Version 1
: Received: 3 October 2024 / Approved: 3 October 2024 / Online: 3 October 2024 (14:54:26 CEST)
How to cite:
Tan, C.; Reelh, S.; Suri, R.; Hiskens, M.; Ajit, A.; Rana, A. A Multifaceted Assessment of the Consultation Liaison Psychiatry Service within a regional Australian Hospital. Preprints2024, 2024100275. https://doi.org/10.20944/preprints202410.0275.v1
Tan, C.; Reelh, S.; Suri, R.; Hiskens, M.; Ajit, A.; Rana, A. A Multifaceted Assessment of the Consultation Liaison Psychiatry Service within a regional Australian Hospital. Preprints 2024, 2024100275. https://doi.org/10.20944/preprints202410.0275.v1
Tan, C.; Reelh, S.; Suri, R.; Hiskens, M.; Ajit, A.; Rana, A. A Multifaceted Assessment of the Consultation Liaison Psychiatry Service within a regional Australian Hospital. Preprints2024, 2024100275. https://doi.org/10.20944/preprints202410.0275.v1
APA Style
Tan, C., Reelh, S., Suri, R., Hiskens, M., Ajit, A., & Rana, A. (2024). A Multifaceted Assessment of the Consultation Liaison Psychiatry Service within a regional Australian Hospital. Preprints. https://doi.org/10.20944/preprints202410.0275.v1
Chicago/Turabian Style
Tan, C., Akshaya Ajit and Alok Rana. 2024 "A Multifaceted Assessment of the Consultation Liaison Psychiatry Service within a regional Australian Hospital" Preprints. https://doi.org/10.20944/preprints202410.0275.v1
Abstract
Background: Medical and mental health conditions have a reciprocal relationship, with each impacting the other. Consultation-Liaison Psychiatry (CLP) is a sub-specialty that addresses psychiatric co-morbidities in the general hospital system and positively impacts hospital resources through its service aspects of ‘consultation’ and ‘liaison’. This multi-faceted evaluation aims to describe and evaluate the characteristics of a regional CLP service. Methods: Retrospective evaluation of all referrals accepted by CLP between May 2021-2022 were reviewed through the hospital’s electronic records. An evaluation tool was designed to assess multiple aspects of care including the source of referrals, the reasons for referral, patient demographics, how quickly the patient was seen, information of their mental health, and the details and timeframe of CLP involvement. Findings: There were 147 patients included in the study. Doctors were the primary referrers (92%). A total of 94% of patients were reviewed within 24 hours of the referral being received. Referral reasons were balanced across diagnostic clarification/review, medication review and risk review. A large proportion of referrals were aged >60 years. There was a large proportion of patients that lived rurally requiring hospital transfer. CLP involvement was primarily required to provide a diagnosis (91% of patients) and provide pharmacological management advice (88%). Conclusion: The CLP service currently operates with limited resources, and without additional support, the sustainability of the service will become increasingly challenged due to population aging. It is essential that we address this issue to ensure that the community's needs are met effectively.
Keywords
Consultation-Liaison Psychiatry; Hospital psychiatry; Service delivery; regional health
Subject
Medicine and Pharmacology, Psychiatry and Mental Health
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
