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General principles in child liasion consultation service: a literature review

  • P. Ortiz
Review Article

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.

Key words

Paediatric consultation liaison child psychiatry 

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References

  1. 1.
    Ajuriaguerra J de (1983) Manual de Psiquiatria Infantil. Fourth edition. Masson, Barcelona-Mexico, pp 845–864.Google Scholar
  2. 2.
    Awad GA, Poznanski EO (1975) Psychiatric consultation in a pediatric hospital. American Journal of Psychiatry 132:915–918Google Scholar
  3. 3.
    Bingley L, Leonard J, Hensman S, Lask B, Wolff O (1980) The comprehensive management of children on a paediatric ward: a family approach. Archives of Disease in Childhood 55:555–561Google Scholar
  4. 4.
    Black D, McFadyen A, Broster G (1990) Development of a psychiatric liaison service. Archives of Disease in Childhood 65:1373–1375Google Scholar
  5. 5.
    Dungar D, Pritchard J, Hensman S, Leonard J, Lask B, Wolff O (1986) The investigation of atypical psychosomatic illness: a team approach to diagnosis. Clinical Pediatrics 25:341–344Google Scholar
  6. 6.
    Eiser C (1993) The impact of Chronic Disease on Sibling Relationship. In: Growing up with a Chronic Disease. First edition. Jessica Kingsley Publishers, London, pp 175–196Google Scholar
  7. 7.
    Evered CJ, Hill, PD, Hall, DM, Hollins SC (1989) Liaison psychiatry in a child development clinic. Archives of Disease in Childhood 64:754–758Google Scholar
  8. 8.
    Fulop G, Strain JJ, Vita J, Lyons JS, Hammer JS (1987) Impact of psychiatric comorbidity on length of hospital stay for medical and surgical patients: A preliminary report. American Journal of Psychiatry 144:878–882Google Scholar
  9. 9.
    Fundingsrud HP (1988) A consultation model in a paediatric outpatient clinic: conversations with psychosomatic children and their parents. Family Systems Medicine 6:188–201Google Scholar
  10. 10.
    Geist RA (1977) Consultation on a pediatric surgical ward. American Journal of Orthopsychiatry 47:432–445Google Scholar
  11. 11.
    Gonzales JJ (1993) Outpatient consultadon-liaison psychiatry: an unfulfilled promise? General Hospital Psychiatry 15:360–362Google Scholar
  12. 12.
    Graham P (1991) Child Psychiatry. A Developmental Approach. Second edition. Medical Publications, Oxford, pp 276–280Google Scholar
  13. 13.
    Greenberg LW, Rice HW (1980) A pediatric child psychiatry liaison program in a community hospital. Journal of Medical Education 55:112–119Google Scholar
  14. 14.
    Guggenheim FG (1978) A marketplace model of consultation psychiatry in the general hospital. American Journal of Psychiatry 135:1380–1383Google Scholar
  15. 15.
    Gustafsson P, Svedin CG (1988) Cost effectiveness: family therapy in a pediatric setting. Family Systems Medicine 6:162–175Google Scholar
  16. 16.
    Hoare P Scarth L, Forbes F (1995) Audit of the Edinburgh child psychiatry out-patient service. Association for Child Psychology and Psychiatry Review and Newsletter 17:139–148Google Scholar
  17. 17.
    Ivan, Glazer (1994) Quality of life in Paediatric Psychiatry. In: M Lewis and RA King (Eds) Consultation-Liaison in Pediatrics. Psychiatric Clinics of North America. WB Saunders, Phildelphia, pp 427–463Google Scholar
  18. 18.
    Jaffa T (1988) A senior registrar's experience of consultation liaison psychiatry. Association for Child Psychology and Psychiatry Newsletter 10:10–13Google Scholar
  19. 19.
    Jones J (1988) Liaison psychiatry in a paediatric oncology clinic. Bulletin of the Royal College of Psychiatrists 12:213–215Google Scholar
  20. 20.
    Josse JD, Challener J (1987) Liaison psychotherapy in a hospital paediatric diabetic clinic. Archives of Disease in Childhood 62:518–522Google Scholar
  21. 21.
    Kraemer S (1995) The liaison model. A guide to mental health services for children and adolescents. Psychiatric Bulletin 19:138–142Google Scholar
  22. 22.
    Lansdown R (1980) More than Sympathy. First edition. Tavistock Publications, London, pp 31–48Google Scholar
  23. 23.
    Lansdown R, Goldman A (1988) The psychosocial care of children with malignant disease: Journal of Child Psychology and Psychiatry 29:555–567Google Scholar
  24. 24.
    Lask B (1994) Pediatric liaison work. In: Rutter M, Taylor E, Hersov L (eds) Child and Adolescent Psychiatry. Modern Approaches. Third edition. Blackwell Scientific Publications, Oxford, pp 996–1005Google Scholar
  25. 25.
    Lask B, Fosson A (1989) Childhood Illness: The Psychosomatic Approach. John Wiley, Chichester, pp 55–67Google Scholar
  26. 26.
    Leslie SA (1992) Paediatric liaison. Archives of Disease in Childhood 67:1046–1049Google Scholar
  27. 27.
    Levitan SJ, Kornfeld DS (1981) Clinical and cost benefits of liaison psychiatry. American Journal of Psychiatry 138: 790–793Google Scholar
  28. 28.
    Lewis M (1994) Consultation Process in Psychiatry Consultation-Liaison in Pediatrics. In: M Lewis, RA King (eds) Consultation-Liaison in Pediatrics. Psychiatric Clinics of North America. WB Saunders, Phildelphia, pp 427–463Google Scholar
  29. 29.
    Lipowski ZJ (1967) Review of consultation psychiatry and psychosomatic medicine. I General Principles. Psychosomatic Medicine 29:153–171Google Scholar
  30. 30.
    Lipowski ZJ (1974) Consultation-liaison psychiatry: an overview. American Journal of Psychiatry 131:623–630Google Scholar
  31. 31.
    Lourie R (1966) Problems of diagnosis and treatment: communication between pediatrician and psychiatrist. Pediatrics 37:1000–1004Google Scholar
  32. 32.
    Mattson A (1976) Child Psychiatry ward rounds on pediatrics. Journal of the American Academy of Child Psychiatry 15:357–365Google Scholar
  33. 33.
    McFadyen A, Broster G, Black D (1991) The impact of a child psychiatry liaison service on patterns of referral. British Journal of Psychiatry 158:93–96Google Scholar
  34. 34.
    Mumford E, Schlesinger HJ, Glass GV, Patrick C, Cuerdon T (1984) A new look at evidence about reduced cost of medical utilization following mental health treatment. American Journal of Psychiatry 141:1145–1158Google Scholar
  35. 35.
    Offord DR (1987) Prevention of behavioral and emotional disorders in children. Journal of Child Psychology and Psychiatry 28:9–19Google Scholar
  36. 36.
    Palfrey J, Walker D, Builer J, Singer, J (1989) Patterns of response in families of chronically disabled children. American Journal of Orthopsychiatry 19:94–104Google Scholar
  37. 37.
    Rickards W (1978) Patterns of collaboration between child psychiatrist and pediatricians: the child psychiatrist's view. Australian Paediatric Journal 14:66–68Google Scholar
  38. 38.
    Schowalter JE (1971) Utilization of child psychiatry on a pediatric adolescent ward. Journal of the American Academy of Child Psychiatry 10:684–699Google Scholar
  39. 39.
    Spender Q, Cooper H (1995) The hinterland between audit and research. Association for Child Psychology and Psychiatry Review and Newsletter 17:65–73Google Scholar
  40. 40.
    Stocking M, Rothney W Grosser A, Goodwin R (1972) Psychopathology in the pediatric hospital. American Journal of Public Health 62:551–556Google Scholar
  41. 41.
    Sturge J (1989) Joint work in paediatrics: a child psychiatry perspective. Archives of Disease in Childhood 64:155–158Google Scholar
  42. 42.
    Taylor DC (1986) Child psychiatry/paediatric liaison: discussion paper. Journal of the Royal Society of Medicine 79:726–727Google Scholar
  43. 43.
    Thompson TL (1993) Some advantages of consultation-liaison (medical-surgical) psychiatry becoming an added qualifica tion subspecialty. Psychosomatics 34:343–349Google Scholar
  44. 44.
    Tomm KM, McArthur RG, Leahey MD (1977) Psychologic management of children with diabetes mellitus. Clinical Pediatrics 16:1151–1155Google Scholar
  45. 45.
    Unger-Koppel J, Nussli R, Stauffer UG (1992) Liaison psychiatry in pediatric surgery. A promising approach. Europe an Journal of Pediatric Surgery 2:188–190Google Scholar
  46. 46.
    Van Dongen-Melman JEWM, SandersWoudstra JAR (1986) Psychosocial aspects of childhood cancer: a review of the literature. Journal of Child Psychology and Psychiatry 27:145–180Google Scholar

Copyright information

© Steinkopff Verlag 1997

Authors and Affiliations

  • P. Ortiz
    • 1
    • 2
  1. 1.Servicios de Salud Mental MostolesMadridSpain
  2. 2.Department of Psychological MedicineLondonUnited Kingdom

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