1. What
is the Liaison Mental Health Service? The Liaison Mental Health
Service is a
specialist service which has two Primary aims, the first of these being
to offer a comprehensive psychosocial assessment of all patients presenting
at The Princess
Royal Hospital, Telford and The Royal Shrewsbury Hospital NHS Trust
who have deliberately harmed or injured themselves. Secondly, the service
aims to liaise with medical, nursing and other disciplines, both in
the hospitals and the community, on the assessment, care management
and appropriate referral-on of patients who have been treated.
A major component of this second aim is for the service to also offer
brief interventions to some patients who are motivated to begin the
process of addressing their problems following discharge from hospital.
The service also has a number of Secondary aims, which it endeavors
to meet and these are listed below:
To offer a prompt and
professional service to a very specific patient group
To reduce time spent
in hospital by patients and prevent 'blocked-beds'
To collate and analyze
data
To offer training and
advice in relation to Deliberate Self Harm/Injury
To empower patients
To empower staff
To raise the profile
of mental health within the Princess Royal Hospital and Royal Shrewsbury
Hospital
To regularly review
the service being offered
To act as a 'local
mental health resource'
A skilled Clinical Nurse Specialist undertakes the process of assessment
as soon as the patient is willing or able to be interviewed and ideally
relatives and carers are encouraged to participate in this process.
Following a detailed assessment a number of options can be pursued which
may include, referral to formal mental health services or other non-statutory
organizations. Some patients may be offeredshort-term follow-up in the
form of brief interventions aimed at addressing specific problems, such
as relationship issues, gender/sexuality difficulties and factors resulting
from physical/sexual abuse.
Conversely some patients may decline follow-up or further help and it
is acknowledged that they have the right to do so. However, an assessment
of potential risk factors is always undertaken and this may, in some
instances, preclude patients from self-discharging or declining follow-up
if a significant level of further risk of self-harm/injury is identified.