J Noblett1, A Caffrey2, T Deb3, A Khan4, E Lagunes-Cordoba5, O Gale-Grant6, C Henderson5. 1. South London and Maudsley NHS Foundation Trust, Maudsley Hospital, London, United Kingdom. Electronic address: joanne.noblett@kcl.ac.uk. 2. South West London and St George's NHS Trust, Springfield Hospital, London, United Kingdom. 3. South London and Maudsley NHS Foundation Trust, Maudsley Hospital, London, United Kingdom; Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, United Kingdom. 4. King's College London, London, United Kingdom. 5. Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, United Kingdom. 6. South London and Maudsley NHS Foundation Trust, Maudsley Hospital, London, United Kingdom.
Abstract
OBJECTIVE: Explore the experiences of liaison psychiatry professionals, to gain a greater understanding of the quality of care patients with mental illness receive in the general hospital setting; the factors that affect the quality of care; and their insights on interventions that could improve care. METHODS: A survey questionnaire and qualitative in depth interviews were used to collect data. Data collection took place at the Royal College of Psychiatrists Faculty of Liaison Psychiatry Annual conference. Qualitative analysis was done using thematic analysis. RESULTS: Areas of concern in the quality of care of patients with co-morbid mental illness included 'diagnostic overshadowing', 'poor communication with patient', 'patient dignity not respected' and 'delay in investigation or treatment'. Eleven contributing factors were identified, the two most frequently mentioned were 'stigmatising attitudes of staff towards patients with co-morbid mental illness' and 'complex diagnosis'. The general overview of care was positive with areas for improvement highlighted. Interventions suggested included 'formal education' and 'changing the liaison psychiatry team'. CONCLUSION: The cases discussed highlighted several areas where the quality of care received by patients with co-morbid mental illness is lacking, the consequences of which could be contributing to physical health disparities. It was acknowledged that it is the dual responsibility of both the general hospital staff and liaison staff in improving care.
OBJECTIVE: Explore the experiences of liaison psychiatry professionals, to gain a greater understanding of the quality of care patients with mental illness receive in the general hospital setting; the factors that affect the quality of care; and their insights on interventions that could improve care. METHODS: A survey questionnaire and qualitative in depth interviews were used to collect data. Data collection took place at the Royal College of Psychiatrists Faculty of Liaison Psychiatry Annual conference. Qualitative analysis was done using thematic analysis. RESULTS: Areas of concern in the quality of care of patients with co-morbid mental illness included 'diagnostic overshadowing', 'poor communication with patient', 'patient dignity not respected' and 'delay in investigation or treatment'. Eleven contributing factors were identified, the two most frequently mentioned were 'stigmatising attitudes of staff towards patients with co-morbid mental illness' and 'complex diagnosis'. The general overview of care was positive with areas for improvement highlighted. Interventions suggested included 'formal education' and 'changing the liaison psychiatry team'. CONCLUSION: The cases discussed highlighted several areas where the quality of care received by patients with co-morbid mental illness is lacking, the consequences of which could be contributing to physical health disparities. It was acknowledged that it is the dual responsibility of both the general hospital staff and liaison staff in improving care.
Authors: Nazlee Siddiqui; Mitchell Dwyer; Jim Stankovich; Gregory Peterson; David Greenfield; Lei Si; Leigh Kinsman Journal: BMC Health Serv Res Date: 2018-06-27 Impact factor: 2.655
Authors: E J Kirkham; S M Lawrie; C J Crompton; M H Iveson; N D Jenkins; J Goerdten; I Beange; S W Y Chan; A McIntosh; S Fletcher-Watson Journal: BMC Public Health Date: 2022-02-19 Impact factor: 3.295