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Paediatric Consultation Liaison Psychiatry Services (PCLPS) -what are they actually doing?

F Lynch1, C Kehoe2,3, S MacMahon2

  • 1Medical Student, Royal College of Surgeons.

Irish Medical Journal
|February 22, 2018
PubMed

Insights

Paediatric Consultation Liaison Psychiatry Services (PCLPS) primarily treat children with acute psychiatric issues, often presenting with self-harm outside standard hours. Enhanced resourcing is crucial for these specialized services to effectively manage co-occurring medical and mental health conditions.

Area of Science:

  • Child and Adolescent Psychiatry
  • Medical Psychology
  • Healthcare Services Research

Background:

  • Paediatric Consultation Liaison Psychiatry Services (PCLPS) address mental health conditions co-occurring with medical problems in children.
  • These services are vital for integrated care but often face resource challenges.

Purpose of the Study:

  • To analyze the case notes of PCLPS over a six-month period.
  • To understand the demographics, presentation patterns, and service utilization of children managed by PCLPS.
  • To identify service gaps and inform future resourcing decisions.

Main Methods:

  • Retrospective review of standardized clinical data from 108 case notes.
  • Data collected between January and June 2016.
  • Analysis of patient demographics, referral sources, diagnoses, and service disposition.

Main Results:

  • The majority of patients were female (55%) with a mean age of 13.
  • Most presentations were via the Emergency Department (79%), often 'out of hours' (62%), with Deliberate Self-harm being a common reason (52%).
  • Nearly half (46%) of cases were previously known to Child and Adolescent Mental Health Services (CAMHS), with most (78%) discharged back to CAMHS.

Conclusions:

  • PCLPS predominantly manage acute or deteriorating psychiatric disorders in children already known to CAMHS.
  • There is a need for adequate resourcing of hospital-based PCLPS and 'out of hours' CAMHS.
  • Addressing these deficits is critical for providing specialized care for children with combined medical and mental health needs, especially with the development of the National Children's Hospital.

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