Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-745bb68f8f-b95js Total loading time: 0 Render date: 2025-01-13T10:25:38.680Z Has data issue: false hasContentIssue false

Chapter 20 - Consultation-Liaison

Published online by Cambridge University Press:  21 June 2019

By
Thomas Desmidt ,
Gabriel Robert  and
Vincent Camus
Edited by
Rob Butler  and
Cornelius Katona
Rob Butler
Affiliation:
Waitemata DHB and North Shore Hospital, Auckland
Cornelius Katona
Affiliation:
Helen Bamber Foundation
Get access

Summary

Consultation-liaison psychiatry started in the 1930s when the deinstitutionalisation process allowed the development of new types of psychiatric interventions in primary care and general hospitals. Consultation-liaison is an operational model defined by the environmental and institutional context of practice. It developed progressively as a subspecialty of psychiatry and gained its own specificity in terms of clinical practice, organisation of care, training and research. More recently and following a similar process, old age psychiatry has developed as another subspecialty in psychiatry, with a scope based on the targeted population of older individuals. Consultation-liaison in old age psychiatry consequently emerged from this double development of consultation-liaison psychiatry and old age psychiatry.

Type
Chapter
Information
Seminars in Old Age Psychiatry , pp. 230 - 238
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Billings, E. G. (1939) ‘Liaison psychiatry and intern instruction’. Acad Mede 14: 375–85.Google Scholar
Henry, G. W. (1929) ‘Some modern aspects of psychiatry in general hospital practice’. Am J Psychiatry 86(3): 481–9.Google Scholar
Lipowski, Z. J. (1996) ‘History of consultation-liaison psychiatry’. In The American Psychiatric Press Textbook of Consultation-Liaison Psychiatry, edited by Rundell, J. R. and Wise, M. G.. Washington, DC: American Psychiatry Press, pp. 2–11.Google Scholar
Huyse, F. J., Herzog, T., Lobo, A., et al. (2001) ‘Consultation-liaison psychiatric service delivery: Results from a European study’. Gen Hosp Psychiatry 23(3): 124–32.CrossRefGoogle ScholarPubMed
Lipowski, Z. J. (1971) ‘Consultation-liaison psychiatry in a general hospital’. Compr Psychiatry 12: 461–5.Google Scholar
Lipowski, Z. J. (1974) ‘Consultation-liaison psychiatry: An overview’. Am J Psychiatry 131: 623–30.CrossRefGoogle ScholarPubMed
Cooper, B. (1989) ‘Psychiatric disorders among elderly patients admitted to hospital medical wards’. J R Soc Med 80: 13–16.CrossRefGoogle Scholar
Bond, J., Atkinson, A., Gregson, B. A. (1989) ‘The prevalence of psychiatric illness among continuing care patients under the care of department of geriatric medicine’. Int J Geriatr Psychiatry 4: 227–33.Google Scholar
Lipowski, Z. J. (1983) ‘The need to integrate liaison psychiatry and geropsychiatry’. Am J Psychiatry 140: 1003–5.Google Scholar
Ruskin, P. E. (1985) ‘Geropsychiatric consultation in a university hospital: A report on 67 referrals’. Am J Psychiatry 142(3): 333–6.Google Scholar
Camus, V., de Mendonça Lima, C. A., Simeone, I., Wertheimer, J. (1994) ‘Geriatric psychiatry liaison-consultation: The need for specific units in general hospitals’. Int J Geriatr Psychiatry 9: 933–5.Google Scholar
Draper, B. (2000) ‘The effectiveness of old age psychiatry services’. Int J Geriatr Psychiatry 15(8): 687–703.Google Scholar
Anderson, D., Nortcliffe, M., Dechenne, S., Wilson, K. (2011) ‘The rising demand for consultation-liaison psychiatry for older people: Comparisons within Liverpool and the literature across time’. Int J Geriatr Psychiatry 26(12): 1231–5.Google Scholar
Mujic, F., Cairns, R., Mak, V., et al. (2018) ‘Liaison psychiatry for older adults in the general hospital: Service activity, development and outcomes’. BJPsych Bull 42(1): 30–6.Google Scholar
Rand, E. H., Thompson, T. L. (1998) ‘Using successful models of care to guide the teaching of psychiatry in primary care’. Psychosomatics 38: 140–7.Google Scholar
Camus, V., Viret, C., Porchet, A., et al. (2003) ‘Effect of changing referral mode to C-L Psychiatry for noncognitively impaired medical inpatients with emotional disorders’. J Psychosom Res 54: 579–85.CrossRefGoogle ScholarPubMed
World Health Organization, Division of Mental Health and Prevention of Substance Abuse, & World Psychiatric Association. (1997) Organisation of Care in Psychiatry of the Elderly: A Technical Consensus Statement. Geneva: WHO.Google Scholar
McGartland, M., Selzer, R., Prahran, S. E. (2007) ‘Supporting the front line: The development of a consultation liaison psychiatry model in primary health care’. Australas Psychiatry 15: 513.CrossRefGoogle ScholarPubMed
Llewellyn-Jones, R. H., Bird, M. (2006) ‘Consultation-liaison psychiatry services to nursing homes’. Australas Psychiatry 14: 423–4.Google Scholar
Craig, E., Pham, H. (2006) ‘Consultation-liaison psychiatry services to nursing homes’. Australas Psychiatry 14: 46–8.Google ScholarPubMed
Ramos-Rios, R., Mateos, R., Lojo, D., et al. (2012) ‘Telepsychogeriatrics: A new horizon in the care of mental health problems in the elderly’. Int Psychogeriatr 24(11): 1708–24.Google Scholar
Snowdon, J. (2010) ‘Mental health service delivery in long-term care homes’. Int Psychogeriatr 22(7): 1063–71.Google Scholar
Hilty, D. M., Rabinowitz, T., McCarron, R. M., et al. (2017) ‘An update on telepsychiatry and how it can leverage collaborative, stepped, and integrated services to primary care’. Psychosomatics 59(3): 227–50.Google ScholarPubMed
Conn, D. K., Madan, R., Lam, J., et al. (2013) ‘Program evaluation of a telepsychiatry service for older adults connecting a university-affiliated geriatric center to a rural psychogeriatric outreach service in Northwest Ontario’. Canada Int Psychogeriatr 25(11): 1795–800.Google ScholarPubMed
Munro Cullum, C., Hynan, L. S., Grosch, M., et al. (2014) ‘Teleneuropsychology: Evidence for video teleconference-based neuropsychological assessment’. J Int Neuropsychol Soc 20(10): 1028–33.Google Scholar
Doyle, C., Jackson, D., Loi, S., et al. (2016) ‘Videoconferencing and telementoring about dementia care: Evaluation of a pilot model for sharing scarce old age psychiatry resources’. Int Psychogeriatr 28(9): 1567–74.Google Scholar
Egede, L. E., Acierno, R., Knapp, R. G., et al. (2016) ‘Psychotherapy for depression in older veterans via telemedicine: Effect on quality of life, satisfaction, treatment credibility, and service delivery perception’. J Clin Psychiatry 77(12): 1704–11.CrossRefGoogle ScholarPubMed
Egede, L. E., Acierno, R., Knapp, R. G., et al. (2015) ‘Psychotherapy for depression in older veterans via telemedicine: A randomised, open-label, non-inferiority trial’. Lancet Psychiatry 2(8): 693–701.Google Scholar
Pauser, H., Bergstrom, B., Walinder, J. (1987) ‘Evaluation of 294 psychiatric consultations involving in-patients above 70 years of age in somatic departments in a university hospital’. Acta Psychiatrica Scandinavica 76: 152–7.Google Scholar
Poynton, A. M. (1988) ‘Psychiatric liaison referrals of elderly in-patients in a teaching hospital’. Br J Psychiatry 152: 45–7.CrossRefGoogle ScholarPubMed
Swanwick, G. R. J., Lee, H., Clare, A. W., Lawlor, B. A. (1994) ‘Consultation-liaison psychiatry: A comparison of two service models for geriatric patients’. Int J Geriatr Psychiatry 9: 495–9.CrossRefGoogle Scholar
Betz, M. E., Arias, S. A., Segal, D. L., et al. (2016) ‘Screening for suicidal thoughts and behaviors in older adults in the emergency department’. J Am Geriatr Soc 64(10): e72–77.Google Scholar
Conwell, Y., Pearson, J., DeRenzo, E. G. (1996) ‘Indirect self destructive behavior among elderly patients in nursing homes’. Am J Geriatr Psychiatry 4: 152–63.Google Scholar
Mahgoub, N., Klimstra, S., Kotbi, N., Docherty, J. P. (2011) ‘Self-injurious behavior in the nursing home setting’. Int J Geriatr Psychiatry 26(1): 27–30.CrossRefGoogle ScholarPubMed
Boettger, S., Bergman, M., Jenewein, J., Boettger, S. (2016) ‘Advanced age and decisional capacity: The effect of age on the ability to make health care decisions’. Arch Gerontol Geriatr 66: 211–7.Google Scholar
Grinker, R. R. (1952) ‘Psychotherapy in medical and surgical hospitals’. Diseases of the Nervous System 13: 269–73.Google Scholar
Blumenfield, M. (2006) ‘The place of psychodynamic psychiatry in consultation-liaison psychiatry with special emphasis on countertransference’. J Am Acad Psychoanal Dyn Psychiatry 34: 83–92.Google Scholar
Engel, G. L. (1982) ‘The biopsychosocial model in medicine’. N Engl J Med 306: 802–9.CrossRefGoogle Scholar
Richman, J. A., Flaherty, J. A. (1985) ‘Stress, coping resources and psychiatric disorders: Alternative paradigms from a life cycle perspective’. Compr Psychiatry 26: 456–65.Google Scholar
Spiegel, D., Bloom, J. R., Kraemer, H. C., Gottheil, E. (1989) ‘Effect of psychosocial treatment on survival of patients with metastatic breast cancer’. Lancet 2: 888–91.Google ScholarPubMed
Levenson, J. L., Hamer, R. M., Rossiter, L. F. (1990) ‘Relation of psychopathology in general medical inpatients to use and cost of services’. Am J Psychiatry 147: 1498–503.Google Scholar
Saravay, S. M., Steinberg, M. D., Weinschel, B., et al. (1991) ‘Psychological comorbidity and length of stay in the general hospital’. Am J Psychiatry 148: 324–9.Google Scholar
Verbosky, L. A., Franco, K. N., Zrull, J. P. (1993) ‘The relationship between depression and length of stay in the general hospital patient’. J Clinl Psychiatry 54: 177–81.Google Scholar
Holmes, J. (1996) ‘Psychiatric illness and length of stay in elderly patients with hip fracture’. Int J Geriatr Psychiatry 11: 607–11.Google Scholar
Strain, J. J., Lyons, J. S., Hammer, J. S., et al. (1991) ‘Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients’. Am J Psychiatry 148: 1044–9.Google ScholarPubMed
Stiefel, F. C., Huyse, F. J., Sollner, W., et al. (2006) ‘Operationalizing integrated care on a clinical level: The INTERMED project’. Med Clin North Am 90: 713–58.Google Scholar
Grossberg, G. T., Zimny, G. H., Nakra, B. R. (1990) ‘Geriatric psychiatry consultations in a university hospital’. Int Psychogeriatr 2: 161–8.Google Scholar
Roulaux, T. A., Oei, T. T., Jansen op de Haar, MM. (1993) ‘A decade of psychiatric consultation with elderly patients in a Dutch general hospital’. Int Psychogeriatr 5: 103–8.Google Scholar
Baker, F. M., Chrismer, B. (1995) ‘Establishing a geriatric psychiatric consultation in a VA Medical Center’. Am J Geriatr Psychiatry 3: 348–52.CrossRefGoogle Scholar
Kennedy, G. J., Katsnelson, N., Laitman, L., Alvarez, E. (1995) ‘Psychogeriatric services at certified Home Health Agencies’. Am J Geriatr Psychiatry 3: 339–47.Google Scholar
Anderson, D. N., Philpot, R. M. (1991) ‘The changing pattern of referrals for psychogeriatric consultation in the general hospital: An eight-year study’. Int J Geriatr Psychiatry 6: 801–7.Google Scholar
Hummel, J., Weisbrod, C., Boesch, L., et al. (2017) ‘AIDE-acute illness and depression in elderly patients: Cognitive behavioral group psychotherapy in geriatric patients with comorbid depression: A randomized, controlled trial. J Am Med Dir Assoc 18(4): 341–9.CrossRefGoogle ScholarPubMed
Dozeman, E., van Marwijk, H. W., van Schaik, D. J., et al. (2012) ‘Contradictory effects for prevention of depression and anxiety in residents in homes for the elderly: A pragmatic randomized controlled trial’. Int Psychogeriatr 24(8): 1242–51.CrossRefGoogle ScholarPubMed
Deudon, A., Maubourguet, N., Gervais, X., et al. (2009) ‘Non-pharmacological management of behavioural symptoms in nursing homes’. Int J Geriatr Psychiatry 24(12): 1386–95.Google Scholar
Lipowski, Z. J. (1989) ‘Delirium in the elderly patient’. N Engl J Med 320: 1426–36.Google Scholar
Shields, L., Henderson, V., Caslake, R. (2017) ‘Comprehensive geriatric assessment for prevention of delirium after hip fracture: A systematic review of randomized controlled trials’. J Am Geriatr Soc 65(7): 1559–65.CrossRefGoogle ScholarPubMed
Su, X., Meng, Z. T., Wu, X. H., et al. (2016) ‘Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: A randomised, double-blind, placebo-controlled trial’. Lancet 388(10054): 1893–902.CrossRefGoogle ScholarPubMed
Ford, C. V., Fawzy, F. I., Frankel, B. L., Noyes, R. (1994) ‘Fellowship training in Consultation-liaison psychiatry’. Psychosomatics 35: 118–24.Google Scholar
Pasnau, R. O. (1988) ‘Consultation-liaison psychiatry: Progress, problems and prospects’. Psychosomatics 29: 4–15.CrossRefGoogle ScholarPubMed
Sollner, W., Creed, F. (2007) ‘European guidelines for training in consultation-liaison psychiatry and psychosomatics: Report of the EACLPP Workgroup on Training in Consultation-Liaison Psychiatry and Psychosomatics’. J Psychosom Res 62: 501–9.Google Scholar
Heinrich, T. W., Schwartz, A. C., Zimbrean, P. C., et al. (2014) ‘Recommendations for training psychiatry residents in psychosomatic medicine’. Psychosomatics 55(5): 438–49.Google Scholar
Meyer, F., Abbasi, O., Kasick, D., et al. (2018) ‘Medical student experiences on consultation-liaison psychiatry rotations: A nationwide survey’. Psychosomatics 59(1): 75–80.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×