The Experts below are selected from a list of 264 Experts worldwide ranked by ideXlab platform
Kelly L Cozza - One of the best experts on this subject based on the ideXlab platform.
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updates in consultation Liaison Psychiatry 2019
Psychosomatics, 2020Co-Authors: Scott A Simpson, Mary Ann Cohen, Kelly L Cozza, Lydia Chwastiak, Sarah R Andrews, Joseph O Bienvenu, Andrea Dimartini, John A R Grimaldi, Elie Isenberggrzeda, Franklin KingAbstract:Abstract Background The scientific literature in consultation-Liaison Psychiatry continually expands, and remaining current is challenging for practicing clinicians. The Academy of Consultation-Liaison Psychiatry’s Guidelines and Evidence-based Medicine Subcommittee writes quarterly annotations of articles of interest to help Academy members gain familiarity with the most current evidence-based practices. These annotations are available on the Academy website. Objective We identify the 10 most important manuscripts for clinical practice in consultation-Liaison Psychiatry from 2019. Methods Sixty-four abstracts were authored in 2019. Manuscripts were rated on clinical relevance to practice and quality of scholarship. The 10 articles with the highest aggregate scores from 19 raters are described. Results The resulting articles provide practical guidance for consultation psychiatrists on several topic areas including the treatment of substance use disorders, Conclusion We suggest that these clinical findings should be familiar to all consultation-Liaison psychiatrists regardless of practice area. Regular article reviews and summaries help busy clinicians deliver cutting edge care and maintain a high standard of care across the specialty.
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consultation Liaison Psychiatry hiv aids Psychiatry
Psychiatric News, 2018Co-Authors: Mary Ann Cohen, James A Bourgeois, Kelly L CozzaAbstract:This article is one of a series coordinated by APA’s Council on Consultation-Liaison Psychiatry and the Academy of Consultation-Liaison Psychiatry.
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Consultation-Liaison Psychiatry: HIV/AIDS Psychiatry
Psychiatric News, 2018Co-Authors: Mary Ann Cohen, James A Bourgeois, Kelly L CozzaAbstract:This article is one of a series coordinated by APA’s Council on Consultation-Liaison Psychiatry and the Academy of Consultation-Liaison Psychiatry.
Mary Ann Cohen - One of the best experts on this subject based on the ideXlab platform.
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updates in consultation Liaison Psychiatry 2019
Psychosomatics, 2020Co-Authors: Scott A Simpson, Mary Ann Cohen, Kelly L Cozza, Lydia Chwastiak, Sarah R Andrews, Joseph O Bienvenu, Andrea Dimartini, John A R Grimaldi, Elie Isenberggrzeda, Franklin KingAbstract:Abstract Background The scientific literature in consultation-Liaison Psychiatry continually expands, and remaining current is challenging for practicing clinicians. The Academy of Consultation-Liaison Psychiatry’s Guidelines and Evidence-based Medicine Subcommittee writes quarterly annotations of articles of interest to help Academy members gain familiarity with the most current evidence-based practices. These annotations are available on the Academy website. Objective We identify the 10 most important manuscripts for clinical practice in consultation-Liaison Psychiatry from 2019. Methods Sixty-four abstracts were authored in 2019. Manuscripts were rated on clinical relevance to practice and quality of scholarship. The 10 articles with the highest aggregate scores from 19 raters are described. Results The resulting articles provide practical guidance for consultation psychiatrists on several topic areas including the treatment of substance use disorders, Conclusion We suggest that these clinical findings should be familiar to all consultation-Liaison psychiatrists regardless of practice area. Regular article reviews and summaries help busy clinicians deliver cutting edge care and maintain a high standard of care across the specialty.
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consultation Liaison Psychiatry hiv aids Psychiatry
Psychiatric News, 2018Co-Authors: Mary Ann Cohen, James A Bourgeois, Kelly L CozzaAbstract:This article is one of a series coordinated by APA’s Council on Consultation-Liaison Psychiatry and the Academy of Consultation-Liaison Psychiatry.
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Consultation-Liaison Psychiatry: HIV/AIDS Psychiatry
Psychiatric News, 2018Co-Authors: Mary Ann Cohen, James A Bourgeois, Kelly L CozzaAbstract:This article is one of a series coordinated by APA’s Council on Consultation-Liaison Psychiatry and the Academy of Consultation-Liaison Psychiatry.
Gregory L Fricchione - One of the best experts on this subject based on the ideXlab platform.
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consultation Liaison Psychiatry how far have we come
Current Psychiatry Reports, 2006Co-Authors: Carrie L Ernst, Manuel Pacheco, Gregory L FricchioneAbstract:This article takes stock of how far the field of consultation-Liaison Psychiatry has come since its inception in the 20th century. In order to do this, we review its past in terms of its knowledge base in psychosomatic medicine and in terms of its practice at the bedside in the general hospital setting. We also offer a contemporary account of the field and finish with a subjective view of the opportunities and pitfalls faced during the next phase of consultation-Liaison Psychiatry in the 21st century.
Jim Bolton - One of the best experts on this subject based on the ideXlab platform.
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Benchmarking a Liaison Psychiatry service
The Psychiatrist, 2020Co-Authors: Jim Bolton, Nicolette KanezaAbstract:O’Keeffe et al ([2007][1]) highlight the lack of standards for evaluating Liaison Psychiatry services. They describe how timeliness of response is one possible quality indicator. Our Liaison Psychiatry service serves a 600-bed general hospital in south London. Over a 3-month period in 2007 we
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Liaison Psychiatry. Planning Services for Specialist Settings
The Psychiatrist, 2020Co-Authors: Jim BoltonAbstract:As the focus of Psychiatry has moved from hospitals to the community, the speciality of Liaison Psychiatry has developed to meet the psychological needs of patients in the general hospital. However, there is a risk that neither acute nor mental health trusts see Liaison Psychiatry as a priority in
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Is Liaison Psychiatry a separate specialty? Comparison of referrals to a Liaison Psychiatry service and a community mental health team
Psychiatric Bulletin, 2020Co-Authors: Andrew Molodynski, Jim Bolton, Louise GuestAbstract:AIMS AND METHOD The aim of the study was to compare referrals to a Liaison Psychiatry service and a neighbouring community mental health team (CMHT). Demographic and clinical information were compared for 100 consecutive referrals to each service. RESULTS The Liaison Psychiatry service had a smaller ongoing case-load and a higher referral rate than the CMHT. Larger proportions of patients referred to Liaison Psychiatry had comorbid physical illness (49 v. 10%) or had harmed themselves (41v. 10%). More patients referred to the CMHT had a primary diagnosis of a mood disorder (49 v. 28%), but fewer had organic disorders. CLINICAL IMPLICATIONS The differences in service delivery and clinical problems referred imply that different expertise is required by those working in each service. This supports the view that community and Liaison Psychiatry are separate specialties, with implications for higher specialist training.
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London’s Liaison Psychiatry services: survey of service provision
BJPsych bulletin, 2020Co-Authors: Smitha Naidu, Jim Bolton, Jared G. SmithAbstract:Aims and method To describe the Liaison Psychiatry services of all 30 general hospitals in Greater London and to determine whether services met national recommendations. The results were compared with a similar survey conducted 8 years previously to determine whether there had been significant service development. Results We identified wide variations in service provision across London. Fifteen hospitals (50%) had 24-hour services and one had no service. There had been a significant increase in services that assessed older adults. Increases in the size of teams and consultant Psychiatry staff were not significant. Clinical implications Despite an increasing emphasis on the effectiveness of Liaison Psychiatry services, no London hospital had staffing levels consistent with national recommendations. Recent evidence for the cost-effectiveness of Liaison Psychiatry and an emphasis on parity between physical and mental health in National Health Service policy may provide further impetus for growth.
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london s Liaison Psychiatry services survey of service provision
BJPsych bulletin, 2015Co-Authors: Smitha Naidu, Jim Bolton, Jared G. SmithAbstract:Aims and method To describe the Liaison Psychiatry services of all 30 general hospitals in Greater London and to determine whether services met national recommendations. The results were compared with a similar survey conducted 8 years previously to determine whether there had been significant service development. Results We identified wide variations in service provision across London. Fifteen hospitals (50%) had 24-hour services and one had no service. There had been a significant increase in services that assessed older adults. Increases in the size of teams and consultant Psychiatry staff were not significant. Clinical implications Despite an increasing emphasis on the effectiveness of Liaison Psychiatry services, no London hospital had staffing levels consistent with national recommendations. Recent evidence for the cost-effectiveness of Liaison Psychiatry and an emphasis on parity between physical and mental health in National Health Service policy may provide further impetus for growth.
Allan House - One of the best experts on this subject based on the ideXlab platform.
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A standard Liaison Psychiatry service structure?
Psychiatric Bulletin, 2020Co-Authors: Rachel Ruddy, Allan HouseAbstract:Aims and Method We surveyed all psychiatric services in the six northeast strategic health authorities to determine how the provision of Liaison Psychiatry services related to College recommendations and the size of the general hospital trusts served. Results Thirty-six (100%) services provided usable data, 8% of general hospital trusts had no Liaison Psychiatry service, 41% of teams were not multidisciplinary with their only staff being nurses, only 38% of services had dedicated consultant Psychiatry time and only a quarter met the recommended minimum standard of 0.5 whole-time equivalents. No teams contained clinical psychologists. Disorder-specific out-patient clinic provision was idiosyncratic. Clinical Implications There is a lack of rational planning of Liaison Psychiatry services and as a result, many services are not needs-based and do not comply with College recommendations. One indication of this is the lack of multidisciplinary teams.
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Evidence-based treatments in Liaison Psychiatry
Psychiatry MMC, 2006Co-Authors: Rachel Ruddy, Allan HouseAbstract:Abstract It is becoming increasingly important in all areas of medicine to be aware of the evidence supporting the treatments we offer. In this article we focus on evidence-based treatments in the area of Liaison Psychiatry. We look at where the evidence comes from for treatments in Liaison Psychiatry and explain the relative importance of different sorts of evidence. We review some of the key systematic review evidence in this area and discuss the difficulty of extrapolating evidence from other areas of Psychiatry. Using a worked example we demonstrate how to apply evidence to a clinical scenario. The final part of the article focuses on the most challenging part of evidence-based medicine – integrating knowledge into services. Recommendations are made for three stages necessary to facilitate this process. Some existing methods aimed at improving evidence-based practice such as e-mail discussion groups, learning collaboratives and clinical networks are discussed briefly.
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meta review of high quality systematic reviews of interventions in key areas of Liaison Psychiatry
British Journal of Psychiatry, 2005Co-Authors: Rachel Ruddy, Allan HouseAbstract:Background When planning and delivering a Liaison Psychiatry service it is important to have an understanding of the research evidence supporting the use of interventions likely to be delivered by the service. Aims To identify high-quality systematic reviews for all interventions in three defined areas of Liaison Psychiatry, to summarise their clinical implications and tc highlight areas where more research is needed. The three areas were the psychological effects of physical illness or treatment, somatoform disorders and self-harming behaviour. Method Computerised database searching, secondary reference searching, hand-searching and expert consultation were used to identify relevant systematic reviews. Studies were reliably selected, and quality-assessed, and data were extracted and interpreted by two reviewers. Results We found 64 high-quality systematic reviews. Only 14 reviews included meta-analyses. Conclusions Many areas of Liaison Psychiatry practice are not based on high-quality evidence. More research in this area would help inform development and planning of Liaison Psychiatry services. Declaration of interest None. Funding detailed in Acknowledgements.
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A standard Liaison Psychiatry service structure
The Psychiatrist, 2003Co-Authors: Rachel Ruddy, Allan HouseAbstract:AIMS AND METHOD We surveyed all psychiatric services in the six northeast strategic health authorities to determine how the provision of Liaison Psychiatry services related to College recommendations and the size of the general hospital trusts served. RESULTS Thirty-six (100%) services provided usable data, 8% of general hospital trusts had no Liaison Psychiatry service, 41% of teams were not multidisciplinary with their only staff being nurses, only 38% of services had dedicated consultant Psychiatry time and only a quarter met the recommended minimum standard of 0.5 whole-time equivalents. No teams contained clinical psychologists. Disorder-specific out-patient clinic provision was idiosyncratic. CLINICAL IMPLICATIONS There is a lack of rational planning of Liaison Psychiatry services and as a result, many services are not needs-based and do not comply with College recommendations. One indication of this is the lack of multidisciplinary teams.
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a standard Liaison Psychiatry service structure a study of the Liaison Psychiatry services within six strategic health authorities
The Psychiatrist, 2003Co-Authors: Rachel Ruddy, Allan HouseAbstract:AIMS AND METHOD We surveyed all psychiatric services in the six northeast strategic health authorities to determine how the provision of Liaison Psychiatry services related to College recommendations and the size of the general hospital trusts served. RESULTS Thirty-six (100%) services provided usable data, 8% of general hospital trusts had no Liaison Psychiatry service, 41% of teams were not multidisciplinary with their only staff being nurses, only 38% of services had dedicated consultant Psychiatry time and only a quarter met the recommended minimum standard of 0.5 whole-time equivalents. No teams contained clinical psychologists. Disorder-specific out-patient clinic provision was idiosyncratic. CLINICAL IMPLICATIONS There is a lack of rational planning of Liaison Psychiatry services and as a result, many services are not needs-based and do not comply with College recommendations. One indication of this is the lack of multidisciplinary teams.