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Consultation-Liaison Psychiatry (CLP) services rapidly adapted during the COVID-19 crisis, enhancing patient care pathways. These changes, if supported by resources, could improve future mental health service delivery.

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Area of Science:

  • Psychiatry
  • Public Health
  • Healthcare Management

Background:

  • The COVID-19 pandemic necessitated rapid service adaptations in healthcare.
  • Consultation-Liaison Psychiatry (CLP) services faced unique challenges in responding to the crisis.

Purpose of the Study:

  • To describe the adaptive strategies implemented by four CLP services during the COVID-19 pandemic.
  • To illustrate collaboration between CLP, community mental health, and Emergency Department (ED) services.
  • To assess the potential long-term impact of these adaptations on mental health patient care.

Main Methods:

  • Case study approach detailing service adaptations across four hospitals.
  • Description of collaborative efforts to establish community diversion and ED assessment pathways.
  • Analysis of CLP service activity levels during the crisis period.

Main Results:

  • Four CLP services successfully adapted operations for flexible and practical responses to COVID-19.
  • Effective collaboration with community mental health and ED colleagues was established.
  • High levels of activity were maintained within CLP services despite the crisis.

Conclusions:

  • Rapidly implemented changes in CLP practice during COVID-19 offer potential improvements for post-pandemic mental health care.
  • Sustaining these improvements is contingent upon adequate resourcing of psychiatry services.
  • Enhanced collaboration and flexible pathways can optimize patient care delivery.