I have worked as a Psychiatrist for the past 14 years- specialsing in General Adult Psychiatry and Addiction Psychiatry (drugs and alcohol)
I work full time for the NHS as the Consultant Psychiatrist in the Liaison Pschiatry Service. I am based at The Caludon Centre, Coventry. My work involves the assessment and treatment of psychiatric patients who attend the 3 local general hospitals- UHCW, George Eliot and Warwick General.
Liaison psychiatry, also known as consultative psychiatry or consultation-liaison psychiatry is the branch of psychiatry that specialises in the interface between general medicine and psychiatry, usually taking place in a hospital or medical setting.
The role of the consultation-liaison psychiatrist is to see patients with comorbid medical conditions at the request of the treating medical or surgical consultant or team. Liaison psychiatry has areas of overlap with other disciplines including:
- Psychosomatic medicine
- Health Psychology
Liaison psychiatry provides a service to patients in a general medical hospital, inpatients, outpatients or attenders at the Accident & Emergency Department. Referrals are made when the treating medical team has questions about a patient's mental health, or how that patient's mental health is affecting his or her care and treatment.
Typical issues include:
- Patients with medical conditions that result in psychiatric or behavioural symptoms, such as delirium
- Supporting the management of patients with mental disorders who have been admitted for the treatment of medical problems
- Assisting with assessment of the capacity of a patient to consent to treatment
- Patients who may report physical symptoms as a result of a mental disorder, or patients with medically unexplained physical symptoms
- Patients who may not have a psychiatric disorder but are experiencing distress related to their medical problems
- Patients who have attempted suicide or self-harm
- Assisting with the diagnosis, treatment and functional assessment of people with dementia, including advice on discharge planning or the need for long-term care
The psychiatric team "liaises" with many other services, including the treating medical team, other mental health services, social services, and community services.
There is increasing interest on extending liaison psychiatry to primary care, for the management of long-term medical conditions such as diabetes mellitus