The UCSF Psychiatry Consultation-Liaison Service provides psychiatric and psychological consultation services to the emergency department at Parnassus and adult inpatients at Parnassus, Mission Bay, and Mount Zion. We provide assessment and treatment for changes in emotions, thinking, memory, behavior, and perception in patients on the medical, surgical, neurology, OB, and ICU wards. We also help medical and nursing staff work effectively with patients experiencing mental health crises in the general hospital setting. We provide in-person consultation at Parnassus, telemedicine consultation to Mission Bay and Mount Zion, and also provide inpatient e-consults where appropriate to all sites.
We are available 24/7, 365 days per year.* Physicians can page (415) 443-1743 to request a consult.
Faculty and staff
- Larry Kaplan, DO, FACLP (director)
- Eva Ihle, MD, PhD (associate director)
- Tova Fuller, MD, PhD
- Hilary Grubb, MD
- Rebekah Manno, DNP, PMHNP-BC, FNP-BC, CNL, RN
- Lauri Pasch, PhD
- Margo Pumar, MD
- Ramotse Saunders, MD
Services
Common situations prompting consultation include:
- Suicidal thoughts and behavior
- Altered mental status (e.g. delirium, catatonia)
- Behavior interfering with care
- Abnormal illness behavior (e.g. somatization, factitious disorder)
- Behavioral and psychological symptoms of dementia
- Concerns regarding patient’s decision-making capacity
- Agitation and aggression
- Challenges with adherence to medical treatment
- Depression and Anxiety in the setting of medical illness
- Demoralization in the face of serious illness
- Emotional and behavioral changes due to neuromedical disease
- Management of pre-existing serious mental illness in medically/surgically hospitalized patients
- Suspected complications of psychotropic medications (e.g. neuroleptic malignant syndrome, serotonin toxicity)
We offer specialist inpatient consultation services in the following areas:
- Psycho-oncology (including End of Life Options Act evaluations)
- Neuropsychiatry
- Transplantation psychiatry and psychology (including psychological candidacy for solid organ transplantation)
- Reproductive psychiatry and psychology
- Developmental medicine (including transitional aged youth coping with chronic medical illness and adults with autism spectrum disorder and other developmental disabilities)
- Addiction medicine
- Interventional psychiatry, including ECT, TMS, and ketamine therapy
- Eating disorders
