Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-18T04:26:20.719Z Has data issue: false hasContentIssue false

A survey of old age psychiatry consultation/liaison services in Ireland

Published online by Cambridge University Press:  13 June 2014

Julianne Reidy
Affiliation:
Cluain Mhuire Family Centre, Newtown Park Avenue, Blackrock
Michael Kirby
Affiliation:
Department of Psychiatry, Waterford Regional Hospital, Dunmore Road, Waterford

Abstract

Objectives: The aim of this survey was to assess current structures for provision of consultation/liaison services to older people in the Republic of Ireland, and to ascertain the proportion of referrals to psychiatry of old age arising from consultation/liaison referrals.

Methods: A postal questionnaire was sent to the 19 public sector, old age psychiatry services, operating in 2005. Information was obtained from 15 of these 19 services regarding the referrals they received in 2005.

Findings: Consultation/liaison referrals make up 36% of total referrals to psychiatry of old age services. Two of 14 services had ring-fenced resources for consultation/liaison work. Three of 14 consultants described their service as having a significant liaison component. Location of the service and the criteria for accepting a referral are associated with the proportion of referrals that are consultation/liaison.

Conclusions: Consultation/liaison referrals make up a significant proportion of referrals. To provide an effective consultation/liaison service ring-fenced resources are required. Despite this recent long term strategies for national service development have neglected this area.

Type
Survey
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Central Statistics Office. Population and Labour Force Projections 20062036. Available from: http://www.cso.ie/releasespublications/documents/population/2004Google Scholar
2.Health Service Executive. Acute Hospital Bed Review. A review of acute hospitals in the Republic of Ireland with emergency departments 2007. Available from: http://www.hse.ie/en/Publications/HSEPublicationsNew/AcuteHospitalReportsGuidelines/AcuteHospitalBedReview2007/Google Scholar
3.Royal College of Psychiatrists. Who Cares Wins. Improving the Outcome for Older People Admitted to the General Hospital 2005. Available from: http://www.rcpsych.ac.uk/PDF/WhoCaresWins.pdfGoogle Scholar
4.Rizzo, JA, Bogardus, ST, Leo-Summers, Let al.Multicomponent targeted intervention to prevent delirium in hospitalised older patients. Med Care 2001; 39: 740–52.CrossRefGoogle Scholar
5.inouye, SK, Bogardus, ST, Charpentier, PAet al.A multicomponent intervention to prevent delirium in hospitalised older adults. N Engl J Med, 1999; 340: 669–76.CrossRefGoogle Scholar
6.Cole, MG, Primeau, FJ, Elie, LM. Delirium: prevention, treatment and outcome studies. J Geriatr Psychiatry Neurol, 1998; 11:126–37.CrossRefGoogle ScholarPubMed
7.Marcantonio, ER, Flacker, JM, Wright, RJet al.Reducing delirium after hip fracture: a randomised trial. J Am Geriatr Soc 2001; 49: 516–22.CrossRefGoogle Scholar
8.Gustafson, Y, Brannstrom, B, Berggren, Det al.A geriatric-anaesthesiologic program to reduce acute confusional states in elderly patients treated for femoral neck fractures. J Am Ger Soc, 1991; 39: 655–62.CrossRefGoogle ScholarPubMed
9.Williams, MA, Campbell, EB, Raynor, WJet al.Reducing acute confusional states in elderly patients with hip fracture. Res Nurs Health 1985; 8: 329–37.CrossRefGoogle Scholar
10.Egbert, AM, Parks, LH, Short, LMet al.Randomised trial of postoperative patient controlled analgesia vs intramuscular narcotics in frail elderly men. Arch Intern Med 1990; 150: 18971903.CrossRefGoogle ScholarPubMed
11.Inouye, SK. The dilemma of delirium: clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalised elderly medical patients. Am J Med 1994;97:278–87.CrossRefGoogle ScholarPubMed
12.Ardern, M, Mayou, R, Feldman, Eet al.Cognitive impairment in the elderly medically ill: how often is it missed? Int J Geriatr Psychiatry 1993; 8: 929–37.CrossRefGoogle Scholar
13.Harwood, DMJ, Hope, T, Jacoby, R. Cognitive impairment in medical inpatients: II; do physicians miss cognitive impairment? Age Ageing 1997; 26: 37–9.CrossRefGoogle ScholarPubMed
14.Cole, MG, Beliavance, F. Depression in elderly medical inpatients: a meta-analysis of outcomes. Can Med Assoc J 1997; 157: 1055–60.Google ScholarPubMed
15.Department of Health and Children. A Vision for Change: Report of the Expert Group on Mental Health Policy. The Stationary Office, Dublin, 2005. Available from http://www.dohc.ie/publications/vision_for_change.htmlGoogle Scholar