Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study

Objective: This study aimed to describe the provision of consultation-liaison psychiatry (CLP, also known as liaison psychiatry) services in acute hospitals in Ireland, and to measure it against recommended resourcing levels.Methods: This is a survey of all acute hospitals in Ireland with Emergency...

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Autores principales:	Anne M. Doherty, Rosie Plunkett, Katherine McEvoy, Eric Kelleher, Maurice Clancy, Elizabeth Barrett, Elaine Greene, Eugene Cassidy, William Lee, Siobhan MacHale
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	consultation-liaison (C-L) psychiatry health services research [MeSH] hospital psychiatry liaison psychiatry mental health Ireland Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/ceac818405544601ba831f2730bb260e
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spelling	oai:doaj.org-article:ceac818405544601ba831f2730bb260e2021-12-01T12:51:59ZConsultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study1664-064010.3389/fpsyt.2021.748224https://doaj.org/article/ceac818405544601ba831f2730bb260e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.748224/fullhttps://doaj.org/toc/1664-0640Objective: This study aimed to describe the provision of consultation-liaison psychiatry (CLP, also known as liaison psychiatry) services in acute hospitals in Ireland, and to measure it against recommended resourcing levels.Methods: This is a survey of all acute hospitals in Ireland with Emergency Departments, via an electronic survey sent by email and followed up by telephone calls for missing data. Data were collected on service configuration, activity, and resourcing. Data were collected from CLP or proxy services at all acute hospitals with an Emergency Department in Ireland (n = 29). This study measured staffing and activity levels where available.Results: None of the services met the minimum criteria set out by either national or international guidance per 500 bed general hospital.Conclusions: CLP is a relatively new specialty in Ireland, but there are clear international guidelines about the staffing levels required to run these services safely and effectively. In Ireland, despite clear national guidance on staffing levels, no services are staffed to the levels suggested as the minimum. It is likely that patients in Ireland's acute hospitals have worse outcomes, and hospitals have unnecessary costs, due to this lack. This is the first study of CLP provision in Ireland and demonstrates the resource constraints under which most services work and the heterogeneity of services nationally.Anne M. DohertyAnne M. DohertyRosie PlunkettKatherine McEvoyEric KelleherEric KelleherMaurice ClancyElizabeth BarrettElizabeth BarrettElaine GreeneEugene CassidyEugene CassidyWilliam LeeSiobhan MacHaleFrontiers Media S.A.articleconsultation-liaison (C-L) psychiatryhealth services research [MeSH]hospital psychiatryliaison psychiatrymental healthIrelandPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	consultation-liaison (C-L) psychiatry health services research [MeSH] hospital psychiatry liaison psychiatry mental health Ireland Psychiatry RC435-571
spellingShingle	consultation-liaison (C-L) psychiatry health services research [MeSH] hospital psychiatry liaison psychiatry mental health Ireland Psychiatry RC435-571 Anne M. Doherty Anne M. Doherty Rosie Plunkett Katherine McEvoy Eric Kelleher Eric Kelleher Maurice Clancy Elizabeth Barrett Elizabeth Barrett Elaine Greene Eugene Cassidy Eugene Cassidy William Lee Siobhan MacHale Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study
description	Objective: This study aimed to describe the provision of consultation-liaison psychiatry (CLP, also known as liaison psychiatry) services in acute hospitals in Ireland, and to measure it against recommended resourcing levels.Methods: This is a survey of all acute hospitals in Ireland with Emergency Departments, via an electronic survey sent by email and followed up by telephone calls for missing data. Data were collected on service configuration, activity, and resourcing. Data were collected from CLP or proxy services at all acute hospitals with an Emergency Department in Ireland (n = 29). This study measured staffing and activity levels where available.Results: None of the services met the minimum criteria set out by either national or international guidance per 500 bed general hospital.Conclusions: CLP is a relatively new specialty in Ireland, but there are clear international guidelines about the staffing levels required to run these services safely and effectively. In Ireland, despite clear national guidance on staffing levels, no services are staffed to the levels suggested as the minimum. It is likely that patients in Ireland's acute hospitals have worse outcomes, and hospitals have unnecessary costs, due to this lack. This is the first study of CLP provision in Ireland and demonstrates the resource constraints under which most services work and the heterogeneity of services nationally.
format	article
author	Anne M. Doherty Anne M. Doherty Rosie Plunkett Katherine McEvoy Eric Kelleher Eric Kelleher Maurice Clancy Elizabeth Barrett Elizabeth Barrett Elaine Greene Eugene Cassidy Eugene Cassidy William Lee Siobhan MacHale
author_facet	Anne M. Doherty Anne M. Doherty Rosie Plunkett Katherine McEvoy Eric Kelleher Eric Kelleher Maurice Clancy Elizabeth Barrett Elizabeth Barrett Elaine Greene Eugene Cassidy Eugene Cassidy William Lee Siobhan MacHale
author_sort	Anne M. Doherty
title	Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study
title_short	Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study
title_full	Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study
title_fullStr	Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study
title_full_unstemmed	Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study
title_sort	consultation-liaison psychiatry services in ireland: a national cross-sectional study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/ceac818405544601ba831f2730bb260e
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Consultation-Liaison Psychiatry Services in Ireland: A National Cross-Sectional Study

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