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What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile

AIMS: We aimed to describe the demographic and clinical profile, and management of frequent attenders to a psychiatric liaison service. BACKGROUND: Frequent Attenders to emergency departments contribute significantly to the burden on health services and by definition are subjectively highly stressed...

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Autores principales: Grose, Frederick, Lee, Tennyson, Canlas, Richelle, Phung, William, Albert, Rikke, Ahmet, Alana, Song, Jia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769253/
http://dx.doi.org/10.1192/bjo.2021.675
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author Grose, Frederick
Lee, Tennyson
Canlas, Richelle
Phung, William
Albert, Rikke
Ahmet, Alana
Song, Jia
author_facet Grose, Frederick
Lee, Tennyson
Canlas, Richelle
Phung, William
Albert, Rikke
Ahmet, Alana
Song, Jia
author_sort Grose, Frederick
collection PubMed
description AIMS: We aimed to describe the demographic and clinical profile, and management of frequent attenders to a psychiatric liaison service. BACKGROUND: Frequent Attenders to emergency departments contribute significantly to the burden on health services and by definition are subjectively highly stressed. It is therefore important that mental health services develop effective responses to this group of patients. A systematic literature search indicated a paucity of information on this group of patients. METHOD: We conducted a case series of 49 frequently attending patients to the Psychiatric Liaison service in Tower Hamlets, East London NHS Foundation Trust. We defined frequent attenders as seeing the Psychiatric Liaison Service 5 or more times in 2018. We excluded 4 patients aged <18 years or >65 years. For each patient we collected data regarding their demographics; the details of each attendance to the Psychiatric Liaison Service; and their use of other psychiatric services. We then conducted a multivariate analysis, including stratification of patients based on number of attendances to identify correlation between frequency of attendance and the other information. RESULT: Demographic: The 45 patients reviewed had a mean age of 37 and a mean of 7 attendances during the study period. Clinical: 89% had a history of emotional trauma, 71% of substance misuse, and 49% of any personality disorder. Only 9% of the patients were under the care of the locality Personality Disorder Service. 73% of the patients were under the care of any other psychiatric service. There was no correlation between being under other services and the frequency of attendance. Only 31% had contact with the locality Frequent Attenders Service during the study period, as this was established recently. CONCLUSION: Psychiatric Frequent Attenders have complex needs, which do not fit neatly into existing psychiatric diagnoses and services. The high frequency of emotional trauma, substance misuse and personality disorder indicates a need for training of clinicians in these services to manage these patients, as well as planning for referral pathways for this group of patients who provide services with major challenges in appropriate pathways to care and follow-up
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spelling pubmed-87692532022-01-31 What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile Grose, Frederick Lee, Tennyson Canlas, Richelle Phung, William Albert, Rikke Ahmet, Alana Song, Jia BJPsych Open Research AIMS: We aimed to describe the demographic and clinical profile, and management of frequent attenders to a psychiatric liaison service. BACKGROUND: Frequent Attenders to emergency departments contribute significantly to the burden on health services and by definition are subjectively highly stressed. It is therefore important that mental health services develop effective responses to this group of patients. A systematic literature search indicated a paucity of information on this group of patients. METHOD: We conducted a case series of 49 frequently attending patients to the Psychiatric Liaison service in Tower Hamlets, East London NHS Foundation Trust. We defined frequent attenders as seeing the Psychiatric Liaison Service 5 or more times in 2018. We excluded 4 patients aged <18 years or >65 years. For each patient we collected data regarding their demographics; the details of each attendance to the Psychiatric Liaison Service; and their use of other psychiatric services. We then conducted a multivariate analysis, including stratification of patients based on number of attendances to identify correlation between frequency of attendance and the other information. RESULT: Demographic: The 45 patients reviewed had a mean age of 37 and a mean of 7 attendances during the study period. Clinical: 89% had a history of emotional trauma, 71% of substance misuse, and 49% of any personality disorder. Only 9% of the patients were under the care of the locality Personality Disorder Service. 73% of the patients were under the care of any other psychiatric service. There was no correlation between being under other services and the frequency of attendance. Only 31% had contact with the locality Frequent Attenders Service during the study period, as this was established recently. CONCLUSION: Psychiatric Frequent Attenders have complex needs, which do not fit neatly into existing psychiatric diagnoses and services. The high frequency of emotional trauma, substance misuse and personality disorder indicates a need for training of clinicians in these services to manage these patients, as well as planning for referral pathways for this group of patients who provide services with major challenges in appropriate pathways to care and follow-up Cambridge University Press 2021-06-18 /pmc/articles/PMC8769253/ http://dx.doi.org/10.1192/bjo.2021.675 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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.
spellingShingle Research
Grose, Frederick
Lee, Tennyson
Canlas, Richelle
Phung, William
Albert, Rikke
Ahmet, Alana
Song, Jia
What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile
title What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile
title_full What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile
title_fullStr What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile
title_full_unstemmed What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile
title_short What happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile
title_sort what happens to frequent attenders when they attend psychiatric liaison services? a clinical and demographic profile
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769253/
http://dx.doi.org/10.1192/bjo.2021.675
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