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Development of an operational manual for a consultation-liaison psychiatry service
Anne Pf Wand1, Swapnil Sharma2, Lindsay J Carpenter3
1Staff Specialist Psychiatrist, Department of Consultation-Liaison Psychiatry, Prince of Wales Hospital, Eastern Suburbs Mental Health Service, Randwick, NSW, and; Conjoint Senior Lecturer, School of Psychiatry, Faculty of Medicine, University of NSW, Sydney, NSW, Australia.
Objectives:
Consultation-liaison psychiatry (CLP) services sit between mental health and the general hospital, and risk being poorly understood by both systems. The aim of this study was to develop an operational manual for a CLP service, which defined functions and governance.
Methods:
The CLP literature was reviewed with a focus on descriptions of CLP roles, organisational processes, quality measures and service development. The CLP team held service planning meetings and met with members of the mental health and hospital executives. Site visits and collaboration with other CLP services occurred in defining the roles of the CLP service and organisational governance.
Results:
A CLP operational document was developed, including a description of the service, its functions, staff roles and governance. Procedural information such as the CLP timetable, referral process, triage and assessment, documentation, activity recording, quality assurance and relevant policies were outlined.
Conclusions:
The development of a dedicated operational manual for CLP clarified the roles, functions and governance of CLP within the general hospital and mental health systems. The development process facilitated the engagement of key clinicians and administrators of these systems, the determination of quality improvement targets and greater transparency and accountability.
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