Whence and whither ‘liaison’ psychiatry?

Lloyd, G. E. R.

doi:10.1017/s0033291700039568

Cited by 23 publications

(4 citation statements)

References 25 publications

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“…Despite the uncertain status of liaison psychiatry as a whole (Lloyd 1980; Sensky 1986), there is widespread acknowledgement of the need to optimize the psychiatric skills of nonpsychiatrists, starting with appropriate teaching of liaison psychiatry to medical students, surveyed recently by Thomas (Walton 1986). Our seminar format can be used in a variety of non‐psychiatric in‐patient settings and requires relatively little time from the teacher beyond the one hour a week taken up by the seminars themselves.…”

Section: Discussionmentioning

confidence: 99%

The development and evaluation of a method of teaching liaison psychiatry to medical students

Sensky¹,

Thompson²

1989

Medical Education

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A method is described of teaching medical students aspects of psychiatry related to their work with physically ill patients. The teaching requires few resources and focuses on a limited number of educational objectives centred on the acquisition of knowledge of psychiatry relevant to medical practice. The course comprised eight weekly one-hour seminars held during the first clinical year attachment to medical firms, prior to the students' psychiatry attachments. Clinically based, traditional 'bedside' teaching was used, involving patients known to the students. In a preliminary analysis of the effects of the teaching, students who had participated in the seminars scored significantly better on a test of liaison psychiatry knowledge than a matched group who had not experienced the course.

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Section: Discussionmentioning

confidence: 99%

The development and evaluation of a method of teaching liaison psychiatry to medical students

Sensky¹,

Thompson²

1989

Medical Education

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“… 1 Indeed, liaison psychiatry, the term allegedly introduced to describe the department at Colorado General Hospital in Denver, 2 was in its early years predominantly an American movement, 3 much influenced by now-discredited psychosomatic theories of illness. 4 It flourished in America in the 1970s in part as a result of federal funding to support its role in medical student education. Most American services provided in-patient consultation to patients but there were also those who believed in the importance of liaison with medical teams.…”

Section: Liaison Psychiatry In the Ukmentioning

confidence: 99%

A history of liaison psychiatry in the UK

Aitken¹,

Lloyd²,

Mayou³

et al. 2016

BJPsych Bull

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Aims and method To record the development of liaison psychiatry in the UK and to summarise the current levels of activity. We also highlight the challenges the specialty may face if it is to develop further. History since the 1970s is reviewed by early pioneers and those involved in the present day, with a focus on the key role played by members of the Royal College of Psychiatrists.Results We describe the development of training guidelines, the publication of joint documents with other Royal Colleges, establishing international collaborations and defining service specifications. We emphasise the importance of collaboration with other medical organisations, and describe successes and pitfalls.Clinical implications Much has been achieved but challenges remain. Liaison psychiatry has a potentially important role in improving patient care. It needs to adapt to the requirements of the current National Health Service, marshal evidence for cost-effectiveness and persuade healthcare commissioners to fund services that are appropriate for the psychological needs of general hospital patients.

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“…On the other hand, staff time constraints are a factor limiting our involvement in this kind of liaison. Lloyd (1980) suggested that since there are very few evaluation studies on the benefits of liaison it would be better to limit psychiatry in a general ward setting to the detection and treatment of patients with demonstrable psychiatric disorders and to increasing staff awareness of these problems. It is important not to make unrealistic claims of what liaison interventions might provide.…”

Section: Advantages and Limitations Of Servicementioning

confidence: 99%

“…I am expected, among others, to provide informal and didactic teaching for the student who is with us for ten weeks, and we fill in regular assessment forms on each others' performance. Lloyd (1980) has commented on the potential edu cational value for students of a period of attachment to a general hospital psychiatry service. This might be especially appropriate for those who are destined to be general hospital consultants in the UK.…”

Section: Advantages and Limitations Of Servicementioning

confidence: 99%

Working in consultation-liaison psychiatry in the USA

Foster¹

1989

Psychiatr. bull.

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Consultation-liaison psychiatry had its inception in North America, the term making its first appearance in the 1930s to describe the department at Colorado General Hospital in Denver. As Mayou (1987) points out, when comparing British and American liaison services, the role, boundaries, and organisation of this subspecialty are very different in the two countries. Money and resources do not exist in Britain within the National Health Service to provide the extent of involvement liaison psychiatry now enjoys with the general wards of many American hospitals. Thomas (1985) refers to basic differences between the countries. He points out that few British district general hospitals have consultation psychiatric units now in place and that the theoretical background of psychiatrists in the two countries are different. In addition, he suggests that there may well be differences in the referral patterns and expectations with regard to psychiatric consultation requirements of general hospital doctors in the two health care systems.

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Whence and whither ‘liaison’ psychiatry?

Cited by 23 publications

References 25 publications

The development and evaluation of a method of teaching liaison psychiatry to medical students

The development and evaluation of a method of teaching liaison psychiatry to medical students

A history of liaison psychiatry in the UK

Working in consultation-liaison psychiatry in the USA

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