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Information for Referrers

Paediatric Liaison Psychiatry Team – Information for Referrers

Who Are We?
The Paediatric Liaison Psychiatry Team at the Royal Hospital for Children is a specialist multi-disciplinary team comprising of Child and Adolescent Psychiatrists, Clinical Psychologists, Learning Disability and Mental Health Nurses and a mental health Paediatrician. Medical, nursing and clinical psychology trainees are often part of the team.

Our Service
The primary function of the team is to provide mental health assessment and interventions for children and young people who are inpatients at the Royal Hospital for Children (RHC) or who have regular input from RHC medical or surgical teams. It is available to children of all ages, all ranges of learning ability and from all geographical areas, as long as there is a clear role for the Paediatric Liaison Team. Children and young people who are inpatients in the hospital are generally seen within one working day of referral, and there is usually no waiting list for standard out-patient appointments.

We provide an on call service for advice and assessment regarding acute mental health presentations in children and adolescents within the RHC, and under-18s presenting in A&E at Glasgow Royal Infirmary and Queen Elizabeth University Hospitals.
We actively participate in research and audit to improve patient care.

What We Offer
On call assessment for acute mental health presentations Monday to Friday 9am – 5pm.
Routine assessment and treatment of mental health difficulties in children and adolescents who are frequent attenders of Paediatrics within RHC.
Advice, if needed urgently, regarding the mental health of a parent or care giver of a young person who is an inpatient.
Joint working with other hospital-based professionals e.g. Paediatricians, Paediatric Neurologists, The Pain Management Service and Specialist Nurses.
Collaborative working with paediatric staff, Intensive CAMHS (ICAMHS) and Connect-ED (http://www.nhsggc.org.uk/your-health/health-services/specialist-childrens-services/our-services/eating-disorders-connect-ed/) regarding care planning and management of admissions for young people who are physically compromised due to an eating disorder.
Supporting paediatric staff with care planning and management of admissions for young people with learning disabilities, neurodevelopmental disorders or complex mental health difficulties, who require psychologically informed approaches to their care.
Liaison with RHC Paediatric Clinical Psychology (http://www.nhsggc.org.uk/your-health/health-services/specialist-childrens-services/our-services/paediatric-clinical-psychology/) and Child and Adolescent Mental Health Services (CAMHS), education and social work.
Consultation to other hospital based and community services.
Training to paediatric staff regarding mental health and neurodevelopment and neuropsychiatric conditions.


The Way We Work
We offer an initial assessment to determine what service would be most helpful. Where possible the child or young person and their family are assessed initially by two members of the team. We frequently find it useful to work together with paediatric colleagues to complete an assessment. Following assessment, we may discuss referral to another service that would be more appropriate to meet the child and family’s needs. If our service is the most appropriate we may offer individual work, family work and/or medication advice as deemed appropriate. In some cases we may refer the case on to a more appropriate service.

The team uses a range of therapies including:
• Cognitive Behavioural Therapy
• Compassion Focussed Therapy
• Acceptance and Commitment Therapy
• Family and Systemic Interventions
• Problem Solving Approaches
Families may be seen on either an inpatient or out-patient basis, or a combination of both.

Reasons for Referral
Referrals are accepted where there are complex mental health needs. Common reasons for referral include:

Complicated psychological difficulties relating to physical illness for which they are receiving care at the RHC.
Neuropsychiatric disorders.
Physical conditions with significant psychological aetiology or component.
Complex pain disorders.
Overdose or self-injury.
Support with care planning and management for young people with complex neurodevelopmental difficulties receiving care at the RHC.
Eating disorders requiring admission to RHC due to physical health compromise.
How to Refer - urgent and non-urgent
We accept referrals from hospital consultants, nurse specialists, allied health professionals and locality CAMHS. All referrals should be directed to the Paediatric Liaison Psychiatry Business Support Team in the first instance - 0141 451 6529 (86529 for internal calls).

Urgent Referrals
It is expected that urgent referrals will be made via telephone contact. The team offers an on-call service Monday to Friday from 9am to 5pm. If an urgent psychiatric response is specifically required and cannot be achieved within team working hours, the referral is passed to the Out of Hours duty clinician available via RHC switchboard (0141 201 0000).

When making an urgent referral, please provide the following information: patient’s full name, CHI/DOB, ward/location, named consultant, reason for admission and mental health concerns.

* Urgent referrals are seen within 24 hours

Non-Urgent Referrals
For non-urgent referrals, we require that referrers provide the following essential written details: patient’s full name, CHI/DOB, ward if inpatient, named consultant, reason for referral and aims of referral. The Paediatric Liaison Psychiatry Business Support Team will provide a referral pro-forma for completion to action referral. The team meets weekly on Wednesday morning to review new referrals and discuss appropriateness.

Out of Hours Services
Outwith the Paediatric Liaison Psychiatry working hours, Monday-Friday 9am-5pm, emergency referrals should be directed to the Out of Hours duty clinician, accessed by phoning RHC switchboard on 0141 201 0000 (1000 for internal calls).

Alternative Services - community and hospital based
The Paediatric Liaison Psychiatry team is one of a number of services available to meet the emotional and behavioural needs of children, young people and families. Other services include:

Services based at the Royal Hospital for Children:
• Paediatric Clinical Psychology (www.nhsggc.org.uk/PCP)
• Family Bereavement Service
• Family Support and Information Service
• Chaplaincy and Spiritual Care

Community based services
• Child and Adolescent Mental Health Teams (CAMHS) including ICAMHS
• Connect-ED
• Scottish Centre for Autism
• Community Children’s Nursing Teams
• Social Work
• Schools and Educational psychology services
• GPs

If there is uncertainty about which service is most suitable for a referral, this can be discussed with our on call clinician, who is responsible for taking referrals that day. Referrals that require psychological input based within RHC, but not the expertise of a multi-disciplinary mental health team, may be discussed with the Paediatric Clinical Psychology Service.

If RHC based input is not required, but there is a mental health need, referrals may be passed to an appropriate community team or specialist service after discussion with the referrer, or guidance may be given on services and resources.