Liaison psychiatry professionals views of general hospital care for patients with mental illness The care of patients with mental illness in the general hospital setting.pdfVIP

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Liaison psychiatry professionals views of general hospital care for patients with mental illness The care of patients with mental illness in the general hospital setting.pdf

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Liaison psychiatry professionals views of general hospital care for patients with mental illness The care of patients with mental illness in the general hospital setting.pdf

Journal of Psychosomatic Research 95 (2017) 26–32 Contents lists available at ScienceDirect Journal of Psychosomatic Research Liaison psychiatry professionals views of general hospital care for patients with mental illness The care of patients with mental illness in the general hospital setting J Noblett a,?, A Caffrey b, T Deb a,c, A Khan d, E Lagunes-Cordoba c, O Gale-Grant a, C Henderson c a South London and Maudsley NHS Foundation Trust, Maudsley Hospital, London, United Kingdom b South West London and St George’s NHS Trust, Spring?eld Hospital, London, United Kingdom c Health Service and Population Research Department, Kings College London, Institute of Psychiatry, Psychology and Neuroscience, United Kingdom d King’s College London, London, United Kingdom article info Article history: Received 14 October 2016 Received in revised form 3 February 2017 Accepted 5 February 2017 Available online xxxx Keywords: Diagnostic overshadowing General hospital Mental illness stigma Physical health disparity 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 identi?ed, the two most frequently mentioned were ‘stigmatising attitudes of staff towards patients with co-morbid mental illness’ and ‘com