Rate of involuntary admission in Dublin South West: a 5-year retrospective review

2015 ◽  
Vol 32 (4) ◽  
pp. 341-345 ◽  
Author(s):  
S. McManus ◽  
B. McDonnell ◽  
P. Whitty
Keyword(s):  
Mental Health ◽  
Public Attitudes ◽  
Psychiatric Inpatient ◽  
International Studies ◽  
Involuntary Admission ◽  
Consultant Psychiatrist ◽  
Admission Rates ◽  
South West ◽  
Psychiatric Inpatient Unit ◽  
Number Of Patients

ObjectiveInternational figures for involuntary admissions vary widely. Differences in legislation, professionals’ ethics and public attitudes towards risk have been known to influence this rate. Comparing involuntary admission rates in different parts of the same country can help control for variability found between international studies. This study assessed the rates of involuntary admissions in the Dublin South West Mental Health Service compared with the rest of Ireland.MethodsWe examined the demographic and clinical profiles of all involuntary patients admitted to the acute psychiatric inpatient unit in Tallaght Hospital between 2007 and 2011. We compared the rate of admission in Tallaght with the rest of Ireland. Data gathered included all patients detained on Form 6 and Form 13 (change of status) looking at age, gender, diagnosis and number of patients who had a Mental Health Tribunal. Form 7 (renewal orders) was also examinedWe calculated the rate per 100 000 population per year of Form 6 admissions, Form 13 and Form 7 (certificate and renewal order by responsible consultant psychiatrist) using figures from the 2006 Census. All data were analysed using SPSS.ResultsThe rate of involuntary admission in Tallaght Hospital was significantly lower compared with the rest of Ireland (Form 6: t=−11.2; p<0.001, Form 13: t=−3.1; p=0.04, Form 7: t=−13.9; p=0.001). This difference was evident for all methods of involuntary detention and was also the case for Form 7 (renewal orders). Mental Health Tribunals were held for 59% of patients, a rate comparable with earlier findings described in publications, following the introduction of the new Mental Health Act.ConclusionsRates per 100 000 population were lower in Dublin South West compared with the rest of Ireland. The reasons for this are not clear. Further research comparing similar services in Ireland could explain these findings.

Clinical predictors of involuntary detention among voluntary inpatients in St Patrick’s University Hospital (SPUH)

2015 ◽  
Vol 34 (1) ◽  
pp. 13-18
Author(s):  
B. Masood ◽  
S. O’Ceallaigh ◽  
T. Thekiso ◽  
M. Nichol ◽  
P. Kowalska-Beda ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicide Risk ◽  
Clinical Characteristics ◽  
University Hospital ◽  
Involuntary Admission ◽  
Clinical Predictors ◽  
Consultant Psychiatrist ◽  
Mental Health Act ◽  
Admission Status ◽  
Act Assessment

BackgroundFew studies have described clinical characteristics of patients subject to an involuntary detention in an Irish context. The Irish Mental Health Act 2001 makes provision under Section 23(1), whereby a person who has voluntary admission status can be detained.AimsThis study aimed to describe all involuntary admissions to St Patrick’s University Hospital (SPUH) (2011–2013) and to evaluate clinical characteristics of voluntary patients who underwent Mental Health Act assessment during 2011 to determine differences in those who had involuntary admission orders completed and those who did not.MethodsAll uses of Mental Health Act 2001 within SPUH 2011–2013 were identified. All uses of Section 23(1) during 2011 were reviewed and relevant documents/case-notes examined using a pro forma covering clinical data, factors recognized to influence involuntary admissions and validated scales were used to determine diagnoses, insight, suicide and violence risk.ResultsOver 2011–2013, 2.5–3.8% of all admissions were involuntary with more detained after use of Section 23(1) than Section 14(2). The majority of initiations of Section 23(1) did not result in an involuntary admission (72%), occurred out of hours (52%) and many occurred early after admission (<1 week, 43%). Initiation of Section 23(1) by a consultant psychiatrist (p=0.001), suicide risk (p=0.03) and lack of patient insight into treatment (p=0.007) predicted conversion to involuntary admission.ConclusionThis study predicts a role for patient insight, suicide risk and consultant psychiatrist decision making in the initiation of Mental Health Act assessment of voluntary patients. Further data describing the involuntary admissions process in an Irish setting are needed.

Cultural Change: Implementation of a Recovery Program in a Veterans Health Administration Medical Center Inpatient Unit

2018 ◽  
Vol 25 (3) ◽  
pp. 208-217 ◽  
Author(s):  
James G. McDonagh ◽  
William Blake Haren ◽  
Mary Valvano ◽  
Anouk L. Grubaugh ◽  
Frank C. Wainwright ◽  
...  
Keyword(s):  
Mental Health ◽  
Cultural Change ◽  
Medical Center ◽  
Psychiatric Inpatient ◽  
Veterans Health Administration ◽  
Inpatient Unit ◽  
Veterans Health ◽  
Health Administration ◽  
Psychiatric Inpatient Unit ◽  
Recovery Program

INTRODUCTION:The Freedom Commission’s recommendations, Substance Abuse and Mental Health Services Administration’s framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre–post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.

Analysis of Episodes of Involuntary Re-admission in Ireland (2007-2010)

2012 ◽  
Vol 29 (3) ◽  
pp. 180-184 ◽  
Author(s):  
Gerry Cunningham
Keyword(s):  
Mental Health ◽  
Empirical Analysis ◽  
Psychiatric Hospitals ◽  
Demographic Characteristics ◽  
National Database ◽  
Involuntary Admission ◽  
Initial Examination ◽  
Mental Health Act ◽  
Rural Counties ◽  
Number Of Patients

AbstractObjectives: Initial examination of data held by the Mental Health Commission indicated a number of patients having repeated involuntary readmissions (defined as patients having three or more involuntary episodes in a calendar year). The Commission sought more empirical analysis of the data relating to these patients, to determine if there were any trends or commonality regarding their demographic characteristics, length of episode, and diagnoses.Methods: From 1 November 2006 the Mental Health Commission has been notified of all involuntary admissions in Ireland under the Mental Health Act (2001). From this national database information on patients who have had three or more involuntary admissions per year was analysed.Results: In the period studied there has been an overall reduction in the number of voluntary and involuntary admissions to Irish psychiatric hospitals and units. However, the use of involuntary admission remains constant at around 10% of all admissions. Seven percent (n=569) of involuntary admission orders in this four year period relate to two percent (n=121) of all involuntary patients. Patients who have experienced repeated involuntary admissions are predominantly male (59%), often have a diagnosis of schizophrenia, or schizotypal and delusional disorders (57%), or mania (20%), are in the age band 22-64 (80%) and more often live in rural counties.Conclusions: Potential appears to exist to significantly reduce the number of involuntary admissions by focusing on the care given to patients who are repeatedly re-admitted. More analysis is needed of voluntary and involuntary re-admissions if inpatient facilities are to be effectively configured.

Involuntary Hospitalization in Canadian Psychiatric Inpatient Facilities, 1970–1978

1983 ◽  
Vol 28 (7) ◽  
pp. 536-541 ◽  
Author(s):  
Rodney Riley ◽  
Alex Richman
Keyword(s):  
Psychiatric Inpatient ◽  
Historical Review ◽  
Psychiatric Hospitals ◽  
Quantitative Information ◽  
Involuntary Admission ◽  
Involuntary Hospitalization ◽  
General Hospitals ◽  
Admission Rates ◽  
Psychiatric Units ◽  
Statistics Canada

This study is concerned with providing quantitative information on involuntary hospitalization of the mentally ill in Canada. It presents national statistical data on involuntary hospitalization to provincial mental and psychiatric hospitals, and psychiatric units of general hospitals for the period 1970–1978. The data used are based on the statistical information on psychiatric in-patients collected by the Mental Health Program of Statistics Canada for the period 1970–1978. The data indicate a moderate decline in involuntary admission rates. Men had consistently higher involuntary admission rates and women had consistently higher voluntary admission rates for the same period. Of the total commitments 22% were to psychiatric units of general hospitals. A high commitment rate was found for the elderly. As this is the first national quantitative analysis, both in Canada and in the international literature, the information presented should provide a useful objective perspective for a historical review of involuntary admissions to mental and psychiatric hospitals and psychiatric units of general hospitals.

The challenges of facilitating a mindfulness programme in a psychiatric inpatient unit

2015 ◽  
Vol 33 (4) ◽  
pp. 265-267
Author(s):  
D. Lavin
Keyword(s):  
Mental Health ◽  
Psychiatric Inpatient ◽  
Acute Stage ◽  
Inpatient Unit ◽  
Mental Health Setting ◽  
Exclusion Criteria ◽  
Training Requirements ◽  
Inpatient Mental Health ◽  
Psychiatric Inpatient Unit ◽  
Mental Health Difficulties

Facilitating mindfulness programmes within an inpatient mental health setting is discussed. The difficulty in effectively engaging patients at this acute stage in their illness is focussed upon. Other challenges discussed are identifying appropriate inclusion and exclusion criteria; identifying the optimal programme format for this setting; promoting mindfulness within the environment of the inpatient unit and the training requirements for programme facilitators. The article concludes that due attention should be given to these challenges in order to maintain the integrity of mindfulness as an effective intervention for mental health difficulties.

Public attitudes towards involuntary admission and treatment by mental health services in Norway

2017 ◽  
Vol 55 ◽  
pp. 1-7 ◽  
Author(s):  
Inge Joa ◽  
Kjetil Hustoft ◽  
Liss Gøril Anda ◽  
Kolbjørn Brønnick ◽  
Olav Nielssen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Public Attitudes ◽  
Involuntary Admission

scholarly journals Satisfaction with care in a Brazilian psychiatric inpatient unit: differences in perceptions among patients according to type of health insurance

2019 ◽  
Vol 41 (1) ◽  
pp. 27-35
Author(s):  
Julia Almeida Godoy ◽  
Gabriela Pavan ◽  
Ricardo Tavares Monteiro ◽  
Luis Souza Motta ◽  
Marco Antonio Pacheco ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Insurance ◽  
Mental Health Services ◽  
Health Services ◽  
Treatment Satisfaction ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Satisfaction With Care ◽  
Important Indicator ◽  
Psychiatric Inpatient Unit

Abstract Introduction User satisfaction assessment in mental health services is an important indicator of treatment quality. The objective of this study was to evaluate treatment satisfaction in a sample of inpatients with mental disorders and the associations between levels of satisfaction and clinical/sociodemographic variables. Methods This exploratory study investigated 227 psychiatric inpatients who answered the Patient Satisfaction with Mental Health Services Scale (SATIS-BR) and the Perception of Change Scale (EMP). SATIS scores were analyzed according to associations with clinical and sociodemographic data. Pearson correlations were used to correlate SATIS scores with other variables. Results We found a high degree of satisfaction with care at the psychiatric inpatient unit assessed. In general, patients rated maximum satisfaction for most items. The highest satisfaction scores were associated with patients receiving treatment through the Brazilian Unified Health System (SUS) and with less education. SATIS showed a moderate positive correlation with EMP. The worst evaluated dimension was physical facilities and comfort of the ward. Conclusion Patients treated via SUS may be more satisfied than patients with private health insurance when treated in the same facility. The evaluation of treatment satisfaction can be used to reorganize services at psychiatric inpatient units.

Compulsory Admissions in a Psychiatric Inpatient Unit: A 4-year Retrospective Study

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
C. Vieira ◽  
J. Ramos ◽  
J. Alexandre ◽  
G. Cardoso
Keyword(s):  
Clinical Characteristics ◽  
Average Length ◽  
Local Population ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Socioeconomic Level ◽  
Low Socioeconomic ◽  
Admission Rates ◽  
Average Length Of Stay ◽  
Psychiatric Inpatient Unit

Introduction:Large discrepancies in psychiatric compulsory admission rates have been found in the different European countries. However, some trends seem to exist in most studies: compulsorily admitted patients are more frequently male, unemployed, with a lower level of education, are more likely to belong to racial minorities (mainly black), and the most frequent diagnosis is schizophrenia.Aims:To compare demographic and clinical characteristics of patients voluntarily and compulsorily admitted to a Portuguese psychiatric unit.Methods:Retrospective data of all the patients admitted to a psychiatric inpatient unit, from January 2004 to December 2007, were reviewed. The demographic and clinical characteristics of compulsorily and voluntarily admitted patients were compared.Results:In a total of 1434 admissions, 180 were compulsory (11.2%). Compared to voluntarily admitted patients, those admitted compulsorily were significantly younger (38.2 vs. 43.6 years), more frequently male (62.8 vs. 47.1%), and black (27.8% vs. 19.9%), received more often a diagnosis of schizophrenia (34.4 vs. 19.0%), and had a longer average length of stay (27.0 vs. 18.5 days). There were no statistically significant differences in the seasonality of admissions or the number of readmissions in both groups.Conclusion:The results are similar to those obtained in other studies, except for a higher rate of compulsory admissions. That can be explained by, among other factors, the low socioeconomic level and high percentage of immigrants in the local population. The comparison with voluntarily admitted patients helps identify characteristics associated with the two groups.

Reflection of a 2-year journey since the introduction of psychiatric behaviour of concern (Psy-BOC) call, a medical emergency team (MET) call equivalent for the deteriorating mental health of patients

2020 ◽  
Vol 28 (4) ◽  
pp. 407-409
Author(s):  
Ilan Rauchberger ◽  
Fiona Whitecross
Keyword(s):  
Mental Health ◽  
Capacity Building ◽  
Systematic Approach ◽  
Psychiatric Inpatient ◽  
Medical Emergency Team ◽  
Inpatient Unit ◽  
Medical Emergency ◽  
Cultural Changes ◽  
Emergency Team ◽  
Psychiatric Inpatient Unit

Objective: To reflect on the challenges encountered and the resultant cultural changes that occurred during the implementation of psychiatric behaviour of concern (Psy-BOC), a medical emergency team (MET) equivalent for the deteriorating mental health of patients within an adult psychiatric inpatient unit. Conclusions: Implementing Psy-BOC on an adult psychiatric inpatient unit has been challenging, but it has successfully embedded a systematic approach to early escalation and capacity building to prevent and manage harmful behaviours.

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