PT - JOURNAL ARTICLE AU - Deba Choudhury-Peters AU - Vicky Dain TI - Developing psychological services following facial trauma AID - 10.1136/bmjquality.u210402.w4210 DP - 2016 Jun 01 TA - BMJ Quality Improvement Reports PG - u210402.w4210 VI - 5 IP - 1 4099 - http://bmjopenquality.bmj.com/content/5/1/u210402.w4210.short 4100 - http://bmjopenquality.bmj.com/content/5/1/u210402.w4210.full SO - BMJ Qual Improv Report2016 Jun 01; 5 AB - Adults presenting to oral and maxillofacial surgery services are at high risk of psychological morbidity. Research by the Institute of Psychotrauma and the centre for oral and maxillofacial surgery trauma clinic at the Royal London hospital (2015) demonstrated nearly 40% of patients met diagnostic criteria for either depression, post traumatic stress disorder (PTSD), anxiety, alcohol misuse, or substance misuse, or were presenting with facial appearance distress. Most facial injury patients were not receiving mental health assessment or treatment, and the maxillofacial team did not have direct access to psychological services. Based on these research findings, an innovative one-year pilot psychology service was designed and implemented within the facial trauma clinic.The project addressed this need by offering collaborative medical and psychological care for all facial injury patients. The project provided brief screening, assessment, and early psychological intervention. The medical team were trained to better recognise and respond to psychological distress.