Audit & Reaudit of Assessments Regarding Substance Misuse in Patients Referred to Liaison Psychiatry Service

AIMS: 1- What percentages of people presenting to general hospital that are referred to Liaison Psychiatry service have Substance misuse problems? 2- Are the assessments by Liaison Psychiatry services identifying substance misuse problems? 3- If substance misuse problem is identified then are we offering any advice/intervention/referral METHODS: To look at 100 consecutive assessments by using an audit proforma to capture information required to answer above questions. RESULTS: 77% documentation about drug use. 23% no evidence documented that the patient was asked. Of those asked about their alcohol use (n = 62), a misuse problem was identified by clinicians making the assessment in 6 cases (10% of those asked). Of those asked about their drug use (n = 61), a misuse problem was identified by clinicians making the assessment in 8 of cases (13% of those asked). Of those with a substance misuse problem identified (n = 15), 73% were offered advice or an intervention, and 27% had no intervention documented. CONCLUSION: Since audit in August 2020, there has been a 21% increase in documentation of advice or intervention being offered to patients identified to have a substance misuse problem.