Liaison Psychiatry and Maternity Services - An Essential Interface
Abstract
Liaison psychiatry teams collaborate closely with the surgical and medical departments in general hospitals. Regardless of the apparent reason, patients who present with both physical and mental health challenges are treated by these general hospital mental health teams. Physical and psychological co-morbidities, managing chronic illnesses, self-harm, and coping with illness are just a few examples of liaison psychiatry work. Liaison psychiatric services should continue expanding, including in low and middle-income nations. Furthermore, liaison psychiatry services ought to be more comprehensive. By acknowledging the emotional and clinical needs of mothers, liaison psychiatry, when partnered with maternity services, may offer a chance to establish a benchmark for managing mental health concerns.
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References
Aitken P, Lloyd G et al. A history of liaison psychiatry in the UK. BJPsych Bulletin, 2016; 40(4): 199-203. doi:10.1192/pb.bp.116.053728.
Royal College of Psychiatrists, (2020) Standards for Community Perinatal Mental Health Services. CCQI33
DSM Task Force, American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5TM. 5th ed. Arlington, VA: American Psychiatric Association Publishing; 2013.
Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care – Part 2: Implementing the Evidence-based Treatment Pathway for Urgent and Emergency Liaison Mental Health Services for Adults and Older Adults – Guidance [Internet]. NHS England, the National Collaborating Centre for Mental Health and the National Institute for Health and Care Excellence ; 2016 [cited 1st June 2025]. Available from: https://www.england.nhs.uk/wp-content/uploads/2016/11/lmhs-guidance.pdf
Baugh C, Blanchard E, Hopkins I, editors. Psychiatric Liaison Accreditation Network (PLAN) Quality Standards for Liaison Psychiatry Services, sixth edition [Internet]. Psychiatric Liaison Accreditation Network Royal College of Psychiatrists’ Centre for Quality Improvement; 2020 [cited 1st June 2025]. Available from: https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/psychiatric-liaison-services-plan/quality-standards-for-liaison-psychiatry-services---sixth-edition-2020.pdf?sfvrsn=1ddd53f2_2
Bronson BD, Alam A, et al. An Economic Evaluation of a Proactive Consultation-Liaison Psychiatry Pilot as Compared to Usual Psychiatric Consultation on Demand for Hospital Medicine. J. Acad. Consult. -Liaison Psychiatry. 2022; 63, 363–371. Doi: https://doi.org/10.1016/j.jaclp.2021.12.008
Tadros G, Salama RA, et al. Impact of an integrated rapid response psychiatric liaison team on quality improvement and cost savings: the Birmingham RAID model. The Psychiatrist. 2013; 37, 4–10. Doi: https://doi.org/10.1192/pb.bp.111.037366
Lloyd GG, Mayou, RA. Liaison psychiatry or psychological medicine ? Br. J. Psychiatry. 2003; 183, 5–7. Doi: https://doi.org/10.1192/bjp.183.1.5
Lucas H, editor. Standards for community perinatal mental health services fifth edition [Internet]. RCPsych-Royal College of Psychiatrists; 2020 [cited 1st June 2025]. Available from: https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/perinatal/pqn-standards/pqn-community-standards---fifth-edition.pdf?sfvrsn=da7bd355_2
Judd F, Newman LK, Komiti AA. Time for a new zeitgeist in perinatal mental health. Australian & New Zealand Journal of Psychiatry. 2017;52(2):112-116. doi:10.1177/0004867417741553
Nagel K, Thomson R, Lorimer S, Judd F. Prevalence and characteristics of women with borderline personality pathology referred to a perinatal consultation liaison service. Aust N Z J Psychiatry. 2021;55(9):911-918. doi:10.1177/0004867421998770
Tsuji S, Fujii K, Ando M, et al. Impact of a Psychiatric Nurse Specialist as a Liaison for Pregnant Women with Mental Disorders. Tohoku J Exp Med. 2021;253(2):95-99. doi:10.1620/tjem.253.95
O'Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379-407. doi:10.1146/annurev-clinpsy-050212-185612
WHO recommendations on home-based records for maternal, newborn and child health [Internet]. World Health Organization; 2018 [cited 1st June 2025]. Available from: https://iris.who.int/server/api/core/bitstreams/d4e062ed-b63c-4674-a0d1-2a6c6a1afcb6/content
Camacho EM, Shields GE, Eisner E, et al. Case-finding with the anxiety sub-scale of the Edinburgh Postnatal Depression Scale in an observational cohort: Sensitivity, specificity, and cost-effectiveness. J Affect Disord. 2025;381:84-91. doi:10.1016/j.jad.2025.04.009
Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A, Bahrami M. Postpartum depression risk factors: A narrative review. J Educ Health Promot. 2017;6:60. doi:10.4103/jehp.jehp_9_16
Kamperman AM, Veldman-Hoek MJ, Wesseloo R, Robertson Blackmore E, Bergink V. Phenotypical characteristics of postpartum psychosis: A clinical cohort study. Bipolar Disord. 2017;19(6):450-457. doi:10.1111/bdi.12523
Granner JR, Seng JS. Using Theories of Posttraumatic Stress to Inform Perinatal Care Clinician Responses to Trauma Reactions. J Midwifery Womens Health. 2021;66(5):567-578. doi:10.1111/jmwh.13287
Crespo E, Bestard J. Psychosocial needs of women and their partners after successful assisted reproduction treatment in Barcelona. Reprod Biomed Soc Online. 2017;3:90-99. doi:10.1016/j.rbms.2017.04.001
Tendais I, Figueiredo B. Parents' anxiety and depression symptoms after successful infertility treatment and spontaneous conception: does singleton/twin pregnancy matter?. Hum Reprod. 2016;31(10):2303-2312. doi:10.1093/humrep/dew212
Bernet M, Quaas AM, von Wolff M, et al. Quality of life, spiritual needs, and well-being of people affected by infertility and its treatment: quantitative results of a mixed-methods study. J Assist Reprod Genet. 2025;42(6):1853-1862. doi:10.1007/s10815-025-03463-z
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