A multidisciplinary team (MDT) approach to managing alcohol-dependent patients with comorbid depression in an acute hospital setting

Owens, L ORCID: 0000-0001-7549-9350, Patterson, K, King, G and Richardson, P
(2017) A multidisciplinary team (MDT) approach to managing alcohol-dependent patients with comorbid depression in an acute hospital setting. .

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<jats:sec id="S0924933800204720_abst0001" sec-type="intro"><jats:title>Introduction</jats:title><jats:p>Alcohol-dependent patients have a significantly increased risk of depression, contributing a cycle of relapse and attendance at acute hospital services seeking help. Care is often focused on the alcohol dependence treatment with little consideration of concomitant psychiatric disorders.</jats:p></jats:sec><jats:sec id="S0924933800204720_abst0002" sec-type="other"><jats:title>Aim</jats:title><jats:p>To help bridge this gap in care planning and aim toward multidisciplinary long-term support.</jats:p></jats:sec><jats:sec id="S0924933800204720_abst0003" sec-type="methods"><jats:title>Method</jats:title><jats:p>We collected data on all patients referred to our alcohol complex patient MDT. We investigated the range of disciplines involved in patient care. We spoke to our patients about why they had chosen to attend hospital. We then developed a referral system to our alcohol MDT where a bespoke pathways of care was developed with all current and future care providers.</jats:p></jats:sec><jats:sec id="S0924933800204720_abst0004" sec-type="results"><jats:title>Results</jats:title><jats:p>Our patients were often being cared for by multiple services, however much of this work was happening in isolation and was at times conflicting. Importantly, the patients were unclear where to go for what, and were utilizing the ED as a fail-safe when they were troubled.</jats:p><jats:p>Of 15 patients referred to MDT, 7 (50%) had a diagnosis of depression (DSM-IV). These patients had an average of 5.1 hospital attendances and 2.2 hospital admissions in the 3 months prior to MDT. At 3 months post-MDT, we were able to demonstrate a reduction in hospital admissions and attendances (average 2.2 &amp; 1.4, respectively).</jats:p></jats:sec><jats:sec id="S0924933800204720_abst0005" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>An MDT for alcohol-dependent patients with depression facilitates effective and collaborative working for the benefit of patients and services.</jats:p></jats:sec><jats:sec id="S0924933800204720_abst01" sec-type="other"><jats:title>Disclosure of interest</jats:title><jats:p>The authors have not supplied their declaration of competing interest.</jats:p></jats:sec>

Item Type: Conference or Workshop Item (Unspecified)
Depositing User: Symplectic Admin
Date Deposited: 09 Aug 2017 08:42
Last Modified: 19 Jan 2023 06:58
DOI: 10.1016/j.eurpsy.2017.02.447
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3008881