Liaison Psychiatry / Paediatric Liaison Network

Liaison psychiatrists work at the interface between physical and psychological health.

Providing specialist mental health assessment and treatment for patients attending general hospitals, they deal with a range of problems including self-harm, adjustment to illness and physical and psychological co-morbidities.

The clinical content of liaison psychiatry practice is complex, and every day brings a new challenge.

Liaison Psychiatrists educate general hospital colleagues to improve their knowledge, skills and confidence in the basics of management of common mental health problems that they encounter in their practice.

Liaison psychiatrists work with medical and surgical colleagues as their patients can have high levels of mental health problems.

Also, patients with chronic disease may have difficulty managing their condition which liaison psychiatric input can help.

Child and Adolescent Mental Health is moving increasingly under the spotlight on political and public agendas. We are seeing almost daily media articles focusing on the rising rates of acute presentations of children and adolescents in crisis to Emergency Departments (ED), as well as the expanding waiting lists for community Child and Adolescent Mental Health Services (CAMHS). Although there have been developments in policy to address the needs of young people with mental health difficulties such as Future in Mind1, the Five Year Forward View for Mental Health2 and the Long Term Plan3; there is still a long way to go to achieve parity with adult mental health services, let alone physical health provisions.

The Psychiatric Liaison Accreditation Network (PLAN) Accreditation Committee were keen to broaden the scope of the current PLAN Quality Standards to encompass patients of all ages.

The standards in this document have been developed from current legislation, guidance and experts, and shared with members of the RCPsych Paediatric Liaison Network6 for their input and approval.

Quality Standards for Children and Young People for Liaison Psychiatry Services Royal College of Pschiatrists April 2019

Click here for full report

Guardian Article about Covid-19 and mental health

There was an interesting article about the Coronavirus and mental health in the UK published in the comment section of the The Guardian today. Have a read and tell us what you think…

Has the pandemic really caused a ‘tsunami’ of mental health problems?

Richard Bentall, Professor of Clinical Psychology: University of Sheffield

“With a team of experts from the Universities of Sheffield, Ulster, Liverpool, UCL and Royal Holloway and Bedford College I have been monitoring the mental health of the UK population since the beginning of the crisis. Looking at our findings, we think that this tsunami narrative is misleading. If accepted uncritically, it could undermine efforts to protect the health of the population and also our ability as a nation to recover once the crisis is over. Here is why….

Click here to read the complete article

Reimagining the future of paediatric care after COVID-19

Last month, the RCPCH published an interesting report Reimagining the future of paediatric care post-COVID-19 – a reflective report of rapid learning‘. The report is the first in a series of reports from the Paediatrics 2014 Project.

“This report, published on 26 June 2020, is the first in a series from the Paediatrics 2040 project that will inform RCPCH’s vision for the future of paediatrics in the UK. We summarise our learning from this period of rapid change, focusing in particular on the elements of new practice that we want to keep and take forwards into the future…

To read the report, click the link below:

https://www.rcpch.ac.uk/resources/reimagining-future-paediatric-care-post-covid-19-reflective-report-rapid-learning

RCPCH: State of Child Health 2020

In March, the RCPCH published its ‘State of Child Health 2020’ report. This landmark report provides a snapshot of infant, children and young people’s physical and mental health. 

The RCPCH say: “On 4 March 2020, RCPCH launched our new State of Child Health. The update provides the latest data from our 2017 indicators, alongside evidence for new indicators, including: looked after children, mental health, youth violence, young carers and the child health workforce. Alongside this, we’ve spoken to 2,000 children and young people to find out what makes them feel “healthy, happy and well”.

We’ve outlined our key asks for each of the UK Governments, which we hope will ensure delivery of key policy decisions to improve child health outcomes.

The State of Child Health 2020 Report utilises comparable UK data across 27 child health and wellbeing indicators to produce a range of associated recommendations aimed at improving outcomes. It builds on the 2017 Report which provided an unprecedented snapshot of how infant, children and young people’s physical and mental health was faring across the UK.  

Click below to read the report:

http://www.rcpch.ac.uk/state-of-child-health

NCEPOD – Mental Healthcare in Young People and Young Adults 2019

The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) recently published a review of the quality of care provided to children and young people with mental health conditions admitted to a general health hospital or mental health facility and an assessment of healthcare utilisation in this group using routinely collected national datasets.

Click on the link below to go to the publication:

NCEPOD – Mental Healthcare in Young People and Young Adults (2019)