Consultation—liaison in an old age psychiatry service

Loane, Ruth; Jefferys, Peter

doi:10.1192/pb.22.4.217

Cited by 6 publications

(4 citation statements)

References 8 publications

(4 reference statements)

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“…This percentage suggests that this is likely to be a significant factor in determining which cases will be seen by the liaison psychogeriatrician. The characteristics of this sample are comparable to samples in previous studies (Loane and Jefferys 1998), although the female bias was smaller than usual. The relative excess of females in the "Negative Behaviours" group was small and possibly artefactual.…”

Section: Discussionsupporting

confidence: 81%

Negative behaviours as the reason for referral to a liaison old age psychiatrist

Euba

2005

Eur. J. Psychiat.

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The analysis of 130 consecutive referrals to a liaison old age psychiatrist in two different London hospitals revealed that nearly half of these requests mentioned negative behaviours as the reason for referral. The common factor between these behaviours was that they made the delivery of the treatment or discharge plan very difficult. This type of referral was more common for patients who had stayed in hospital for longer at the time of the request.

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Section: Discussionsupporting

confidence: 81%

Negative behaviours as the reason for referral to a liaison old age psychiatrist

Euba

2005

Eur. J. Psychiat.

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“…The results, therefore, cannot be easily generalized to other units. However, the demographic and diagnostic characteristics, reasons for referral and management advice oered are similar to other published studies of referrals to liaison geriatric psychiatry services (Ford and Folks, 1985;Mainprize and Rodin, 1987;Wrigley and Leone, 1991;Leone and Jeerys, 1998). Despite the study duration of 30 months, seasonal variations in the geriatric medicine admission rates and referral rates were not controlled for in the analysis; the referral rate to the liaison geriatric psychiatry service may be in¯uenced by these variables.…”

Section: Discussionsupporting

confidence: 66%

“…For each referral, data on a number of variables (age, sex, diagnosis, previous psychiatric history, reasons for referral, recommended medical interventions and recommended social interventions) were ascertained from prospectively recorded case-records using a structured form. Reasons for referral, recommendations for medical management and recommendations for social management were clearly de®ned and categorized (Tables 1 and 2); these de®nitions and categories were developed from the existing literature (Benbow, 1987;Scott et al, 1988;Swanwick et al, 1994;Leone and Jeerys, 1998) and our clinical experience. The structured form was similar to that used in other studies (Redlinghuys and Shah, 1997;Odutoye and Shah, 1999) and is…”

Section: Data Collectionmentioning

confidence: 99%

The impact of two changes in service delivery on a geriatric psychiatry liaison service

Baheerathan¹,

Shah²

1999

Int. J. Geriat. Psychiatry

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Background The impact of two changes in service delivery (alteration in the admission policy of the medical unit and the introduction of a formal liaison component to a ‘consultation only’ liaison geriatric psychiatry service) on the associated liaison geriatric psychiatry service was examined in a naturalistic study. The main null hypothesis was that the referral rate would not be influenced by either change in service delivery. Method The 30‐month study period was divided into three phases defined by the two changes in service delivery. The impact of the two changes in service delivery on the (i) referral rate, (ii) reasons for referral, (iii) demographic and clinical characteristics of the referrals and (iv) advice offered after assessment was examined with a retrospective design. Results There was a significant decline in the number of referrals for each month across the three study phases exclusively accounted for by a decline between phase 2 and phase 3. The number of reasons for referral and management advice offered for social treatments per patient were greater in phase 1 compared to phase 2. The total number of management advice offered for medical treatments per patient was greater in phase 2 compared to phase 3. The cost of a specialist registrar attending a geriatric medicine ward round was more than offset by the associated decline in the number of referrals per month. Conclusion Although this study was not designed as a cost‐effectiveness study, the results suggest that the liaison component has the potential to be cost‐effective. There is a need for more formal clinical effectiveness and cost‐effectiveness studies in liaison geriatric psychiatry. Copyright © 1999 John Wiley & Sons, Ltd.

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“…This compares favourably with other reports. Loane & Jefferys (1998) reported outcomes at 3-month follow-up: 34% of assessed patients were in a care home. Mujic et al (2004) reported that 32% of their patients were discharged to a care home.…”

Section: Discussionmentioning

confidence: 99%

The development of a nurse‐led liaison mental health service for older people in Chesterfield, Derbyshire, UK

Hughes

2008

Psychiatric Ment Health Nurs

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Mental health problems are very common among older people in general hospitals. They are independent predictors of poor outcomes. Research indicates that appropriate interventions can improve outcomes. It is increasingly recognized that liaison mental health services have a key role in meeting the needs of older people in the general hospitals and educating and supporting staff. This paper describes aspects of the developmental and clinical work of a consultant nurse in developing a nurse-led liaison mental health service for older people in Chesterfield, Derbyshire, UK. It describes the impact of this service on referral rates. It also details the results of an audit of 206 referrals assessed by the consultant nurse in the second year of the service. The analysis of data collected provides a profile of aspects of the role of a liaison nurse including reasons for referral, psychiatric diagnosis and interventions recommended. This paper also, uniquely, documents mental health liaison into a community hospital. Implications for the development of services are discussed.

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Consultation—liaison in an old age psychiatry service

Cited by 6 publications

References 8 publications

Negative behaviours as the reason for referral to a liaison old age psychiatrist

Negative behaviours as the reason for referral to a liaison old age psychiatrist

The impact of two changes in service delivery on a geriatric psychiatry liaison service

The development of a nurse‐led liaison mental health service for older people in Chesterfield, Derbyshire, UK

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