Data collection in consultation-liaison psychiatry: an evaluation of Casemix

In order to provide a minimum level of service for consultations to the expected range of serious and immediate psychiatric disorders present in the general hospital, a C-L service requires about 1.0 clinical EFT per 100 beds. For services to be able to address more complex elements of illness behaviour, provide education, conduct research, contribute to comprehensive care in specialist areas and undertake other liaison activities, greater and more multi-disciplinary EFT is required.

“…This finding would weigh against developing services on the prevalence of individual diagnoses and goes against a case mix style funding model based for C-L services. 19…”

Section: Discussionmentioning

confidence: 99%

Service Use in Consultation-Liaison Psychiatry: Guidelines for Baseline Staffing

Holmes

Handrinos

Theologus

et al. 2011

“…The most common reasons for referral described here are consistent with findings in other obstetric populations, 8,10–12 and differ significantly from those in general hospitals. 2,4,5 Main reasons for referral were detection of depression, past psychiatric history, and concern regarding a woman's coping.…”

Section: Discussionmentioning

confidence: 99%

“…2 In stark contrast, the mean rate of referral has been reported to be 1.4% 3 but reaches 2–3% in well established and well staffed services. 4,5 Commonly stated reasons for referral include depression, suicide risk evaluation, suspected psychological component, past psychiatric history, and behavioural management. 5–7 The most common diagnoses recorded are mood disorders, organic mental disorders, adjustment disorders, psychosis, substance abuse and somatic disorders.…”

mentioning

confidence: 99%

Consultation-Liaison Psychiatry in a Maternity Hospital

Judd

Handrinos

Laios

et al. 2010

“…A CL psychiatrist might diagnose delirium or major depression, for example, in a general hospital inpatient, which may easily be categorised into a DRG. However, many patients referred to CL services do not have a diagnosable mental illness, 21 but they may still have psychological issues affecting treatment of their medical problem. 22 In fact the ‘undiagnosing’ of mental illness labels and withdrawal of accompanying treatment are key aspects of CL work.…”

Section: Additional Challenges Of Activity-based Funding For Mental Hmentioning

confidence: 99%

Activity-based funding: implications for mental health services and consultation-liaison psychiatry

Wand

2014

Activity-based funding may provide an opportunity for mental health services to be more equitably resourced, but much needs to be done to demonstrate that the funding model works in mental health. It is important to ensure that data collected is meaningful and accurate and reflects the diverse roles of mental health clinicians, including in CL. Inpatient and community services should be integrated in the model, as well as safeguards against potential abuse. Clinicians, in partnership with initiatives such as the Australian Mental Health Outcomes and Classification Network, are best placed to guide the development of an ABF system for mental health which appropriately recognises the complexity and variability between patients in different settings.