study. BMC Health Serv Res. 2020;20(1):308.CrossRefGoogle ScholarPubMed
Diefenbacher, A. Implementation of a psychiatric consultation service: A single-site observational study over a 1-year-period. Psychosomatics. 2001;42(5):404–10.CrossRefGoogle Scholar
Christodoulou, C, Fineti, K, Douzenis, A, Moussas, G, Michopoulos, I, Lykouras, L. Transfers to psychiatry through the consultation-liaison psychiatry service: 11 years of experience. Ann Gen Psychiatry. 2008;7:10.CrossRefGoogle ScholarPubMed
House, A, Guthrie, E, Walker, A et al. A programme theory for liaison mental health services in England. BMC Health Serv Res. 2018;18(1):742.CrossRefGoogle ScholarPubMed
Walker, A, Barrett, JR, Lee, W et al. Organisation and delivery of liaison psychiatry services in general hospitals in England: Results of a national survey. BMJ Open. 2018;8(8):e023091.CrossRefGoogle ScholarPubMed
Jasmin, K, Walker, A, Guthrie, E et al. Integrated liaison psychiatry services in England: A qualitative study of the views of liaison practitioners and acute hospital staffs from four distinctly different kinds of liaison service. BMC Health Serv Res. 2019;19(1):522.CrossRefGoogle Scholar
Guthrie, E, McMeekin, A, Thomasson, R et al. Opening the ‘black box’: Liaison psychiatry services and what they actually do. BJPsych Bull. 2016;40(4):175–80.CrossRefGoogle Scholar
Guthrie, EA, McMeekin, AT, Khan, S, Makin, S, Shaw, B, Longson, D. An analysis of whether a working-age ward-based liaison psychiatry service requires the input of a liaison psychiatrist. BJPsych Bull. 2017;41(3):151–5.CrossRefGoogle ScholarPubMed
Tadros, GSRKP, Mustafa, N, Johnson, E, Pannell, R, Hashmi, M. Impact of an integrated rapid response psychiatric liaison team on quality improvement and cost savings: The Birmingham RAID model. Psychiatrist. 2013;37:4–10.CrossRefGoogle Scholar
Becker, LSR, Hardy, R, Pilling, S. The RAID Model of Liaison Psychiatry: Report on the Evaluation of Four Pilot Services in East London. London; 2016.Google Scholar
Breckon, JKS, McClimnes, A, Mubarak, I, Burley, K. Adult Mental Health Hospital Liaison Service Evaluation. Sheffield; 2016.Google Scholar
Durham and Darlington Liaison Service Evaluation Report. 2013.Google Scholar
House, A, West, R, Smith, C, Tubeuf, S, Guthrie, E, Trigwell, P. The effect of a hospital liaison psychiatry service on inpatient lengths of stay: Interrupted time series analysis using routinely collected NHS hospital episode statistics. BMC Psychiatry. 2020;20(1):27.CrossRefGoogle ScholarPubMed
Wood, R, Wand, AP. The effectiveness of consultation-liaison psychiatry in the general hospital setting: A systematic review. J Psychosom Res. 2014;76(3):175–92.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence. Emergency and Acute Medical Care in Over 16s: Service Delivery and Organisation. London; 2018.Google Scholar
Levenson, JL, Hamer, RM, Rossiter, LF. A randomized controlled study of psychiatric consultation guided by screening in general medical inpatients. Am J Psychiatry. 1992;149(5):631–7.Google ScholarPubMed
Cole, MG, Fenton, FR, Engelsmann, F, Mansouri, I. Effectiveness of geriatric psychiatry consultation in an acute care hospital: A randomized clinical trial. J Am Geriatr Soc. 1991;39(12):1183–8.CrossRefGoogle Scholar
Cole, MG, McCusker, J, Bellavance, F et al. Systematic detection and multidisciplinary care of delirium in older medical inpatients: A randomized trial. CMAJ. 2002;167(7):753–9.Google ScholarPubMed
Cullum, S, Tucker, S, Todd, C, Brayne, C. Effectiveness of liaison psychiatric nursing in older medical inpatients with depression: A randomised controlled trial. Age Ageing. 2007;36(4):436–42.CrossRefGoogle ScholarPubMed
Baldwin, R, Pratt, H, Goring, H, Marriott, A, Roberts, C. Does a nurse-led mental health liaison service for older people reduce psychiatric morbidity in acute general medical wards? A randomised controlled trial. Age Ageing. 2004;33(5):472–8.CrossRefGoogle ScholarPubMed
Slaets, JP, Kauffmann, RH, Duivenvoorden, HJ, Pelemans, W, Schudel, WJ. A randomized trial of geriatric liaison intervention in elderly medical inpatients. Psychosom Med. 1997;59(6):585–91.CrossRefGoogle ScholarPubMed
Talley, S, Davis, DS, Goicoechea, N, Brown, L, Barber, LL. Effect of psychiatric liaison nurse specialist consultation on the care of medical-surgical patients with sitters. Arch Psychiatr Nurs. 1990;4(2):114–23.CrossRefGoogle ScholarPubMed
Toynbee, M, Walker, J, Clay, F et al. The effectiveness of inpatient consultation- liaison psychiatry service models: A systematic review of randomized trials. Gen Hosp Psychiatry. 2021;71:11–19.CrossRefGoogle ScholarPubMed
Evans, R, Connell, J, Ablard, S, Rimmer, M, O’Keeffe, C, Mason, S. The impact of different liaison psychiatry models on the emergency department: A systematic review of the international evidence. J Psychosom Res. 2019;119:53–64.CrossRefGoogle ScholarPubMed
Sinclair, LHRHS, Nelson, D, Hunt, J. How effective are mental health nurses in A&E departments? Emerg Med. 2005;23:687–92.Google Scholar
Ngo, DA, Ait-Daoud, N, Rege, SV et al. Differentials and trends in emergency department visits due to alcohol intoxication and co-occurring conditions among students in a U.S. public university. Drug Alcohol Depend. 2018;183:89–95.CrossRefGoogle Scholar
McDonough, S, Wynaden, D, Finn, M et al. Emergency department mental health triage consultancy service: An evaluation of the first year of the service. Accident & Emergency Nursing. 2004;12:31–8.CrossRefGoogle ScholarPubMed
Nielsen, D, Klein, EA. The care of mental health patients in the emergency department: One rural hospital’s approach. J Emerg Med. 2009;37(4):430–2.CrossRefGoogle ScholarPubMed
Lester, NA, Thompson, LR, Herget, K et al. CALM interventions: Behavioural health crisis assessment, linkage, and management improve patient care. Am J Med Qual. 2018;33(1):65–71.CrossRefGoogle ScholarPubMed
Mason, SM. Frequent attendance at the emergency department is a symptom but not a disease. Emerg Med J. 2014;31:524–5.CrossRefGoogle Scholar
NHS England. Mental Health and A&E Pressures: Further Examples of Mental Health Schemes That Help Alleviate Operational A&E Pressures. London; 2018.Google Scholar
Sousa, S Hilder, T, Burdess, C et al. 2.5 years on: What are the effects of a ‘frequent attenders’ service in the Emergency Department? BJPsych Bull. 2019;43(3):112–16.CrossRefGoogle ScholarPubMed
Ng, A, Nadarajan, V, McIver, S et al. Frequent attendances to a London emergency department. J Primary Care. 2015;7:70–7.Google Scholar
Kontogeorgis, D, Masoura, C, Mhlanga, Y. Frequent Attenders Initiative. Oxford Academic Health Science Network. Oxford; 2018.Google Scholar
Peddie, S, Richardson, S, Salt, L, Ardagh, M. Frequent attenders at emergency departments: Research regarding the utility of management plans fails to take into account the natural attrition of attendance. N Z Med J. 2011;124(1331):61–6.Google ScholarPubMed
LaCalle, ERE. Frequent users of emergency departments: The myths, the data and the policy implications. Ann Emerg Med. 2009;56:42–8.Google Scholar
Colligan, EM, Pines, JM, Colantuoni, E, Howell, B, Wolff, JL. Risk factors for persistent frequent emergency department use in Medicare beneficiaries. Ann Emerg Med. 2016;67(6):721–9.CrossRefGoogle ScholarPubMed
Giannouchos, TV, Washburn, DJ, Kum, HC, Sage, WM, Ohsfeldt, RL. Predictors of multiple emergency department utilization among frequent emergency department users in 3 states. Med Care. 2020;58(2):137–45.CrossRefGoogle ScholarPubMed
Maruster, L, van der Zee, DJ, Hatenboer, J, Buskens, E. Tracing frequent users of regional care services using emergency medical services data: A networked approach. BMJ Open. 2020;10(5):e036139.CrossRefGoogle Scholar
Althaus, F, Paroz, S, Hugli, O et al. Effectiveness of interventions targeting frequent users of emergency departments: A systematic review. Ann Emerg Med. 2011;58(1):41–52, e42.CrossRefGoogle ScholarPubMed
Soril, LJ, Leggett, LE, Lorenzetti, DL, Noseworthy, TW, Clement, FM. Reducing frequent visits to the emergency department: A systematic review of interventions. PLoS One. 2015;10(4):e0123660.CrossRefGoogle Scholar
Psychiatry RCoPFoL. Liaison Psychiatry and the Management of Long-Term Conditions and Medically Unexplained Symptoms. London; 2012.Google Scholar
Gillies, D, Buykx, P, Parker, AG, Hetrick, SE. Consultation liaison in primary care for people with mental disorders. Cochrane Database Syst Rev. 2015;9:CD007193.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×