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Practice Patterns in Pediatric Consultation–Liaison Psychiatry

A National Survey

Received August 25, 2004; revised January 31, 2005; accepted March 7, 2005. From Stanford University School of Medicine; National Jewish Medical and Research Center; and the UCLA Neuropsychiatric Institute. Address correspondence and reprint requests to Dr. Shaw, Division of Child Psychiatry, Stanford University School of Medicine, 401 Quarry Rd., Stanford, CA 94305-5719. e-mail: rjshaw{at}leland.stanford.edu

The purpose of this survey was to describe the current status of pediatric consultation–liaison (C–L) services in the United States. A total of 144 pediatric C–L programs were surveyed, with a response rate of 33%. Financial and staffing constraints were cited as common problems; 61% of programs reported an increase in consultation requests over the past 5 years, however, 30% of services reported a decrease in funding. Collection rates for professional billings average 30%; 57% of services reported an increase in clinical service demands at the expense of teaching and liaison activities. Discussion includes recommendations based on the results of the survey.

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