Understanding the scope of Consultation-Liaison Psychiatry referrals in a general hospital setting in New Zealand

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dc.contributor.author Sundram, Frederick en
dc.contributor.author Nasim, F en
dc.contributor.author Jayasundaram, M en
dc.coverage.spatial London, UK en
dc.date.accessioned 2020-01-12T22:46:08Z en
dc.date.issued 2019-07-04 en
dc.identifier.citation Royal College of Psychiatrists International Congress 2019. 04 Jul 2019 en
dc.identifier.uri http://hdl.handle.net/2292/49587 en
dc.description.abstract AIMS AND HYPOTHESIS To characterise and understand the scope of referrals made to a consultation-liaison psychiatry (CLP) service at Auckland, New Zealand which encompasses two general hospital campuses. While such work has been undertaken in other countries including the UK, USA, Australia and Italy, such work has not been previously undertaken in New Zealand. BACKGROUND The 24/7 CLP service receives referrals for a variety of acute and non-acute assessments from the Emergency Department (ED), wards, intensive care unit and outpatient clinics. The total inpatient bed-capacity across both hospital campuses is 953 beds with a variety of medical, surgical, obstetric and other disciplines on-site. The CLP service at Waitemata is multidisciplinary and consists of consultants, clinical psychologists, registrars and nurses. Waitemata serves a catchment area of 600,000 people and is the largest district health board in the country. METHODS This is a retrospective observational study that involved analysis of all referrals (n=1,000) made to the CLP service at Waitemata district health board over a 6-month timeframe (from November 1st 2017). Descriptive statistics were summarised for demographic variables and features of referrals, assessment and intervention. Data sources included electronic patient record systems for both physical and mental health services respectively. RESULTS Referrals were received for all age groups with 78% for those between the ages of 18-65 and 22% for those over the age of 65. Approximately 80% of referrals were for individuals who had a pre-existing mental illness and 40% of referrals were regarded as urgent. A minority of patients were from outside the catchment area (10%). The ED was the largest user of the service (approximately 66%). The main reasons for referral were self-harm/suicidal ideation (40%), mood disorder (8%), adjustment disorder (6%) or staff support (6%). The most common interventions offered by the CLP service was medication advice, risk or decision-making capacity assessments, psychotherapy, psychoeducation for patients/staff, recruitment of other services (e.g. social worker, addiction services) and legal advice. CONCLUSIONS The results highlight the diversity of CLP input with a large demand for acute assessment at the ED. Although largely adults of working age were seen, a significant minority were elderly, and a small proportion were from outside the catchment area which has implications for optimal service funding and delivery. Future work is also required to examine services elsewhere. en
dc.relation.ispartof Royal College of Psychiatrists International Congress 2019 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Understanding the scope of Consultation-Liaison Psychiatry referrals in a general hospital setting in New Zealand en
dc.type Conference Poster en
dc.rights.holder Copyright: The authors en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.elements-id 786215 en
dc.relation.isnodouble 1470547 *
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Psychological Medicine Dept en
pubs.record-created-at-source-date 2019-11-20 en

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