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Thirty years of in-patient consultation-liaison psychiatry at Guy's

Published online by Cambridge University Press:  02 January 2018

Ben Lucas  and
Harry Doyle
Ben Lucas*
Affiliation:
North West London Mental Health Trust (formerly Registrar, Guy's Hospital, London)
Harry Doyle
Affiliation:
Northwick Park Hospital, Harrow, Middlesex HA1 3UJ (formerly Senior Registrar, Guy's Hospital, London)
*
∗Correspondence
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Abstract

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In order to inform planning decisions, we aim to show how an in-patient consultation-liaison service has changed in 30 years. A year's referral of 175 inpatients was compared with surveys carried out in the same hospital 20 and 30 years previously. Neurosciences continue to refer the greatest percentage of its patients while general medicine produces the greatest demands on the service. There has been a large increase in substance misuse referrals, although other diagnostic groups have similar referral rates. Liaison service planners should be aware of the unmet demand for psychiatric services of the general hospital in-patient population.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 19 , Issue 10 , October 1995 , pp. 631 - 634
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 © Royal College of Psychiatrists, 1995

References

Anstee, B. H. (1972) The pattern of psychiatric referrals in a general hospital. British Journal of Psychiatry, 120, 631–634.CrossRefGoogle ScholarPubMed
Bridges, K. W. & Goldberg, D. P. (1984) Psychiatric illness in inpatients with neurological disorders: patients' views on discussion of emotional problems with neurologists. British Medical Journal 289, 656–658.Google Scholar
Brown, A. & Cooper, A. F. (1987) The impact of a liaison psychiatry service on patterns of referral in a general hospital. British Journal of Psychiatry, 150, 83–87.Google Scholar
Donovan, J. (1986) Black people's health: a different approach. In Health, Race and Ethnicity (eds T. Rathwell and D. Philips). London: Croom Helm.Google Scholar
Fernando, S. (1988) Race and Culture in Psychiatry. pp 127–193. London: Tavistock.Google Scholar
Fleminger, J. J. & Mallett, B. L. (1962) Psychiatric referrals from medical and surgical wards. Journal of Mental Science, 108, 183–190.CrossRefGoogle ScholarPubMed
Gater, R. & Goldberg, D. (1991) Pathways to psychiatric care in South Manchester. British Journal of Psychiatry, 159, 90–96.CrossRefGoogle ScholarPubMed
Levitan, S. J. & Kornfeld, D. S. (1981) Clinical and cost benefits of liaison psychiatry. American Journal of Psychiatry, 138, 790–793.Google Scholar
Lipowski, Z. J. (1986) Consultation-liaison psychiatry: the first half-century. General Hospital Psychiatry, 8, 305–315.Google Scholar
Lloyd, G. G. (1980) Liaison psychiatry from a British perspective. General Hospital Psychiatry, 2, 46–51.CrossRefGoogle ScholarPubMed
Maguire, G. P., Julier, D. L., Hawton, K. E., et al (1974) Psychiatric referral and morbidity on two general medical wards. British Medical Journal, 1, 268–270.CrossRefGoogle ScholarPubMed
Mayou, R. (1989) The history of general hospital psychiatry. British Journal of Psychiatry, 155, 764–776.Google Scholar
Steinberg, H., Torem, M. & Saravay, S. M. (1980) An analysis of physician resistance to psychiatric consultations. Archives of General Psychiatry, 37, 1007–1012.CrossRefGoogle ScholarPubMed
Stafford-Clark, D. (1963) Psychiatry Today. 2nd edition. pp 248–249. London: Penguin.Google Scholar
Tomlinson, B. (1992) Report of the Inquiry into London's Health Service, Medical Education and Research. Paragraph 64, HMSO.Google Scholar
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