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Lockdown logistics in consultation-liaison psychiatry.
H Barry1, A M Doherty2, M Clancy3
1Department of Liaison Psychiatry, Beaumont University Hospital, Dublin, Ireland.
Irish Journal of Psychological Medicine
|September 11, 2020
Summary
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.
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.
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