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Patient Satisfaction with a Psychology Consultation-Liaison Service at an Academic Medical Center


One to two-thirds of all medically admitted patients have comorbid psychiatric concerns. To address the cognitive, behavioral, and emotional factors that affect medical hospitalization, psychological or psychiatric consultation-liaison (CL) services are consulted. The current study was designed to understand patient satisfaction with a CL psychology service and how it was associated with satisfaction with overall hospitalization, taking into consideration relevant factors. Adults medically admitted to an academic teaching hospital (N = 220), who were seen at least once by the CL psychology service, completed satisfaction and demographic questionnaires. Most patients reported being satisfied with the CL psychology service, with women reporting higher satisfaction than men. Satisfaction with the CL psychology service was associated with satisfaction with overall hospitalization, but did not differ based on age, race/ethnicity, education, income, length of stay, number of visits, or presence of psychiatric diagnosis. The results suggest that CL psychology services may contribute to improving overall patient experience.

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Data Availability

Data can be provided by the corresponding author upon request.


  1. American Psychological Association, APA Task Force on Race and Ethnicity Guidelines in Psychology. (2019). Race and Ethnicity Guidelines in Psychology: Promoting Responsiveness and Equity. Retrieved from

  2. Andreoli, P. B., Albuquerque, V., & Mari, J. (2003). A systematic review of studies of the cost-effectiveness of mental health consultation-liaison interventions in general hospitals. Psychosomatics, 44(6), 499–507.

    Article  Google Scholar 

  3. Aoki, T., Sato, T., & Hosaka, T. (2004). Role of consultation-liaison psychiatry toward shortening of length of stay for medically ill patients with depression. International Journal of Psychiatry in Clinical Practice, 8, 71–76.

    Article  Google Scholar 

  4. Aponte-Rivera, V., Dunlop, B. W., Ramirez, C., Kelley, M. E., Schneider, R., Blastos, B., … Craighead, W. E. (2014). Enhancing Hispanic participation in mental health clinical research: Development of a Spanish-speaking depression research site. Depression and Anxiety, 31(3), 258–267.

    Article  PubMed  Google Scholar 

  5. Barrett, N. J., Ingraham, K. L., Vann-Hawkins, T., & Moorman, P. G. (2017). Engaging African Americans in Research: The Recruiter’s Perspective. Ethnicity & Disease, 27(4), 453–462.

    Article  Google Scholar 

  6. Berry, J. G., Gay, J. C., Joynt, K. M., Coleman, E. A., Bucholz, E. M., & O’Neill, M. R. (2018). Age trends in 30 day hospital readmissions: US national retrospective analysis. The British Medical Journal, 360, k497.

    Article  Google Scholar 

  7. Broadbent, E., Ellis, C. J., Thomas, J., Gamble, G., & Petrie, K. J. (2009a). Can an illness perception intervention reduce illness anxiety in spouses of myocardial infarction patients? A randomized controlled trial. Journal of Psychosomatic Research, 67, 11–15.

    Article  Google Scholar 

  8. Broadbent, E., Ellis, C. J., Thomas, J., Gamble, G., & Petrie, K. J. (2009b). Further development of an illness perception intervention for myocardial infarction patients: A randomized controlled trial. Journal of Psychosomatic Research, 67, 17–23.

    Article  Google Scholar 

  9. Callaghan, P., Eales, S., Coates, T., & Bowers, L. (2003). A review of research on the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10, 155–165.

    CAS  Article  Google Scholar 

  10. Carter, B. D., Kronenberger, W. G., Baker, J., Grimes, L. M., Crabtree, V. M., Smith, C., & McGraw, K. (2003). Inpatient pediatric consultation-liaison: A case-controlled study. Journal of Pediatric Psychology, 28(6), 423–432.

    Article  Google Scholar 

  11. Carter, P., Reynolds, J., Carter, A., Potluri, S., Uppal, H., Chandran, S., & Potluri, R. (2016). The impact of psychiatric comorbidities on the length of hospital stay in patients with heart failure. International Journal of Cardiology, 207, 292–296.

    Article  Google Scholar 

  12. Corbie-Smith, G., Thomas, S. B., & St. George, D. M. M. (2002). Distrust, race, and research. Archives of Internal Medicine, 162(21), 2458–2463.

    Article  PubMed  Google Scholar 

  13. Duffy, F. D., Gordon, G. H., Whelan, G., Cole-Kelly, K., & Frankel, R. (2004). Assessing competence in communication and interpersonal skills: The Kalamazoo II report. Academic Medicine, 79, 495–507.

    Article  PubMed  Google Scholar 

  14. Ehlert, U., Wagner, D., & Lupke, U. (1999). Consultation-liaison service in the general hospital: Effects of cognitive-behavioral therapy in patients with physical nonspecific symptoms. Journal of Psychosomatic Research, 47(5), 411–417.

    CAS  Article  Google Scholar 

  15. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Gillies, D., Buykx, P., Parker, A. G., & Hetrick, S. E. (2015). Consultation liaison in primary care for people with mental disorders. The Cochrane Database of Systematic Reviews, 2015(9), CD007193.

    Article  PubMed Central  Google Scholar 

  18. Griffith, D. M., Bergner, E. M., Fair, A. S., & Wilkins, C. H. (2021). Using mistrust, distrust, and low trust precisely in medical care and medical research advances health equity. American Journal of Preventive Medicine, 60(3), 442–445.

    Article  PubMed  Google Scholar 

  19. Harris, P. A., Taylor, R., Minor, B. L., Elliot, V., Fernandez, M., O’Neal, L., … REDCap Consortium. (2019). The REDCap consortium: Building an international community of software partners. Journal of Biomedical Informatics, 95, 103208.

  20. Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381.

    Article  Google Scholar 

  21. House, A., Farthing, M., & Peveler, R. (1995). Psychological care of medical patients. The British Medical Journal, 310, 1422.

    CAS  Article  PubMed  Google Scholar 

  22. Centers for Medicare & Medicaid Services. (2018). Baltimore, MD. July, 24, 2018.

  23. Kathol, R., Saravay, S. M., Lobo, A., & Ormel, J. (2006). Epidemiologic trends and costs of fragmentation. The Medical Clinics of North America, 90(4), 549–572.

    Article  PubMed  Google Scholar 

  24. Kennedy, D. M., Caselli, R. J., & Berry, L. L. (2011). A roadmap for improving healthcare service quality. Journal of Healthcare Management, 56, 385–402.

    Article  PubMed  Google Scholar 

  25. Kishi, Y., Meller, W. H., Kathol, R. G., & Swigart, S. E. (2004). Factors affecting the relationship between the timing of psychiatric consultation and general hospital length of stay. Psychosomatics, 45(6), 470–476.

    Article  Google Scholar 

  26. Kitts, R. L., Gallagher, K., Beziako, P., Bujoreanu, S., Garcia, G., & DeMaso, D. R. (2013). Parent and young adult satisfaction with psychiatry consultation services in a children’s hospital. Psychosomatics, 54, 575–584.

    Article  Google Scholar 

  27. Lavakumar, M., Gastelum, E. D., Hussain, F., Levenson, J., Wharton, R. N., Muskin, P. R., & Shapiro, P. A. (2013). How do you know your consult service is doing a good job? Generating performance measures for C-L service effectiveness. Psychosomatics, 54, 567–574.

    Article  Google Scholar 

  28. Levinson, W. (2011). Patient-centred communication: A sophisticated procedure. British Medical Journal Quality & Safety, 20, 823–825.

    Article  Google Scholar 

  29. Mauksch, L. B., Dugdale, D. C., Dodson, S., & Epstein, R. (2008). Relationship, communication, and efficiency in the medical encounter: Creating a clinical model from a literature review. Archives of Internal Medicine, 168, 1387–1395.

    Article  PubMed  Google Scholar 

  30. McGrady, M. E. (2018). Introduction to the CPPP special issue: Building the economic evidence base for pediatric psychology services. Clinical Practice in Pediatric Psychology, 6(2), 101–106.

    Article  Google Scholar 

  31. Muskin, P. R., Skomorowsky, A., & Shah, R. N. (2016). Co-managed care for medical inpatients, C-L Vs c/l psychiatry. Psychosomatics, 57(3), 258–263.

    Article  Google Scholar 

  32. Nussbaum, S., McClellan, M., & Metlay, G. (2018). Principles for a frameword for alternative payment models. JAMA, 319(7), 653–654.

    Article  Google Scholar 

  33. Paterson, C., Karatzias, T., Dickson, A., Harper, S., Dougall, N., & Hutton, P. (2018). Psychological therapy for inpatients receiving acute mental health care: A systematic review and meta-analysis of controlled trials. The British Journal of Clinical Psychology, 57(4), 453–472.

    Article  PubMed  Google Scholar 

  34. Rutgers Senator Walter Rand Institute for Public Affairs. (2020). Community health needs assessment.

  35. Rutledge, T., Gould, H., Hsu, A., & Beizai, K. (2020). Consultation-liaison psychology: Training and research recommendations for this emerging interprofessional practice. Professional Psychology: Research and Practice, 51(4), 383–389.

    Article  Google Scholar 

  36. Trzeciak, S., Gaughan, J. P., Bosire, J., & Mazzarelli, A. J. (2016). Association between medicare summary star rating for patient experience and clinical outcomes in US hospitals. Journal of Patient Experience, 3(1), 6–9.

    Article  Google Scholar 

  37. Valenstein-Mah, H., Kehle-Forbes, S., Nelson, D., Danan, E. R., Vogt, D., & Spoont, M. (2019). Gender differences in rates and predictors of individual psychotherapy initiation and completion among Veterans Health Administration users recently diagnosed with PTSD. Psychological Trauma: Theory, Research, Practice and Policy, 11(8), 811–819.

    Article  Google Scholar 

  38. Wood, R., & Wand, A. P. F. (2014). Quality indicators for a consultation-liaison psychiatry service. International Journal of Health Care Quality Assurance, 27(7), 633–641.

    Article  Google Scholar 

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The authors did not receive support from any organization for the submitted work.

Author information




All authors contributed to the study conception and design. Methodology, data collection, and analysis were performed by AB and AS. The introduction, discussion, and conclusions were conceptualized by AB, KG, PF, and KA. The first draft of the manuscript was written by AB and all authors commented on the previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Anastasia J. Bullock.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethical Approval

This study was approved by Cooper Health System Institutional Review Board FWA# 00000211, IRB# 18-195EX. The authors certify that all procedures performed in this study were in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

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All authors agreed with the content and gave explicit consent to submit for publication.

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Table 4 Consultation-liaison psychology service satisfaction questionnaire

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Bullock, A.J., Sorbello, A., Gilrain, K.L. et al. Patient Satisfaction with a Psychology Consultation-Liaison Service at an Academic Medical Center. J Clin Psychol Med Settings (2021).

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  • Consultation-liaison
  • Psychology
  • Patient satisfaction
  • Effective communication