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In-patient liaison psychiatry in the UK

A neglected option for improving the psychiatric care of medical patients

Published online by Cambridge University Press:  02 January 2018

David Protheroe  and
Allan House
David Protheroe*
Affiliation:
The Northern Hospital, 185 Cooper Street Epping 3051, Victoria, Australia
Allan House
Affiliation:
Department of Liaison Psychiatry, Leeds General Infirmary, Great George Street Leeds LS1 3EX
*
∗Correspondence
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Abstract

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Aims and method

We argue the case for In-patient liaison psychiatry In the UK. We undertook a case note review of the characteristics of a consecutive series of in-patient and day patient admissions to a specialist liaison psychiatry unit in Leeds. We reviewed the literature on in-patient units for the treatment of similar patients, most of which came from the USA.

Results

Physical morbidity was high in the sample. Forty-four per cent had been admitted for physical problems in the year before admission to the unit. Twenty-three per cent were taking five or more drugs for physical disorders at the time of admission, 86% were not in paid employment at the time of admission. Treatment involved integrating treatment for physical Illness, and physical and psychosocial treatments for mental disorder. We identified no reports of in-patient units in the UK doing similar work.

Clinical implications

In-patient liaison psychiatry is neglected in the UK, to the detriment of a small but important group of patients with coexistent severe physical and mental disorder.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 23 , Issue 9: The Journal of Trends in Psychiatric Practice , September 1999 , pp. 525 - 527
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

Fava, G. A., Wise, T. N., Molnar, G., et al (1985) The medical-psychiatric unit: A novel psychosomatic approach. Psychotherapy and Psychosomatics, 43, 194 201.Google Scholar
Fogel, B. & Stoudemire, A. (1986) Organization and development of combined medical-psychiatric units: Part 2. Psychosomatics, 27, 417 428.Google Scholar
Freyburger, H., Kunsebeck, H., Lempa, L., et al (1985) The Hanover consultation liaison model: some empirical findings. Social Science in Medicine, 21, 1391 1401.Google Scholar
Herzog, T. (1991) In-patient treatment with patients with severe psychosomatic and neurotic disorders: A German perspective. British Journal of Psychotherapy, 8, 189 198.Google Scholar
Harsch, H. H., Koran, L. M. & Young, L. D. (1991) A profile of academic medical–psychiatric units. General Hospital Psychiatry, 13, 291 295.Google Scholar
Kathol, R. G., Harsch, H. H., Hall, R. C., et al (1992) Categorization of types of medical/psychiatry units based on level of acuity. Psychosomatics, 33, 376 386.Google Scholar
Köhle, K. (1983) The psychosomatic ward. Advances in Psychosomatic Medicine, 11, 176 190.Google Scholar
Lipowski, Z. J. (1988) An in-patient programme for persistent somatizers. Canadian Journal of Psychiatry, 3, 275 278.Google Scholar
von Rad, M. & Sellschopp, A. (1987) The integrated psychosomatic in-patient unit. A new approach to hospital medical care. Psychotherapy and Psychosomatics, 48, 101 109.CrossRefGoogle Scholar
Stoudemire, A. & Fogel, B. (1986) Organization and development of combined medical-psychiatric units: Part 1. Psychosomatics, 27, 341 345.Google Scholar
Swenson, J. R. & Mai, F. M. (1992) A Canadian medical–psychiatric in-patient service. Canadian Journal of Psychiatry, 37, 326 334.Google Scholar
Wooley, S., Blackwell, B. & Winget, C. (1978) A learning theory model of chronic illness behaviour: theory, treatment, and research. Psychosomatic Medicine, 40, 379 401.Google Scholar
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