! ! ! ! ! ! ! ! ! ! ! ! An Evidence Base for Liaison Psychiatry - Guidance
1st edition, February 2014 ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Title: An Evidence Base for Liaison Psychiatry - Guidance ! Edition: 1st edition ! Date: February 2014 ! URL: http://mentalhealthpartnerships.com/resource/evidence-base-for-liaison- psychiatry-services ! Commissioners: Strategic Clinical Network for Mental Health, Dementia and Neurological Conditions South West ! Editors: Dr Peter Aitken, Dr Sarah Robens, Tobit Emmens Devon Partnership NHS Trust, Dryden Road, Wonford House, Exeter, EX2 5AF www.devonpartnership.nhs.uk ! ! Contents ! Preface 1
With thanks and appreciation 2
How we gathered the evidence 3
How this guidance is set out 3
The case for liaison psychiatry 4 Service model considerations 8 Planning a hospital-based service 13 Key skills in the liaison psychiatry workforce 16 Planning and costing the service model for your locality 18 Outcomes framework and quality assurance 21 Models and levels of liaison psychiatry service 25 Key references 27 Bibliography 28 Appendix 1: Who should provide liaison psychiatry services? Acute or mental health providers? 32
Appendix 2: Exemplar acute care hospital based services 34
Appendix 3: A Tool for Optimising Liaison Psychiatry Model to local context 38 Preface ! This guidance sets out the evidence gathered from lay people, professionals, commissioners and the literature about what is needed from liaison psychiatry services. It was commissioned by the Strategic Clinical Network for Mental Health, Dementia and Neurological Conditions South West. ! This guidance is part of a suite of four related documents, each with increasing levels of detail: • Liaison Psychiatry Services - Guidance - sets out the key consideration to be made when commissioning liaison psychiatry services. • An Evidence Base for Liaison Psychiatry - Guidance - sets out the evidence gathered from lay people, professionals, commissioners and the literature about what is needed from liaison psychiatry services. • Developing Models for Liaison Psychiatry Services - Guidance - provides the technical information needed for commissioning liaison psychiatry services. • Model Service Specifications for Liaison Psychiatry Services - sets out exemplar service specifications for four models of liaison psychiatry. ! !