Need Assessment of Consultation Liaison Psychiatry amongst the Clinical Faculty

Rakesh K Chadda, Koushik Sinha Deb, Sathya Prakash, Mamta Sood


Nearly 20-40% of patients with medico-surgical illnesses in general hospitals have a co morbid psychiatric illness or psychosocial issues, which interfere in improvement of the primary illness. It is important to assess the attitudes and awareness of non-psychiatrist clinicians about the co-existing psychiatric morbidity in their patients and their felt needs, which can help in mitigating this morbidity. The present study attempts to gauge the non-psychiatrist clinician's perception, felt needs and barriers to referral/ intervention in a tertiary care teaching hospital. A cross-sectional, descriptive, online questionnaire-based method was used. Of the 239 clinical faculty members, only 45 responded. Responses indicated that clinicians were aware of the existence and significance of psychological problems in their patients, but could do with further increased levels of awareness and more specific training in evaluation and intervention. Stigma, lack of awareness of available services, and lack of detailed understanding regarding psychological problems were the important barriers to referral/ intervention. Better teamwork, training and more manpower were the specific suggestions for improvement in the future.


Psychosomatic medicine, stigma, general hospital psychiatry

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Ferrari JA, Charlson FJ, Norman RE, et al (2013). Burden of depressive disorders by country, sex, age, and year: findings from the Global Burden of Disease Study 2010. PLoS Med 10(11): e1001547.

Lipowski ZJ (1983). Current trends in consultation-liaison psychiatry. Can J Psychiatry 28:329-338.

Mayou R (2007). The development of general hospital psychiatry. In: Handbook of Liaison Psychiatry. Lloyd G, Guthrie E, eds. UK: Cambridge University Press.

Ali S, Ernst C, Pacheco M, Fricchione G (2006). Consultation-liaison psychiatry: How far have we come? Curr Psychiatry Rep 8:215-222.

Sollner W, Creed F (2007). European g u i d e l i n e s f o r t r a i n i n g i n consultation–liaison psychiatry and psychosomatics: report of the EACLPP W o r k g r o u p o n T r a i n i n g i n Consultation–Liaison Psychiatry and Psychosomatics. J Psychosom Res 62: 501-509.

Grover S (2011). State of consultation- liaison psychiatry in India: current status and vision for future. Indian J Psychiatry 53:202-213.

Chadda RK, Shome S (1996). Psychiatric aspects of clinical practice in general hospitals: a survey of non-psychiatric clinicians. Indian J Psychiatry 38:86-93.

Gupta R, Narang RL (1987). Psychiatric training and its practice: a survey of 86 practitioners. Indian J Psychiatry 29:349-

Alhuthail YR ( 2008 ) . Psychiatric consultations and length of hospital stay. Neurosciences 13: 161-164.

de Jonge P, Latour CH, Huyse FJ (2003). Implementing psychiatric interventions on a medical ward: effects on patients' quality of life and length of hospital stay. Psychosom Med 65: 997-1002.

Zarghami M, Farnia S, Khalilian AR, Amirian T (2014). Study of attitudes and practice of physicians regarding consultation- liaison psychiatry in teaching hospitals of Mazandaran, Iran. Iran J Psychiatry Behav Sci 8(2) : 38–43.

Alhamad AM, Al-Sawaf MH, Osman AA, Ibrahim IS (2006). Differential aspects of consultation-liaison psychiatry in a Saudi hospital. II: knowledge and attitudes of physicians and patients. East Mediterr Health J 12:324–330.

Doron A, Ma'oz B, Fennig S, Weingarten MA, Mendlovic S (2003). Attitude of general practitioners towards psychiatric consultation in primary care clinic. Isr J Psychiatry Relat Sci 40(2):90–95.

Morgan JF, Killoughery M (2003). Hospital doctors' management of psychological problems – Mayou & Smith revisited. Br J Psychiatry 182:153–157.

Chadda RK (2001). Psychiatry in non- psychiatric setting--a comparative study of physicians and surgeons. J Indian Med Assoc 99(1):24, 26–7, 62.

Schubert DS, Billowitz A, Gabinet L, Friedson W (1989). Effect of liaison psychiatry on attitudes toward psychiatry, rate of consultation, and psychosocial documentation. Gen Hosp Psychiatry 11(2):77–87.

Nogueira V, Lagarto L, Cerejeira J, Renca S, Firmino H (2013). Improving quality of care: focus on liaison old age psychiatry. Ment Health Fam Med 10(3):153–158.

Draper B (2000). The effectiveness of old age psychiatry services. Int J Geriatr Psychiatry 15(8):687–703.

Olagunju AT, Aina OF, Fadipe B (2013). Screening for depression with Centre for Epidemiological Studies Depression Scale Revised and its implication for consultation-liaison psychiatry practice among cancer subjects: a perspective from a developing country. Psychooncology 22(8):1901–1906.

Chaturvedi SK (2012). Psychiatric oncology: Cancer in mind. Indian J Psychiatry 54(2):111–118.


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