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Trends in referrals to liaison psychiatry teams from UK emergency departments for patients over 65

Crowther, G; Chinnasamy, M; Bradbury, S; Shaw, L; Ormerod, S; Wilkinson, A; Chubb, R; ... Sampson, EL; + view all (2021) Trends in referrals to liaison psychiatry teams from UK emergency departments for patients over 65. International Journal of Geriatric Psychiatry , 36 (9) pp. 1415-1422. 10.1002/gps.5547. Green open access

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Abstract

INTRODUCTION: The number of people over the age of 65 attending Emergency Departments (ED) in the United Kingdom (UK) is increasing. Those who attend with a mental health related problem may be referred to liaison psychiatry for assessment. Improving responsiveness and integration of liaison psychiatry in general hospital settings is a national priority. To do this psychiatry teams must be adequately resourced and organised. However, it is unknown how trends in the number and type referrals of older people to liaison psychiatry teams by EDs are changing, making this difficult. METHODS: We performed a national multi-centre retrospective service evaluation, analysing existing psychiatry referral data from EDs of people over 65. We described trends in the number, rate, age, mental health presentation, and time taken to assessment over a 7 years period. RESULTS: Referral data from 28 EDs across England and Scotland were analysed (n = 18,828 referrals). There was a general trend towards increasing numbers of people referred to liaison psychiatry year on year. Variability in referral numbers between different departments, ranged from 0.1 to 24.3 per 1000 ED attendances. The most common reasons for referral were mood disorders, self-harm and suicidal ideas. The majority of referrals were assessed within 60 min, however there is variability between departments, some recording waits over 11 h. DISCUSSION: The data suggests great inter-departmental variability in referral numbers. Is not possible to establish the cause of variability. However, the data highlights the importance of asking further questions about why the differences exist, and the impact that has on patient care.

Type: Article
Title: Trends in referrals to liaison psychiatry teams from UK emergency departments for patients over 65
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/gps.5547
Publisher version: https://doi.org/10.1002/gps.5547
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: accident and emergency, emergency department, liaison psychiatry referrals, mental health, older people mental health, referral trends
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10127852
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