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6 - The role of the nurse in liaison psychiatry

from Part I - Basic skills

Published online by Cambridge University Press:  10 December 2009

By
Anthony Harrison
Edited by
Geoffrey Lloyd  and
Elspeth Guthrie
Geoffrey Lloyd
Affiliation:
Priory Hospital, London
Elspeth Guthrie
Affiliation:
University of Manchester
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Summary

Introduction

This chapter:

  • outlines the development of mental health liaison nursing

  • identifies the core skills and competencies required for effective practice within the liaison setting

  • outlines the role of the mental health liaison nurse

  • outlines the role of the mental health liaison nurse in the care and treatment of individuals with specific mental health needs in the general hospital.

The role of the nurse within liaison psychiatry developed significantly throughout the 1990s, with many health service trusts employing mental health nurses to practise within the general hospital. The nursing role is closely linked to that of doctors and psychologists practising in this area, and is primarily concerned with the provision of specialist mental health nursing assessment and intervention in the general hospital. Nurses working within liaison psychiatry use the skills of consultation, liaison and collaborative working, providing a service that transcends traditional professional, departmental and organizational boundaries. Mental health liaison nurses (MHLNs) can be seen as working at the interface between psychiatry and general hospital services. This chapter provides an overview of:

  • the development of mental health liaison nursing

  • core skills and competencies for MHLNs

  • the role of the MHLN in relation to self-harm and the care of people with physical illness.

The development of mental health liaison nursing

The term ‘liaison nursing’ within the general hospital context is not new, having been used in the United States throughout the 1960s and 1970s (Jones 1989; Roberts 1997).

Keywords

liaison psychiatrymental health liaison nursingnursephysial illnesssomatic complaints
Type
Chapter
Information
Handbook of Liaison Psychiatry , pp. 102 - 122
Publisher: Cambridge University Press
Print publication year: 2007

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References

,Anon. (2001). Self-harm keeps me alive. Openmind, 111 (Sep/Oct), 10.Google Scholar
Arlott, V., Driessen, M. and Dilliry, H. (1997). The Lubeck general hospital study 1: prevalence of psychiatric disorders in medical and surgical inpatients. International Journal of Psychiatry in Clinical Practice, 1 (3), 207–16.Google Scholar
Bauer, M. and Whybrow, P. C. (1999). Depression and other psychiatric illnesses associated with medical conditions. Current Opinion in Psychiatry, 12, 325–9.Google Scholar
Bowler, C., Boyle, A., Branford, M., et al. (1994). Detection of psychiatric disorders in elderly medical inpatients. Age and Ageing, 23, 307–11.Google Scholar
Brendon, S. and Reet, M. (2000). Establishing a mental health liaison nurse service: lessons for the future. Nursing Standard, 14 (17), 43–7.Google Scholar
Brooking, J. and Minghella, E. (1987). Parasuicide. Nursing Times, 83 (21), 40–4.Google Scholar
Callaghan, P., Eales, S., Coates, T., et al. (2003). A review of the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10, 155–65.Google Scholar
Caplan, G. (1964). Principles of Preventive Psychiatry. New York: Basic Books.
Castledine, G. (2003). The development of advanced nursing practice in the UK. In Advanced Nursing Practice, 2nd edn, ed. McGee, P. and Castledine, G.. Oxford: Blackwell Publishing, pp. 8–16.
Catalan, J., Marsack, P., Hawton, K., et al. (1980). Comparison of doctors and nurses in the assessment of deliberate self-poisoning patients. Psychological Medicine, 10, 483–91.Google Scholar
Department of Health. (1994). Working in Partnership: the Report of the Mental Health Nursing Review Team. London: HMSO.
Department of Health. (1999). Saving Lives: Our Healthier Nation. London: DoH.
Department of Health. (2001). National Service Framework for Older People. London: DoH.
Department of Health. (2002). The National Suicide Prevention Strategy for England. London: DoH.
Department of Health. (2003). Essence of Care: Patient-focused Benchmarks for Clinical Governance. London: DoH.
Department of Health. (2004). Improving the Management of Patients with Mental Ill Health in Emergency Care Settings. London: DoH.
Department of Health and Social Security. (1984). The Management of Deliberate Self-Harm. London: DHSS.
Edwards, M. J. (1999). Providing psychological support to cancer patients. Professional Nurse, 15 (1), 9–13.Google Scholar
Fisher, S. and Tunmore, R. (2002). Cardiac rehabilitation: assessment and intervention strategies. In Mental Health Liaison, ed. Regal, S. and Roberts, D.. Edinburgh: Baillière Tindall/Royal College of Nursing, pp. 181–22.
Gardner, R. (1992). Psychological care of neuro-oncology patients and their families. British Journal of Nursing, 1 (11), 553–6.Google Scholar
Gardner, B. (2006). Caring for the person with a serious mental illness. In Mental Health Care for Nurses: Applying Mental Health Skills in the General Hospital, ed. Harrison, A. and Hart, C.. Oxford:Blackwell Publishing, pp. 166–80.
Hart, C. and Eales, S. (2004). A Competence Framework for Liaison Mental Health Nursing. London: London Liaison Mental Health Nurses' Special Interest Group.
Hart, C., Harrison, A., Hegan, J., et al. (2003). Liaison Mental Health Services: a Briefing Paper for Professor Sir George Alberti. London: Unpublished briefing paper.
Harrison, A. (2000). Psychological problems in the neurology setting. Professional Nurse, 15 (11), 706–9.Google Scholar
Harrison, A. (2003). A guide to risk assessment. Nursing Times, 99 (9), 44–5.Google Scholar
Hawton, K. and Fagg, J. (1988). Suicide and other causes of death following attempted suicide. British Journal of Psychiatry, 152, 359–66.Google Scholar
Hemmings, A. (1999). Attitudes to deliberate self-harm among staff in an accident and emergency team. Mental Health Care, 2 (9), 300–2.Google Scholar
House, A., Owens, , , D. and Patchett, L. (1998). Effective Health Care: Deliberate Self-Harm. York: NHS Centre for Reviews and Dissemination.
Jones, A. (1989). Liaison consultation psychiatry: the CPN as clinical nurse specialist. Community Psychiatric Nursing Journal, 9 (2), 7–14.Google Scholar
Jones, J., Ward, M., Wellman, N., et al. (2000). Psychiatric inpatients' experience of nursing observation. Journal of Psychosocial Nursing, 38 (12), 10–20.Google Scholar
Livneh, H. (1986). A unified approach to existing models of adaptation to disability: a model of adaptation. Journal of Applied Rehabilitation Counselling, 17 (6), 5–16.Google Scholar
Loveridge, L. and Carr, N. (1996). Advantageous liaisons. Nursing Times, 92 (50), 42–3.Google Scholar
Murray, I. (1998). At the cutting edge. Nursing Times, 94 (27), 36–7.Google Scholar
National Institute for Clinical Excellence. (2004). Improving Supportive and Palliative Care for Adults with Cancer. London: NICE.
Nichols, K. (1993). Psychological Care in Physical Illness, 2nd edn. London: Chapman and Hall.
Pacitti, R. (1998). Damage limitation. Nursing Times, 94 (27), 38–9.Google Scholar
Parker, G. and Kalucy, M. (1999). Depression comorbid with physical illness. Current Opinion in Psychiatry, 12, 87–92.Google Scholar
Pembroke, L. (1998). Only scratching the surface. Nursing Times, 94 (27), 38–9.Google Scholar
Peplau, H. E. (1964). Psychiatric nursing skills and the general hospital patient. Nursing Forum, 3 (2), 28–37.Google Scholar
Regal, S. and Davies, J. (1995). The future of mental health nurses in liaison psychiatry. British Journal of Nursing, 4 (18), 1052–6.Google Scholar
Roberts, D. (1997). Liaison mental health nursing: origins, definitions and prospects. Journal of Advanced Nursing, 25, 101–8.Google Scholar
Roberts, D. and Mackay, G. (1999). A nursing model of overdose assessment. Nursing Times, 95 (3), 58–60.Google Scholar
Roberts, M. and Taylor, B. (1997). Emergency action. Nursing Times, 93 (30), 30–2.Google Scholar
Roberts, D. and Whitehead, L. (2002). Liaison mental health nursing: an overview of its development and current practice. In Mental Health Liaison, ed. Regal, S. and Roberts, D.. Edinburgh: Baillière Tindall/Royal College of Nursing.
Ryan, J., Clemmett, C. and Perez-Avila, C. (1996). Managing patients with deliberate self-harm admitted to an accident and emergency observation ward. Journal of Accident and Emergency Medicine, 13, 31–3.Google Scholar
Shahinpour, N., Hollinger-Smith, L. and Perlia, M. (1995). The medical-psychiatric consultation liaison nurse. Nursing Clinics of North America, 30 (1), 77–86.Google Scholar
Teasdale, K. and Mulraney, S. (2000). An analysis of the ability of nurses to identify the anxiety levels of patients in general medical and surgical wards. NT Research, 5 (5), 364–70.Google Scholar
Torn, A. and McNichol, E. (1996). Can a mental health nurse be a nurse practitioner?Nursing Standard, 11 (2), 39–44.Google Scholar
Tunmore, R. (1989). Liaison psychiatric nursing in oncology. Nursing Times, 85 (33), 54–6.Google Scholar
Tunmore, R. (1990). The consultation liaison nurse. Nursing, 4 (3), 31–4.Google Scholar
Tunmore, R. (1994). Encouraging collaboration. Nursing Times, 90 (20), 66–7.Google Scholar
Tunmore, R. (1997). Liaison mental health nursing and mental health consultation. In Mental Health Nursing: Principles and Practice, ed. Thomas, B., Hardy, S. and Cutting, P.. London: Mosby, pp. 207–22.
University of the West of England, . (2004). Mental health liaison and consultation. Post-Registration Prospectus. Faculty of Health and Social Care, Bristol: UWE.
Wattis, J. P. and Curran, S. (2001). Practical Psychiatry of Old Age, 3rd edn. Oxford: Radcliffe Medical Press.

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