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Consultation-liaison in an old age psychiatry service

Joint Homelessness Team, 8 King Street, Covent Garden, London WC2E 8HN;

Peter Jefferys, Consultant in Old Age Psychiatry

Harrow and Hillingdon Health Care NHS Trust, Northwick Park Hospital, Harrow

This retrospective study looks at the outcome of 71 consecutive liaison referrals. Placement was noted at three-month follow-up and further use of medical, psychiatric and social services, compliance with clinical management and recommendations was also measured. Nearly half the patients had dementia and about half had a functional disorder. In 90% of referrals the recommendations were followed. At three-month follow-up 17% had died, 26% had further medical hospital admission, 39% had moved into a continuing care facility (residential/nursing home), and over half had further contact with the old age psychiatry services.