Paediatric liaison service

Black, Jennie; Wright, Barry; Williams, Christine; Smith, Rob

doi:10.1192/pb.23.9.528

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…Whereas emergency referrals represented the hard face of disorders seen in CAMHS work, in line with previous surveys, those referred for assessment whilst on paediatric inpatient units were mainly adjustment to physical illness and somatoform disorders (Wrate & Kolvin, 1978; Black et al, 1999). These were also the main reasons for referral to CAMHS outpatients.…”

Section: Discussionsupporting

confidence: 78%

“…Differing views and referral ambiguities can otherwise hamper the work (Oke & Mayer, 1991). Previous reports have described the work of these liaison services (Wrate & Kolvin, 1978; Bingley et al, 1980; Black, McFayden, & Broster, 1990; Black et al, 1999; Shugart, 1991; Vandvik, 1994). However, provision of this kind is perceived as being generally scarce and insufficient (Kurtz, Thornes, & Wolkind, 1994; Audit Commission, 1999; Garralda, 2001; Bradley et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Paediatric Liaison Work by Child and Adolescent Mental Health Services

Woodgate¹

2005

Child Adoles Ment Health

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Background: Although psychiatric morbidity is common amongst paediatric patients, little is known about the availability of CAMH paediatric liaison services. Method: We surveyed all Trusts with specialist CAMH services and paediatric units in Greater London, enquiring about the nature of liaison that CAMHS provide. Results: We found that although liaison paediatric work was common, dedicated paediatric liaison services were provided by only a minority of specialist multidisciplinary CAMHS. Their work involved most aspects of child psychopathology, and included emergencies and children with joint physical and psychiatric problems. About 2/3 of paediatricians were satisfied with CAMHS liaison services, but virtually all desired to see them developed further. There were few indications of co‐ordination between specialist multidisciplinary CAMHS and other paediatric psychosocial support services.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Paediatric Liaison Work by Child and Adolescent Mental Health Services

Woodgate¹

2005

Child Adoles Ment Health

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“…In line with previous reports and in contrast with community CAMHS referrals, the majority of children seen by the PL service were referred by paediatric teams and had psychiatric problems in the context of physical illness, including difficulty adjusting to illness and/or adhering to medical treatments and psychosomatic presentations (Black et al., ; Wrate & Kolvin, ). Accordingly joint work with paediatricians and consultation were part of management in a substantial number.…”

Section: Discussionsupporting

confidence: 64%

“…Earlier descriptions (Bingley, Leonard, Hensman, Lask, & Wolff, ; Black, McFadyen, & Broster, ; Black, Wright, Williams, & Smith, ; Shaw et al., ; Shugart, ; Vandvik, ) have outlined the nature of PL work. This commonly involves children presenting with a mixture of physical and psychological symptoms, a hospital base and good integration with both general and specialist paediatric services and with community CAMHS.…”

Section: Introductionmentioning

confidence: 99%

What is special about a Paediatric Liaison Child and Adolescent Mental Health service?

Slaveska-Hollis¹

2016

Child Adolesc Ment Health

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Background The paediatric population is known to be at high risk for psychiatric problems. Paediatric liaison child/adolescent mental health services (PL‐CAMHS) have been developed to help increase recognition and management of psychiatric morbidity in the paediatric setting. This report describes clinical activity by a psychological medicine PL‐CAMHS and considers specificity by comparing this with community/general CAMHS activity. Method Clinical information was obtained on consecutive patients seen by a PL‐CAMHS in a UK tertiary specialist hospital. Where feasible this was compared with published data on national/community CAMHS work. Results Data was obtained on 800 patients (mean age 11.9, SD 3.8). Most referrals came from a variety of paediatric teams, nearly two‐thirds were for psychosomatic problems or difficulties adjusting to physical illness. The majority had an ICD‐10 psychiatric diagnosis (mostly adjustment, mood and anxiety, and somatoform disorders); problems were often complex and in about half, family difficulties were also noted; one‐third had received prior mental health treatment. Virtually all children were seen by the PL service within a month of referral and only 2% of families failed to attend for assessment. Some level of clinical improvement was noted for the majority. There were indications of differences from national/community CAMHS work in referral source, take up rates and psychiatric diagnoses. Conclusions Paediatric liaison child and adolescent mental health services users commonly have characteristic psychiatric problems, interventions appear potentially effective and the work is specific and complementary of community CAMHS. Thus PL‐CAMHS make a distinct contribution to the provision of truly comprehensive CAMHS.

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“…They signpost appropriate referrals to education services, Social Services, voluntary agencies and the CAMHS intellectual disability team. These referrals in turn came from a variety of sources including GPs, a regular paediatric liaison meeting, 22 health visitors, social workers, school nurses and special school teachers, educational psychologists, specialist teaching advisors and special educational needs coordinators. About 15% came from paediatricians for the more complex autism assessments and parent intervention groups.…”

Section: Referralsmentioning

confidence: 99%

A child and adolescent mental health service for children with intellectual disabilities – 8 years on

Wright¹,

Williams²,

Sykes³

2010

Psychiatrist

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SummaryThis paper reports on the last 8 years in the development of a child mental health learning disability service. The growth, challenges and pitfalls faced by the service are charted here. The paper also shows how a service can cope with rising demand without the development of waiting lists and how a specialist service can be embedded within a generic child and adolescent mental health service (CAMHS) as a tier 3 team, thus creating synergies and commonalities of purpose, while avoiding service gaps that inevitably arise from separate services with specific referral criteria. This is a healthy service model that meets the needs of local children with moderate to severe intellectual disabilities and concomitant child mental health problems.

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Paediatric liaison service

Cited by 8 publications

References 12 publications

Paediatric Liaison Work by Child and Adolescent Mental Health Services

Paediatric Liaison Work by Child and Adolescent Mental Health Services

What is special about a Paediatric Liaison Child and Adolescent Mental Health service?

A child and adolescent mental health service for children with intellectual disabilities – 8 years on

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