Evidence map›Paper›PMID 36721898›Full record

ArticleBJPsych open2023

Evaluating the provision of paediatric liaison psychiatry services in England.

Declan Hines, Tamsin Ford, Sophie Westwood, Jessica R Barrett, Birgit Westphal, Virginia Davies, William Lee

Abstract read
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Declan HinesSchool of Clinical Medicine, University of Cambridge, UK.ORCID https://orcid.org/0000-0001-6392-9050
Tamsin FordDepartment of Psychiatry, University of Cambridge, UK.ORCID https://orcid.org/0000-0001-5295-4904
Sophie WestwoodFaculty of Health, University of Plymouth, UK.
Jessica R BarrettDepartment of Clinical Educational and Health Psychology, Centre for Outcomes Research and Effectiveness, University College London, UK.
Birgit WestphalPaediatric Liaison Team, The Royal London Children's Hospital, UK.
Virginia DaviesPaediatric Mental Health Team, Whittington Hospital, UK.ORCID https://orcid.org/0000-0001-8732-4849
William LeeSchool of Medicine, University of Exeter, UK.ORCID https://orcid.org/0000-0002-0607-038X

Funding

Medical Research Council G108/625Royal College of Psychiatrists No grant number awarded
6 · The paper itself

Abstract

backgroundLiaison psychiatry provision for children and young people in England is poorly evaluated.

aimsWe sought to evaluate paediatric liaison psychiatry provision and develop recommendations to improve practice.

methodThe liaison psychiatry surveys of England (LPSE) cross-sectional surveys engage all liaison psychiatry services in England. Services are systematically identified by contacting all acute hospitals with emergency departments in England. Questions are developed in consultation with NHS England and the Royal College of Psychiatrists' Faculty of Liaison Psychiatry, and updated based on feedback. Responses are submitted by email, post or telephone

resultsThe number of acute hospitals with access to paediatric liaison psychiatry services increased from 29 (15.9%) in 2015 to 46 (26.6%) in 2019, compared with 100% provision for adults. For LPSE-4, only one site met the Core-24 criteria of 11 full-time equivalent mental health practitioners and 1.5 full-time equivalent consultants, and for LPSE-5, just two sites exceeded them. Acute hospitals with access to 24/7 paediatric liaison psychiatry services increased from 12 to 19% between LPSE-4 and LPSE-5. The proportion of paediatric liaison psychiatry services based offsite decreased from 30 to 24%.

conclusionsThere is an unacceptable under-provision of paediatric liaison psychiatry services compared with provision for adults. Number of services, staffing levels and hours of operation have increased, but continued improvement is required, as few services meet the Core-24 criteria.

Indexed as

clinical governanceepidemiologyin-patient treatmentpatientsQualitative research

Identifiers

PMID36721898
PMCPMC9970163

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.