‘Activate the Membership’

IN THIS ISSUE: CLP 2021 | Best Practice | COVID-19 Task Force | Proactive C-L Psychiatry | Diversity | Neural Impairment

‘Activate the Membership’ urges COVID-19 Task Force

Academy Board will examine key recommendations

ACLP’s Board is being urged to “activate the membership” to provide a blueprint for best practice during the COVID-19 pandemic, and future epidemics, based on learning from experiences of COVID-19.

The Board should encourage Academy members’ efforts to research, collate evidence, and write and disseminate best practice guidelines in an orchestrated agenda which could be put into effect through existing and new special interest groups.

That is the key recommendation from an ACLP Task Force set up to examine COVID-19 implications for C-L Psychiatry.

Over coming months, the Board will consider the task force’s report which sets out actions needed under five headings:

Remote work and telepsychiatry
“Telepsychiatry is here to stay,” says task force chair Peter Shapiro, MD, DLFAPA, FACLP, Columbia University Irving Medical Center.

Peter Shapiro, MD, DLFAPA, FACLP
Peter Shapiro, MD, DLFAPA, FACLP

“But what is the best way to use it; how will we be paid for it; and how do we get regulatory systems to permit it?” The Academy, and Academy members, need to:

  • Collate and disseminate best practices.
  • Advocate for regulation and reimbursement to support telepsychiatry.
  • Promote studies of efficacy and outcomes of telepsychiatry.

Support for hospital staff
‘Psychological first aid’—originally conceived to support staff during disasters—needs to be further developed into a program pertinent to the epidemic, and implemented, says the task force. The Academy needs to:

  • Highlight research and offer training resources.
  • Encourage studies of program effectiveness.
  • Advocate for support structures for hospital staff.

Support for C-L psychiatrists
The wellness of C-L psychiatrists needs its own program of support. We need to:

  • Maintain the Academy’s COVID-19 listserv and website resources page.
  • Encourage development of best practice guidelines for ‘behavioral codes’ and provide training resources on the Academy’s website and through workshops at annual meetings. “C-L psychiatrists and other hospital staff may not be able to maintain physical distance from contagious patients who are acutely agitated,” says Dr. Shapiro. “Knowing how to deal with that situation so as to avoid infection is critical for staff safety.”
  • Survey members about their wellbeing and concerns; gather data on incidence of COVID-19 among C-L psychiatrists; and assist members who need help in negotiation with their institutions.

Psychiatry and neuropsychiatry of COVID-19
Hospitalized COVID-19 patients have very high rates of acute psychiatric illness. The Academy should:

  • Encourage research on delirium, acute stress, anxiety, depression, and late neuropsychiatric sequelae of infection.
  • Disseminate treatment guidelines and best practices.
  • Advocate against systemic bias and disparities in care among under-served communities.

The ACLP should take stands in support of our patients, our medical colleagues, and ourselves by:

  • Stating official positions in support of access to and equity in care.
  • Engaging other stakeholders to support wellbeing of health care workers.

“There is a lot to do and a great deal that we still have to learn,” says Dr. Shapiro.

ACLP’s president Maria Tiamson-Kassab, MD, FACLP, welcomed the task force’s report on behalf of the Board. “The task force chair and members have done an excellent job producing such wide-ranging and valuable recommendations so quickly,” says Dr. Tiamson-Kassab. “The Academy’s Board and Executive Committee have already reviewed and discussed these recommendations and we are working together with the task force to plan how as many as possible of them can be implemented.”


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Coronavirus 2019 / COVID-19 / SARS-CoV-2


The Academy of Consultation-Liaison Psychiatry (ACLP) has collected several resources to support Consultation-Liaison Psychiatrists wrestling with issues related to, or caused by Coronavirus 2019 / COVID-19 / SARS-CoV-2. Not all originate from the Academy.

ACLP-developed resources

C-L Psychiatry/COVID-19 listserv

ACLP has launched a listserv dedicated to C-L Psychiatry and COVID-19 issues. The list is not restricted to only Academy members; any medical care provider with an interest in these issues may join and participate in the conversation. To subscribe to the list, send a blank email to COVID-19-subscribe-request@list.clpsychiatry.org. You will receive a confirmation request in response. Once confirmed, you will start receiving list emails and can email the list yourself.

Note: this listserv is NOT tied to your Academy membership and you cannot control subscription to it via your Academy member profile. You must subscribe to it directly and unsubscribe to leave it. Only subscribers can email the list.

The list allows for standard attachments, such as Word, Excel and PowerPoint files, and PDF documents, up to a total email size limit (that is, the email size is counted with the document file size) of 3 MB.

If you’re subscribed and want to unsubscribe, send a blank email from the email you wish to remove from the list to COVID-19-signoff-request@list.clpsychiatry.org.


Member-submitted Resources, Links, and Stories

We are seeking submissions from our members for our COVID-19 section. For the Resources page, we are seeking reports from services about the situation at your institution, changes in your operations, new policies and procedures, case reports or clinical comments, ethical discussions, or any other documents that may help your colleagues respond to this crisis. Such reports are invaluable as hospitals make plans for the crisis. For the Links page, we are seeking web addresses that offer useful COVID-19 information. For the Stories page, we are seeking stories or pieces of 55 words or less about your experiences. All items are peer-reviewed within 24 hours and posted as appropriate. Please include in your email that you have no conflicts of interest (or make appropriate disclosure). Thank you for all submissions so far and thank you in advance for your future submissions.

Please send all submissions to COVID-19@CLpsychiatry.org.