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In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request. [ 1 ] [ 2 ] Tertiary care is usually done by referral from primary or secondary medical care personnel.
Liaison psychiatry usually provides a service to patients in a general medical hospital, either inpatients, outpatients or attenders at the emergency department.Referrals are made when the treating medical team has questions about a patient's mental health, or how that patient's mental health is affecting his or her care and treatment.
Medical decisions are enhanced as each provider involved has the full patient information available to them. [5] Duplicate tests are eliminated as patient information is being shared from one provider to another. [6] The speed of communication is improved by removing delays related to paper-based transmission, ensuring a faster response rate.
The attempt to create a unified method of child mental health care led to the increase of child guidance clinics in England throughout the mid-twentieth century. [2] The spread of clinics across Europe coincided with the absence of hospital care as the lack of distinction between child and adult psychiatry prevented further analysis of child diagnosis and treatment. [2]
Since 1995, UK CAMHS have largely been organised around the four-tier framework: [9] [10] Tier 1 mental health promotion, ill-health prevention work, and general advice and treatment for less severe problems by non-mental health specialists working in universal children’s services, such as GPs, school nurses, social workers, and voluntary agencies.
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