Psychiatric Disease

2017 Consultation Liaison Inpatient Psychiatry Service

The Consultation Liaison (CL) Psychiatry Service specializes in the interface between medicine and psychiatry. At Cleveland Clinic, the CL Psychiatry Service performs more than 3000 consults annually, evaluating, at the request of the treating medical or surgical team, patients currently admitted as general medical inpatients. The reasons for consultation are varied and may include assistance in the management of delirium, mood, anxiety, and adjustment disorders as well as addiction and capacity evaluations. A majority of consultations are for management of delirium.

Reduction in Illness Severity Following Inpatient Psychiatry Consultation for Delirium (N = 70)

2017

CGI-S = Clinical Global Impression – Severity

Mean group CGI-S scores at baseline assessment and at last follow-up visit are displayed for a sample of adult inpatients evaluated and treated for delirium by the CL Psychiatry Service in 2017. On average, patients experienced a significant reduction, defined as ≥ 2, in overall severity of illness following psychiatric consultation within an average of approximately 4 days, with scores dropping from a mean baseline score of 7.0 (extremely ill) to a follow-up score of 3.2 (mildly ill) (P < 0.0001).