{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T10:10:11Z","timestamp":1755857411114,"version":"3.44.0"},"reference-count":63,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Excessive alcohol use is common among people presenting to emergency departments with self-harm; however, this group face barriers accessing appropriate support. This study aimed to evaluate a rapid access personalised face-to-face service developed to address this gap and explore wider implementation opportunities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a service evaluation with a mixed methods convergent design. An NHS data custodian extracted and anonymised electronic health records data prior to sharing with the research team for analysis using descriptive statistics and non-parametric tests. Qualitative semi-structured interviews were conducted with patients and clinicians and analysed thematically. Quantitative and qualitative data were integrated, and meta-inferences drawn.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients accessing the service (n=68) were mostly female (61.8%), white (83.9%), mean age 35 years (range 19-69), and most experienced additional mental health conditions alongside excessive alcohol use. Preliminary exploratory calculations comparing baseline to follow-up Recovery Quality of Life (ReQoL-20) scores suggested positive change. Three themes were identified from interviews with patients (n=11) and clinicians (n=7): (1) what the service added: rapidly plugging a recognised care gap for people using alcohol excessively but who are non-dependent and have poor mental health (2) what worked well: tailored relational support that builds recovery positive social networks and personal coping strategies (3) what could be improved: opportunities\/challenges to sustaining and scaling-up the service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings contribute to an evidence gap in appropriate care for patients with excessive alcohol use, self-harm and poor mental health. Whilst limited to one service, the findings highlight what patients valued, opportunities for implementation in other contexts, and thus have relevance internationally.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1608804","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T09:42:00Z","timestamp":1755855720000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Personalised care for people with excessive alcohol use following an episode of self-harm: a mixed methods community case study in a psychiatric liaison 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