The clinical utility of the IRAC component of the Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP)

BJPsych Bulletin
Caroline GuestAnish Patel

Abstract

Aims and methodThe clinical utility of the multidimensional Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP) has not previously been examined. We sought to establish whether referral accuracy and ability to achieve the reason(s) for referral to our liaison service improved after incorporating the Identify and Rate the Aim of the Contact (IRAC) scale of this tool into our referral process. We carried out a retrospective analysis of electronic case notes of all appropriate referrals to the team before and after this adaption. Accuracy of referrals to our team improved from 73.8 to 93.7% following intervention. Referral requests that were fully achieved improved from 57.4 to 77.8%, and referral requests that were not achieved decreased from 26.2 to 6.4%.Clinical implicationsThe IRAC component of the FROM-LP measures what it was developed for, and thus has clinical utility supporting its widespread adoption across liaison services in the National Health Service.Declaration of interestNone.

References

May 23, 2012·Heart, Lung & Circulation·William A ParsonageMartin Than
Feb 18, 2014·Journal of Psychosomatic Research·Rebecca Wood, Anne P F Wand
Dec 30, 2014·Health and Quality of Life Outcomes·Ngadiman DjajaMonika Janda
Jun 30, 2015·Child and Adolescent Psychiatry and Mental Health·Audri LamersRobert Vermeiren
Aug 12, 2016·BJPsych Bulletin·Elspeth GuthrieDamien Longson

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Citations

Mar 5, 2018·BJPsych Bulletin·Else GuthrieRachel Thomasson

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