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The unheard voice: a qualitative exploration of companions' experiences of liaison psychiatry and mental health crises in the emergency department

  • Jennifer Collom (a1), Emma Patterson (a2), Geoff Lawrence-Smith (a3) and Derek K. Tracy (a3) (a4) (a5)

Abstract

Aims and method

To understand the experience of companions of patients seen in the emergency department by liaison psychiatry teams. Participants were recruited via purposive sampling following a recent visit to the emergency department of an inner- or outer-London hospital. Semi-structured interviews were administered to all participants.

Results

Two major themes were generated. The first concerned the appropriateness of the clinical space, in which ‘noise’, ‘privacy’ and the ‘waiting area’ were subthemes. The second was communication with staff, including subthemes of ‘wanting more information’ and a ‘desire to be more involved’.

Clinical implications

Liaison psychiatry services should consider appropriateness of the clinical space, promoting improved communication between staff and patients' companions, and a review of the information provided to companions in the emergency department. This research offers a novel perspective on liaison psychiatry and will enhance current understanding and clinical practice.

Declaration of interest

None.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Correspondence to Jennifer Collom (jennifer.collom@kcl.ac.uk)

References

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1Dove, J, Mistry, A, Werbeloff, N, Osborn, D, Turjanski, N. Weekday and seasonal patterns in psychiatric referrals in three major London A&E departments, 2012–2014. BJPsych Bull 2018; 42: 59.
2NHS England. Implementing the Five Year Forward View for Mental Health. NHS England, 2016 (https://www.england.nhs.uk/wp-content/uploads/2016/07/fyfv-mh.pdf).
3Department of Health. Mental Health Crisis Care Concordat – Improving Outcomes for People Experiencing Mental Health Crisis. TSO, 2014 (https://www.crisiscareconcordat.org.uk/wp-content/uploads/2014/04/36353_Mental_Health_Crisis_accessible.pdf).
4Care Quality Commission. Right Here Right Now – People's Experiences of Help, Care and Support During a Mental Health Crisis. Care Quality Commission, 2015 (https://www.cqc.org.uk/sites/default/files/20150611_righthere_mhcrisiscare_summary_3.pdf).
5Eales, S, Callaghan, P, Johnson, B. Service users and other stakeholders’ evaluation of a liaison mental health service in an accident and emergency department and a general hospital setting. J Psychiatr Ment Health Nurs 2006; 13: 70–7.
6O'Regan, C, Ryan, M. Patient satisfaction with an emergency department psychiatric service. Int J Health Care Qual Assur 2009; 22: 525–34.
7Owens, C, Hansford, L, Sharkey, S, Ford, T. Needs and fears of young people presenting at accident and emergency department following an act of self-harm: secondary analysis of qualitative data. BJPsych 2016; 208: 286–91.
8Noblett, J, Caffrey, A, Deb, T, Khan, A, Lagunes-Cordoba, E, Gale-Grant, O, et al. Liaison psychiatry professionals’ views of general hospital care for patients with mental illness: the care of patients with mental illness in the general hospital setting. J Psychosom Res 2017; 95: 2632.
9Green, J, Thorogood, N. Qualitative Methods for Health Research. Sage, 2018.
10Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77101.
11Callaghan, P, Eales, S, Coates, T, Bowers, L. A review of research on the structure, process and outcome of liaison mental health services. Int J Ment Health Nurs 2003; 10: 155–65.
12Parsonage, M, Fossey, M, Tutty, C. Liaison Psychiatry in the Modern NHS. Centre for Mental Health, 2012 (https://www.centreformentalhealth.org.uk/publications/liaison-psychiatry-in-the-modern-NHS).
13Department of Health. No Health Without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of All Ages. TSO, 2011 (https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/138253/dh_124058.pdf).
14Royal College of Psychiatrists. Royal College of Psychiatrists Faculty of Liaison Psychiatry Newsletter 2014. Royal College of Psychiatrists, 2015 (https://catalogues.rcpsych.ac.uk/FILES/2014%20Autumn%20Newsletter.pdf).
15National Quality Board. Quality Governance in the NHS – A Guide for Provider Boards. TSO, 2011 (https://www.sth.nhs.uk/clientfiles/File/Enclosure%20O3%20-%20NQB%20-%20Quality%20Governance%20in%20the%20NHS%20-%20Guide%20for%20Provider%20Boards.pdf).
16Crowley, J. A clash of cultures: A&E and mental health. Accid Emerg Nurs 2000; 8: 28.
17Ross, CA, Goldner, EM. Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. J Psychiatr Ment Health Nurs 2009; 16: 558–67.
18Morphet, J, Innes, K, Munro, I, O'Brien, A, Gaskin, CJ, Reed, F, et al. Managing people with mental health presentations in emergency departments—A service exploration of the issues surrounding responsiveness from a mental health care consumer and carer perspective. Australas Emerg Nurs J 2012; 15: 148–55.
19National Confidential Enquiry into Patient Outcome and Death (NCEPOD). Treat as One. Bridging the Gap Between Mental and Physical Healthcare in General Hospitals. NCEPOD, 2017 (https://www.ncepod.org.uk/2017report1/downloads/TreatAsOne_FullReport.pdf).

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The unheard voice: a qualitative exploration of companions' experiences of liaison psychiatry and mental health crises in the emergency department

  • Jennifer Collom (a1), Emma Patterson (a2), Geoff Lawrence-Smith (a3) and Derek K. Tracy (a3) (a4) (a5)
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