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Hidden Costs in Paediatric Psychiatry Consultation Liaison Services
Kehoe, C; McNicholas, F
It is recognised that children attending paediatric services have an increased rate of mental health (MH) problems1. Hospital based Mental Health services, interchangeably termed Psychiatric Consultation Liaison Services (PCLS), or Psychological Medicine, exist in the large hospitals, and collaborate with their paediatric colleagues, offering assessment and intervention as required. However, PCLS may also have a role in providing Emergency MH assessments for young people presenting to the Emergency Department (ED), a role independent of their paediatric colleagues. In some cases, these children will need to be admitted to an acute paediatric bed for the management of their mental health illness or psychological distress, awaiting transfer to a child psychiatry specialised bed, or discharge to community services. The profile and costs of these cases are inadequately captured by both HSE CAMHS Annual Reporting System3,4 and the Healthcare Pricing Office (HIPE)2 as they often inadequately record MH referrals. This study explores the costs associated with a cohort of patients presenting to a large paediatric hospital ED, and managed by PCLS, in a one-year period.
Keyword(s): MENTAL HEALTH; PAEDIATRICS
Publication Date:
2018
Type: Journal article
Peer-Reviewed: Unknown
Language(s): English
Institution: Lenus
Publisher(s): Irish Medical Journal
First Indexed: 2018-03-25 06:50:04 Last Updated: 2018-03-25 06:50:04