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General principles in child liaison consultation service: a literature review
1Servicios de Salud Mental Mostoles, Madrid, Spain.
Insights
Consultation-liaison psychiatry bridges mind-body care in hospitals. This paper outlines the organization of pediatric consultation-liaison services, emphasizing unique needs for child patients.
Area of Science:
- Child and Adolescent Psychiatry
- Medical Psychology
- Pediatric Healthcare Integration
Background:
- Consultation-liaison psychiatry emerged to integrate mental and physical healthcare.
- Services in general hospitals evolved, with pediatric services developing unique characteristics.
- Various organizational models exist, tailored to ward specifics and resource availability.
Purpose of the Study:
- To describe the fundamental organizational principles of a child consultation-liaison service.
- To highlight the specific requirements for effectively working with pediatric patients.
- To provide a framework for developing and enhancing pediatric liaison services.
Main Methods:
- Review of existing models for child consultation-liaison services.
- Analysis of organizational structures based on ward characteristics (e.g., surgical, ICU).
- Emphasis on resource allocation and specific adaptations for pediatric care.
Main Results:
- Pediatric consultation-liaison services share adult service traits but possess distinct needs.
- Organizational models vary based on clinical setting and available resources.
- Successful services require specialized approaches tailored to children's developmental and clinical profiles.
Conclusions:
- Establishing a robust child consultation-liaison service requires understanding its unique organizational basis.
- Specific adaptations are crucial for addressing the distinct needs of pediatric populations.
- This paper provides essential insights for the development and optimization of these vital services.
Abstract:
Consultation-liaison psychiatry emerged in the late thirties as a bridge between body and mind splitting of medical care. Setting-up of consultation-liaison services in general hospitals began some years later and is still developing in many countries. Paediatric consultation-liaison services share some general characteristics with those for adults, but others are more specific. Different models of child consultation-liaison services have been described, such as their organization in relation to the specific characteristics of the ward (surgical, intensive care units, etc.) and to the resources provided. This paper describes the general basis of the organization of a child consultation-liaison service. The specific characteristics needed for working with children are emphasized.