The development of liaison psychiatry services over the last 20 years is briefly reviewed - sophisticated liaison services have been confined to teaching hospitals. Limited manpower and other resources have prevented the development of liaison services in most district general hospitals; further developments are unlikely unless these deficiencies are corrected and psychiatrists take a more active role in developing links with physicians and surgeons. The time is right for such development as physicians are keen to extend our understanding of psychological and social factors in causing non-organic disorders, reduce unnecessary investigations and provide more comprehensive care. Increased collaboration between physicians and psychiatrists will provide a better service for many patients and this should be extended to all district general hospitals.
MezeyA.G., KellettJ.M.Reasons against referral to the psychiatrist. Postgrad Med J1971; 47: 315–19
2.
AbrahamsonD.Psychiatry in a postgraduate teaching hospital. Postgrad Med J1971; 47: 583–8
3.
BrooksP., WaltonH.J.Liaison psychiatry in Scotland. Health Bull1981; 39: 218–27
4.
MayouR., LloydG.A survey of liaison psychiatry in the United Kingdom and Eire. Bull R Coll Psychiatrists1985; 9: 214–17
5.
AndersonH.M.Liaison psychiatry in Scotland: the present service. Psychiatr Bull1989; 13: 606–8
6.
MayouR., AndersonH., FeinmannC., HodgsonG.The present state of consultation and liaison psychiatry. Psychiat Bull1990; 14: 321–5
7.
CrispA.H.The role of the psychiatrist in the general hospital. Postgrad Med J1968; 44: 267–76
8.
SenskyT., GreerS., CundyT., PettingaleK.Referrals to psychiatrists in a general hospital - comparison of two methods of liaison psychiatry: preliminary communication. J R Soc Med1985; 78: 463–8
9.
ThomasC.J.Referrals to a British liaison psychiatry service. Health Trends1983; 15: 61–4
10.
BrownA., CooperA.F.The impact of liaison psychiatry service on patterns of referral in a general hospital. Br J Psychiatry1987; 150: 83–7
11.
HouseA.O., JonesS.J.The effects of establishing a psychiatric consultation-liaison service: Changes in patterns of referral and care. Health Trends1987; 19: 10–12
12.
RussellG.F.M.Will there be enough psychiatrists to run the psychiatric service based on the district general hospital? In: CawleyR., McLachlanG., eds Policy for action.London: Oxford University Press, 1973: 111–16
13.
KingdomD.Mental health services: results of a survey of English district plans. Psychiatr Bull1989; 13: 77–8
14.
StrathdeeG., WilliamsP.A survey of psychiatrists in primary care: the silent growth of a new service. J R Coll Gen Pract1984; 34: 615–18
15.
TyrerP.Psychiatric clinics in general practice: an extension of community care. Br J Psychiatry1984; 145: 9–14
16.
ToremM., SaravayS., SteinbergH.Psychiatric liaison: benefits of an active approach. Psychosomatics1979; 20: 598–611
17.
BassC.M.Somatization: physical symptoms and psychological illness.Oxford: Blackwell, 1990: 3
18.
SmithG.R., MonsonR.A., RoyD.C.Psychiatric consultation in somatization disorder. A randomized controlled study. N Engl J Med1986; 314: 1407–13
19.
HarveyR.F., SalihS.Y., ReadA.E.Organic and functional disorders in 2000 gastroenterology outpatients. Lancet1983; i: 632–4
20.
HolmesK.M., SalterR.H., ColeT.P., GirdwoodT.G.A profile of District Hospital gastroenterology. J R Coll Phys London1987; 21: 111–14
21.
HopkinsA., MenkenM., DeFrieseG.A record of patient encounters in neurological practice in the United Kingdom. J Neurol Neurosurg Psychiatry1989; 52: 436–8
22.
PerkinG.D.An analysis of 7836 successive new outpatient referrals. J Neurol Neurosurg Psychiatry1989; 52: 447–8
23.
KroenkeK., MangelsdorffD.Common symptoms in ambulatory care: incidence, evaluation, therapy and outcome. Am J Med1989; 86: 262–6
LarsenE.B., OmennG.S., LewisH.Diagnostic evaluation of headache; impact of computerised tomography and cost-effectiveness. JAMA1980; 243: 359–62
26.
RahejaS.K., McDonaldP.J., TaylorI.Non-specific abdominal pain - an expensive mystery. J R Soc Med1990; 83: 10–11
27.
NyrenO., AdamiH.O., GustavssonS., LoofL., NybergA.Social and economic effects of non-ulcer dyspepsia. Scand J Gastroenterol1985; 20(Suppl 109): 41–5
28.
HopkinsA., ed. Appropriate investigation and treatment in clinical practice.London: Royal College of Physicians, 1989
29.
KinghamJ.G.C., DawsonA.M.Origin of chronic right upper quadrant pain. Gut1985; 26: 783–8
30.
ShawJ., CreedF.The cost of somatisation. J Psychosom Res1991; 35: 307–12
31.
SartoriusN.Mental health policies and programs for the twenty-first century: a personal view. Integr Psych1987; 5: 151–8
32.
WilcoxR.G., RolandJ.M., HamptonJ.R.Prognosis of patients with “chest pain ?cause”. BMJ1981; 282: 431–3
33.
CreedF., CraigT., FarmerR.Functional abdominal pain, psychiatric illness, and life events. Gut1988; 29: 235–42
34.
WessleyS., PowellR.Fatigue syndromes: a comparison of chronic ‘postviral’ fatigue with neuromuscular and affective disorders. J Neurol Neurosurg Psychiatry1989; 52: 940–8
35.
FitzpatrickR., HopkinsA.Referrals to neurologists for headaches not due to structural disease. J Neurol Neurosurg Psychiatry1981; 44: 1060–7
36.
CraufordD.I.O., CreedF., JaysonM.I.V.Life events and psychological disturbance in patients with low-back pain. Spine1990; 15: 490–4
KlimesI., MayouR.A., PearceM.J., ColesL., FaggJ.R.Psychological treatment for atypical non-cardiac chest pain: a controlled evaluation. Psychol Med1990; 20: 605–11
39.
GuthrieE., CreedF., DawsonD., TomensonB.A controlled trial of psychological treatment for the irritable bowel syndrome. Gastroenterology1991; 100: 450–7
40.
PearceS., BeardR.W.Chronic pelvic pain in women. In: BassC.M., ed. Somatisation: physical symptoms and psychological illness.Oxford: Blackwell, 1990
41.
BrookeO.G., AndersonH.R., BlandJ.M., PeacockJ.L., StewartC.M.Effects on birth weight of smoking, alcohol, caffeine, socioeconomic factors and psychosocial stress. BMJ1989; 298: 795–801
42.
MutaleT., CreedF., MareshM., HuntL.Life events and low birth weight - analysis by infants born prematurely and small for gestational age. Br J Obstet Gynaecol1991; 98: 166–72
43.
MarsdenC.D.What should neurologists do?J Neurol Neurosurg Psychiatry1981; 44: 1059–60
44.
CreedF.H., GuthrieE.Psychological treatments of the irritable bowel syndrome: a review. Gut1989; 30: 1606–9
