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ac97dmc

Models of Liaison Psychiatry

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Dear All

would it be possible for somebody to detail on the various models for providing of liaison psychiatry service?

many thanks.

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I have not yet read about any 'models' of providing Liaison Psy services, but of the top of by oozing head...

Inpatient, outpatient services. Mainly gen hosp based. Talk about MDTs including doctors(SHOs, SGs, Consultants) with their diff roles, nurses, OTs, Psychotherapists, social services, blah blah blah....

Also different specialist Liaison services- Neuropsych, Psychooncology, Somatoform disorders (Somatizaytion, CFS, BDD), Psychosexual med, SELF HARM, Elderly liaison, Gender Identity, etc....

....anything else people?

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There are 2 recent meta-analysis by Ruddy and House. One from 2003 and from 2005. I think they're in either APT, BJPsych or Bulletin - just type their names into the author search.

Liaison is as wide as you like. The one in Leeds has:

1. Liaison to the general hospital e.g. psych morbidity, capacity, detox, delirium etc etc. adult and old age services.

2. Self harm in A&E. Parasuicide assessments post self-harm.

3. A&E assessments for psych probs in casualty. The future will be a mental health A&E.

4. Liaison inpatient ward.

5. Psychosexual medicine, psycho-oncology, body dysmorphic disorder - all outpatient clinics.

6. Other liaison outpatient clinics.

7. Chronic fatigue services.

If this is a services essay, model your response on a service model essay - details are in this forum and Oxford Textbook. V. importnat to know how to write a 'services' essay.

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RACHEL RUDDY and ALLAN HOUSE

Meta-review of high-quality systematic reviews of interventions in key areas of liaison psychiatry

Br. J. Psychiatry, Aug 2005; 187: 109 - 120.

One of three papers they have published since 2003.

Essentially they looked for systematic reviews and meta-analyses and found that the evidence for the various aspects of liaison was poor and often conflicting. They concluded that other factors must be driving service development in liaison psych.

This ties with another paper they did when they found that although evidence base had a place in the development of liaison there were also 25 other 'Barriers and facilitators' at local and national levels.

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