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The Creation of a Psychiatry-Palliative Care Liaison Team: Using Psychiatrists to Extend Palliative Care Delivery and Access During the COVID-19 Crisis
| Content Provider | Scilit |
|---|---|
| Author | Shalev, Daniel Nakagawa, Shunichi Stroeh, Oliver M. Arbuckle, Melissa R. Rendleman, Rebecca Blinderman, Craig D. Shapiro, Peter A. |
| Copyright Year | 2020 |
| Description | Journal: Journal of Pain and Symptom Management Over the course of March and April 2020, New York City experienced a surge of a hundred and seventy thousand COVID-19 cases, overwhelming hospital systems and leading to an unprecedented need for palliative care services. To present a model for rapid palliative care workforce expansion under crisis conditions, utilizing supervised advanced psychiatry trainees to provide primary palliative services in the acute care and emergency setting. In response to the New York City COVID-19 surge, advanced psychiatry trainees at New York-Presbyterian Columbia University Irving Medical Center were rapidly trained and redeployed to a newly formed psychiatry-palliative care liaison team. Under the supervision of consultation-liaison psychiatrists (who also served as team coordinators), these trainees provided circumscribed palliative care services to patients and/or their families, including goals of care discussions and psychosocial support. Palliative care attendings remained available to all team members for more advanced, specialized supervision. The psychiatry-palliative care liaison team effectively provided palliative care services during the early phase and peak of New York City's COVID-19 crisis, managing up to 16 new cases per day and provided longitudinal follow-up, thereby enabling palliative care specialists to focus on providing services requiring specialist-level palliative care expertise. By training and supervising psychiatrists and advanced psychiatry trainees in specific palliative care roles, palliative care teams could more effectively meet markedly increased service needs of varying complexity during the COVID-19 crisis. As new geographic regions experience possible COVID-19 surges in the coming months, this may serve as a model for rapidly increasing palliative care workforce. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293533/pdf |
| Ending Page | e16 |
| Page Count | 5 |
| Starting Page | e12 |
| ISSN | 08853924 |
| e-ISSN | 18736513 |
| DOI | 10.1016/j.jpainsymman.2020.06.009 |
| Journal | Journal of Pain and Symptom Management |
| Issue Number | 3 |
| Volume Number | 60 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2020-09-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Pain and Symptom Management Psychiatry and Mental Health Primary Palliative Care |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nursing Neurology (clinical) Anesthesiology and Pain Medicine |
