The development of psychosomatic and Liaison Psychiatry units in Spain: A national enquiry

Lobò, Antonio; Rabanaque, Isabel; Blanch, Jordi; Campos, Ricardo; Ezquiaga, Elena; Farré, Josep María; Gómez-Reino, Ignacio; Marco, Carlos; Navío, Mercedes; Ochoa, Enriqueta; Parramón, Gemma; Ventura, Tirso; Aguilar, Eduardo J.; Artal, J.; Cuesta, Manuel J.; Devolx, Víctor Manuel; Espárrago, Guadalupe; Franco, Manuel; Fleta, José Luís Hernández; Jambrina, Juan José Martínez; Ortega, Miguel A.; Palomo, Javier; Costillas, Lucía Pérez; Roca, Miquel

doi:10.1016/j.jpsychores.2019.109784

Cited by 8 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The full (100%) response rate gives a clear view of the national provision of services, similar to the work of Walker et al in the UK (10). It is a very strong response compared with the 62% response rate in the Spanish study and the 41% response rate in a similar Norwegian study (18,22).…”

Section: Limitationssupporting

confidence: 72%

See 1 more Smart Citation

Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study

et al. 2021

View full text Add to dashboard Cite

Objective: This study aimed to describe the provision of consultation-liaison psychiatry (CLP, also known as liaison psychiatry) services in acute hospitals in Ireland, and to measure it against recommended resourcing levels.Methods: This is a survey of all acute hospitals in Ireland with Emergency Departments, via an electronic survey sent by email and followed up by telephone calls for missing data. Data were collected on service configuration, activity, and resourcing. Data were collected from CLP or proxy services at all acute hospitals with an Emergency Department in Ireland (n = 29). This study measured staffing and activity levels where available.Results: None of the services met the minimum criteria set out by either national or international guidance per 500 bed general hospital.Conclusions: CLP is a relatively new specialty in Ireland, but there are clear international guidelines about the staffing levels required to run these services safely and effectively. In Ireland, despite clear national guidance on staffing levels, no services are staffed to the levels suggested as the minimum. It is likely that patients in Ireland's acute hospitals have worse outcomes, and hospitals have unnecessary costs, due to this lack. This is the first study of CLP provision in Ireland and demonstrates the resource constraints under which most services work and the heterogeneity of services nationally.

show abstract

Section: Limitationssupporting

confidence: 72%

“…Lobo et al in a survey of Spanish CLP services reported higher proportions of services with psychology provision and less specialist nursing provision. Neither this Spanish study, nor a similar Norwegian described the degree of ED input (18,22).…”

Section: Discussionmentioning

confidence: 82%

Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Benchmarking CLP services by staffing levels is fraught with difficulty given that variations in service models, hours of operation, coverage of patient groups, sizes of hospitals and levels of activity make any comparison of services analogous to comparing apples and oranges. With that caveat, comparisons (see Tables 6 and 7) of CLPSNZ-2 with four recent western European national CLP surveys, 3,6–8 a recent Australian survey (AUCLS-1), 4 and the published minimum staffing levels for England 5,9 and Australia 10 reveal just how under-resourced CLP services in NZ are (0.26 psychiatrist FTE and 1.10 clinician FTE per 100 inpatient beds).…”

Section: Discussionmentioning

confidence: 99%

“…Respondents for the CLP survey were identified via Faculty of CLP affiliations, earlier site visits and contacts made through the first national survey; and consisted of sole part-time psychiatrists (8), senior psychiatrists responding on behalf of their team (6) and clinical nurse specialists where no psychiatrist respondent was available (2). Respondents were emailed the survey on returning a signed participant information sheet (PIS), survey responses were collected by return email, and email reminders were used when required.…”

Section: Methodsmentioning

confidence: 99%

Broadening the state of play – the second national survey of Consultation-Liaison Psychiatry services in New Zealand, 2021

Hopkins,

Skudder,

Vroegop

et al. 2023

Australas Psychiatry

View full text Add to dashboard Cite

Objective The original national survey of Consultation-Liaison Psychiatry (CLP) services in New Zealand (NZ) that was undertaken in 2018 (CLPSNZ-1) established a baseline but was limited in scope. The aim of the current study was to conduct a more in-depth national survey. Method A 44-question survey was emailed to clinicians at each of the 16 general hospitals in NZ with specialist adult CLP services in 2021. Results Responses were obtained from all 16 CLP services. These services were found to be under-resourced (with mean total full-time equivalents of 0.26 psychiatrists and 1.10 clinicians per 100 inpatient beds, respectively), operate with highly variable service models (with major variations in operating hours and coverage of age groups, the Emergency Department and outpatients) and provide a predominantly consultation service. Conclusion While many of the findings from CLPSNZ-1 remain relevant, the current survey has extended our understanding of the circumstances, achievements and challenges of this psychiatric subspecialty in NZ.

show abstract

“…Following the initiative of other European countries (18,19), the need for an up-to-date examination of CLP activity in Italy was felt to be a priority (17). Therefore, the aim of this study was to evaluate the activity of CLP in Italy, highlighting the major changes happened in a 20-year time-span since the cited first CLP Italian study.…”

Section: Introductionmentioning

confidence: 99%

Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study

Zerbinati

Palagini²,

Balestrieri³

et al. 2022

Front. Psychiatry

View full text Add to dashboard Cite

IntroductionConducted under the auspices of the Italian Society of Consultation Liaison Psychiatry (SIPC) the aim of this study was to describe the characteristics of Consultation Liaison Psychiatry (CLP) activity in Italy (SIPC-2—2018) over the past 20 years by comparing with data from the first Italian nation-wide study (SIPC-1—1998).MethodsWe collected data on CLP visits of 3,943 patients from 10 Italian hospitals over a period of 1 year. Data were compared with those from the SIPC-1 1998 study (4,183 participants). Patients were assessed with the same ad hoc 60-item Patient Registration Form recording information from five different areas: Sociodemographic, hospitalization-related, consultation-related, interventions and outcome.ResultsCompared with participants from the previous study, SIPC-2-2018 participants were significantly older (d = 0.54) and hospitalized for a longer duration (d = 0.20). The current study detected an increase in the proportion of referrals from surgical wards and for individuals affected by onco-hematologic diseases. Depressive disorders still represented the most frequent psychiatric diagnosis, followed by adjustment and stress disorders and delirium/dementia. Also, CLP psychiatrists prescribed more often antidepressants (Φ = 0.13), antipsychotics (Φ = 0.09), mood stabilizers (Φ = 0.24), and less often benzodiazepines (Φ = 0.07).ConclusionCLP workload has increased considerably in the past 20 years in Italy, with changes in patient demographic and clinical characteristics. A trend toward increase in medication-based patient management was observed. These findings suggest that the psychiatric needs of patients admitted to the general hospital are more frequently addressed by referring physicians, although Italian CLP services still deserve better organization and autonomy.

show abstract

The development of psychosomatic and Liaison Psychiatry units in Spain: A national enquiry

Cited by 8 publications

References 15 publications

Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study

Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study

Broadening the state of play – the second national survey of Consultation-Liaison Psychiatry services in New Zealand, 2021

Changes of consultation-liaison psychiatry practice in Italian general hospitals: A comparative 20-year multicenter study

Contact Info

Product

Resources

About