Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-03T01:17:00.581Z Has data issue: false hasContentIssue false
  • English
  • Français

The Impact of a Child Psychiatry Liaison Service on Patterns of Referral

Published online by Cambridge University Press:  02 January 2018

Anne McFadyen ,
Gillian Broster  and
Dora Black
Anne McFadyen*
Affiliation:
Child and Family Department, Tavistock Clinic, formerly Lecturer & Honorary Senior Registrar, Department of Child Psychiatry, Royal Free Hospital
Gillian Broster
Affiliation:
Child and Family Department, Tavistock Clinic
Dora Black
Affiliation:
Department of Child Psychiatry, Royal Free Hospital, London
*
∗Child and Family Department, Tavistock Clinic, 120 Belsize Lane, London NW3
Get access Rights & Permissions [Opens in a new window]

Abstract

A retrospective study of referrals to a child psychiatry liaison service was carried out in order to assess the impact of the reorganisation of the service. A total of 55% of referrals were of in-patients on the paediatric ward; other in-patients made up 12.5%. Of all referrals, 67% were from paediatricians. Of the children who had not harmed themselves, most were referred either for help with the management of physical illness or for investigation of a non-organic physical complaint. The main finding was that liaison referrals increased significantly in contrast to both the total number of referrals and the number of cases of deliberate self-harm.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 158 , Issue 1 , January 1991 , pp. 93 - 96
Copyright
Copyright © The Royal College of Psychiatrists 

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.)

Footnotes

Based on a paper presented to the Annual Residential Meeting of the Royal College of Psychiatrists' Child and Adolescent Psychiatry Section, Oxford, September, 1987.

References

Awad, G. A. & Poznanski, E. O. (1975) Psychiatric consultations in a paediatric hospital. American Journal of Psychiatry, 132, 915–918.Google Scholar
Bingley, L., Leonard, J., Hensman, S., et al (1980) The comprehensive management of children on a paediatric ward - a family approach. Archives of Disease in Childhood, 55, 555–561.CrossRefGoogle Scholar
Brown, A. & Cooper, A. F. (1987) The impact of a liaison psychiatry service on patterns of referral in a general hospital. British Journal of Psychiatry, 150, 83–87.CrossRefGoogle ScholarPubMed
Jaffa, T. (1988) A senior registrar's experience of consultation/liaison psychiatry. Association for Child Psychology and Psychiatry Newsletter, 10, 10–13.Google Scholar
Jellinek, M. S., Herzog, D. B. & Selter, L. F. (1981) A psychiatric consultation service for hospitalized children. Psychosomatics, 22, 29–33.CrossRefGoogle ScholarPubMed
Lask, B. & Matthew, D. (1979) Childhood asthma. A controlled trial of family psychotherapy. Archives of Disease in Childhood, 54, 116–119.CrossRefGoogle ScholarPubMed
Lipowski, Z. J. & Wolston, E. J. (1981) Liaison psychiatry: referral patterns and their stability over time. American Journal of Psychiatry, 138, 1608–1611.Google ScholarPubMed
Lloyd, G. G. (1980) Liaison psychiatry from a British perspective. General Hospital Psychiatry, 2, 46–51.CrossRefGoogle ScholarPubMed
Monnelly, E. P., Ianzito, B. M. & Stewart, M. A. (1973) Psychiatric consultations in a children's hospital. American Journal of Psychiatry, 130, 789–790.CrossRefGoogle ScholarPubMed
Mrazek, D. A. (1986) Paediatric hospitalization: understanding the stress from a developmental perspective. In The Psychosomatic Approach: Contemporary Practice of Whole Person Care (ed. M. J. Christie & P. G. Mellet). London: John Wiley & Sons.Google Scholar
Naylor, K. A. & Mattson, A. (1973) ‘For the sake of the children’: trials and tribulations of child psychiatry-liaison service. Psychiatry in Medicine, 4, 389–401.CrossRefGoogle ScholarPubMed
Offord, D. R. (1987) Prevention of behavioural and emotional disorders in children. Journal of Child Psychology and Psychiatry, 28, 9–19.CrossRefGoogle ScholarPubMed
Prugh, D. G., Staub, E. M., Sands, H. H., et al (1953) A study of the emotional reactions of children and families to hospitalisation and illness. American Journal of Psychiatry, 23, 70–106.Google ScholarPubMed
Rutter, M. L., Shaffer, D. & Sturge, C. (1983) A Guide to a Multi-axial Classification Scheme for Psychiatric Disorders in Childhood and Adolescence. London: Frowde & Co.Google Scholar
Stocking, M., Rothney, W., Grosser, G., et al (1970) Psychopathology in the pediatric hospital: implications for the pediatrician. Psychiatry in Medicine, 1, 329–338.CrossRefGoogle ScholarPubMed
Taylor, D. C. (1986) Child psychiatric/paediatric liaison: discussion paper. Journal of the Royal Society of Medicine, 79, 726–727.CrossRefGoogle ScholarPubMed
Wrate, R. M. & Kolvin, I. (1978) A child psychiatry consultation service to paediatricians. Developmental Medicine and Child Neurology, 20, 347–356.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.