Psychiatric Disease

2018 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 inpatient consults annually. 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 = 65) 2018

Reduction in Illness Severity Following Inpatient Psychiatry Consultation for Delirium (N = 65)

2018

CGI-S = Clinical Global Impression – Severity

Mean group Clinical Global Impression – Severity 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 2018. On average, patients experienced a significant reduction, defined as ≥ 2 point change, 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 3.1 (mildly ill) (P < 0.0001).