1. Mental Health Liaison services for children and adolescent
Dr Stephen Cronin
Consultant Paediatrician
Designated Doctor for Child protection
Invited by Dr Philippa Bolton
Mental Health Liaison services for children and adolescent

2. Liaison service. What is it? What's different from the “Crisis Team”?
Weekly liaison meeting
Early involvement
Office in Treetops
Some examples of areas of need:

3. Need for CAMHs or Crisis Team cover
Example 1
Teenagers with self-harm
Suicidal Risk
NB “Place of Safety”
Need for CAMHs or Crisis Team cover
Crisis team has been effective

4. Example 2 Eating disorders Not our area of expertise
Need for input on the ward
Need for jointly agreed eating/management plans

5. Functional disorder a huge area of need Conversion disorder
Example 3
Functional disorder a huge area of need
Conversion disorder
Bernadette 2yrs on the ward
Weekly hour of psychology
Movement disorder
Chronic pain syndromes

6. Comorbidity to medical disorder Diabetes Asthma Chronic Fatigue
Example 4
Comorbidity to medical disorder
Diabetes
Asthma
Chronic Fatigue
Need for early and more significant overlap/joint working

7. Acute psychiatric problem
 Example 6
Acute psychiatric problem
Psychosis
Not an apparent area of demand to hospital Paediatrics
Visual hallucination

8. Example 5 Child at risk to themselves or others
Not necessarily Psychiatric
Behavioural
Drugs induced
Social
“Place of safety”
Not Police, SS, ED on Paediatric ward