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3 results

  • The development of an outcome measure for liaison mental health services

  • Else Guthrie, Mathew Harrison, Richard Brown, Rajdeep Sandhu, Peter Trigwell, Seri Abraham, Shazada Nawaz, Peter Kelsall, Rachel Thomasson
  • Journal:
    BJPsych Bulletin / Volume 42 / Issue 3 / June 2018
    Published online by Cambridge University Press:
    04 March 2018, pp. 109-114
    Print publication:
    June 2018
    • Article
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      • Open access
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  • Aims and method

    To develop and pilot a clinician-rated outcome scale to evaluate symptomatic outcomes in liaison psychiatry services. Three hundred and sixty patient contacts with 207 separate individuals were rated using six subscales (mood, psychosis, cognition, substance misuse, mind–body problems and behavioural disturbance) plus two additional items (side-effects of medication and capacity to consent for medical treatment). Each item was rated on a five-point scale from 0 to 5 (nil, mild, moderate, severe and very severe).

    Results

    The liaison outcome measure was acceptable and easy to use. All subscales showed acceptable interrater reliability, with the exception of the mind–body subscale. Overall, the measure appears to show stability and sensitivity to change.

    Clinical implications

    The measure provides a useful and robust way to determine symptomatic change in a liaison mental health setting, although the mind–body subscale requires modification.

    Declaration of interest

    None.

  • 29 - Multiple choice questions and extended matching items

  • Edited by Elspeth Guthrie, Sanjay Rao, Melanie Temple
  • Book:
    Seminars in Liaison Psychiatry
    Published by:
    Royal College of Psychiatrists
    Published online:
    25 February 2017, pp 460-484

  • Summary

    Multiple choice questions

    Select the single best option for each question stem

    1 Tacrolimus:

    1. a causes anxiety, depression, and psychosis

    2. b does not cause dizziness, headache and insomnia

    3. c is always safe to administer with ziprasidone

    4. d decreases sildenafil levels

    5. e has no effect on mood.

    2 Body dysmorphic disorder:

    1. a is usually cured by cosmetic surgery

    2. b responds to lithium

    3. c is usually easily treated

    4. d is nearly always comorbid with other psychiatric diagnoses

    5. e is classified as an eating disorder.

    3 Psychiatric illness:

    1. a is as common on surgical wards as on medical wards

    2. b does not affect the availability of NHS funding for a surgical procedure

    3. c can predict mortality in some surgical patient groups

    4. d has no impact on length of stay in surgical patients

    5. e is routinely screened for in surgical patients.

    4 Mental disorder is:

    1. a a positive predictor of good outcome in patients with physical illness

    2. b an independent predictor of outcome in patients with physical illness

    3. c more common in the community than in the general hospital

    4. d easily detected in the general hospital setting

    5. e less prevalent in older people admitted to the general hospital than younger people.

    5 The following statement is true in relation to older adults:

    1. a The majority of older adults attempting suicide have delirium

    2. b self-harm in older people is rarely associated with high suicidal intent

    3. c increasing age is a risk factor for suicide

    4. d two-thirds of NHS beds are occupied by people under the age of 65

    5. e diagnostic case-mix of older people referred to liaison services is similar to younger adults.

    6 The following is true in relation to dementia:

    1. a dementia is an uncommon reason for referral to older people liaison services

    2. b dementia is more prevalent in the general hospital than in the community

    3. c people with dementia usually gain personal care skills when admitted to hospital

    4. d people with dementia are twice as likely to develop delirium

    5. e antipsychotic drugs decrease mortality in people with dementia.

    7 Delirium:

    1. a is always preventable post-surgery if risk factors are identified prior to operating

    2. b is best treated using benzodiazepines

    3. c always presents with disturbed and aggressive behaviour

    4. d is best detected using the Geriatric Depression Scale

    5. e post-surgery is associated with increased length of hospital stay.

  • 29 - Multiple choice questions and extended matching items

    • By Deepak Garg, Consultant Psychiatrist (Perinatal and Liaison Psychiatry), Humber NHS Foundation Trust, Hull, UK, Rajdeep Sandhu, Senior House Officer/Core Trainee Year 1 in Medicine at Staffordshire General Hospital, Stafford, UK
  • Edited by Elspeth Guthrie, Sanjay Rao, Melanie Temple
  • Book:
    Seminars in Liaison Psychiatry
    Published online:
    02 January 2018
    Print publication:
    01 March 2012, pp 460-484

  • Summary

    Multiple choice questions

    Select the single best option for each question stem

    1 Tacrolimus:

  • a causes anxiety, depression, and psychosis

  • b does not cause dizziness, headache and insomnia

  • c is always safe to administer with ziprasidone

  • d decreases sildenafil levels

  • e has no effect on mood.

    • 2 Body dysmorphic disorder:

  • a is usually cured by cosmetic surgery

  • b responds to lithium

  • c is usually easily treated

  • d is nearly always comorbid with other psychiatric diagnoses

  • e is classified as an eating disorder.

    • 3 Psychiatric illness:

  • a is as common on surgical wards as on medical wards

  • b does not affect the availability of NHS funding for a surgical procedure

  • c can predict mortality in some surgical patient groups

  • d has no impact on length of stay in surgical patients

  • e is routinely screened for in surgical patients.

    • 4 Mental disorder is:

  • a a positive predictor of good outcome in patients with physical illness

  • b an independent predictor of outcome in patients with physical illness

  • c more common in the community than in the general hospital

  • d easily detected in the general hospital setting

  • e less prevalent in older people admitted to the general hospital than younger people.