Our Sunshine place: A collective narrative and reflection on the experiences of a mental health crisis leading to an admission to a psychiatric inpatient unit

2018 ◽  
Vol 27 (4) ◽  
pp. 1240-1249 ◽  
Author(s):  
Marianne Wyder ◽  
Helena Roennfeldt ◽  
Rise Faith Rosello ◽  
Bridie Stewart ◽  
John Maher ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Psychiatric Inpatient Unit ◽  
Collective Narrative

Enhancing recovery: transition intervention service for return to the community following exit from an alternative to psychiatric inpatient admission – a residential recovery house

2015 ◽  
Vol 10 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Christopher Alan Griffiths ◽  
Samira Heinkel ◽  
Bohdana Dock
Keyword(s):  
Mental Health ◽  
Psychiatric Inpatient ◽  
Goal Achievement ◽  
Inpatient Admission ◽  
Personal Goal ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Content Type ◽  
Transition Intervention ◽  
Intervention Service

Purpose – The purpose of this paper is to evaluate the impact on recovery and personal goal attainment of a transition intervention service for return to the community following exit from an alternative to psychiatric inpatient admission – a residential recovery house. The services seek to facilitate community reintegration, promote recovery and prevent future mental health crisis. The service was funded by the Stone Family Foundation. Design/methodology/approach – This evaluation employed a within groups design: a single case evaluation follow-up. Analysis of Recovery Star and personal goal achievement data collected at service entry and exit points during routine practice (n=181), at four sites in England. The adults had mental illness diagnoses including depression, schizophrenia, bipolar disorder, personality disorder, and anxiety disorder. Findings – There was a significant increase in overall Recovery Star scores with a large effect size, and significant increases in eight of the ten Recovery Star life domains. There were significant increases in the goal scores linked to “Managing mental health”, “Self-care” and “Living skills”. Practical implications – A transitional intervention service provided by the third sector for return to community following mental health crisis may contribute to recovery and personal goal achievement. A randomised control trial of this transition intervention service is recommended. Originality/value – This is first outcome evaluation of an alternative to psychiatric inpatient admission transition intervention service and findings indicate the potential positive effect of having this service incorporated into the design of alternative to admission provision.

scholarly journals The Need for Making Contact in Times of Crisis

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Barbara Groot ◽  
Marian Vink ◽  
Gert Schout ◽  
Tineke Abma
Keyword(s):  
Psychiatric Inpatient ◽  
Psychiatric Emergency ◽  
Service Users ◽  
Mental Health Crisis ◽  
Patient Journey ◽  
Health Crisis ◽  
Responsive Evaluation ◽  
Body Of Knowledge ◽  
Psychiatric Inpatient Unit ◽  
The Moment

Descriptive studies on the experiences of service users in psychiatric emergency wards are increasing. However, the experience of users throughout the whole psychiatric emergency procedure, the ‘patient journey’ from the moment of mental health crisis leading to admission in a psychiatric inpatient unit, has rarely been studied. This article aims to make a further contribution to this body of knowledge by not only describing the service-users’ journey but also shows whether and how that perspective is received by other stakeholders like healthcare professionals, family-members, police, representatives of the municipality and ambulance staff and representatives of the municipality, to jointly make action-plans for improvement. A responsive evaluation including interviews, focus groups and dialogue session with a transformative aim was conducted in a mixed team of researchers with and without experiential knowledge. Service users and other stakeholders agree on the main issues: the importance of contact; signaling; expropriation and earning freedom. However, proposed actions differed between users and professionals. Service users proposed relational actions to offer good care. Professionals recommended actions in response to issues of fragmentation and discontinuity. We conclude that responsive evaluation can help to create a more informed and kaleidoscopic view of the complexity of psychiatric emergency care. Therefore, we recommend that various actions need to be considered to meet the needs of service users better covering all phases of Tronto’s care ethical model: caring about, taking care, caring giving and care receiving.

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.

scholarly journals “Medical Clearance” of Psychiatric Patients in the Emergency Department

2020 ◽  
Vol 9 (2) ◽  
pp. 159-165
Author(s):  
Genevieve Santillanes ◽  
Edore Onigu-Otite ◽  
Veronica Tucci ◽  
Nidal Moukaddam
Keyword(s):  
Mental Health ◽  
Emergency Care ◽  
Psychiatric Patients ◽  
Current System ◽  
Psychiatric Inpatient ◽  
Physical Stability ◽  
Young Patients ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Medical Clearance

Background & goals: The past few years have seen an increase in the number of children and adolescents presenting to emergency departments with mental health complaints, including, but not limited to, depression, suicidality, and substance use-related conditions. This places many demands on the emergency physicians ranging from evaluating medical stability (also known as medical clearance) to arranging for psychiatric are, be it inpatient or outpatient. The goals of this article are to describe the current landscape of emergency care for the pediatric patient presenting with mental health issues and to highlight gaps in the current system. Methods: We review the literature on the epidemiology of mental health emergency visits and guidelines for the medical clearance of pediatric and adolescent patients. Results: The needs of young patients with mental health difficulties exceed the resources available in emergency care. Linkage to outpatient care is often inadequate and may be reinforcing and perpetuating the current mental health crisis witnessed country-wide in the US. Guidelines are lacking to standardize care in the ED, but there is a consensus that extensive routine laboratory testing is unnecessary. Conclusions: Evaluation of physical stability, known as medical clearance, is a process best customized to every patient’s individual needs. However, requirements of admitting psychiatric inpatient facilities may conflict with recommendations of ancillary testing.

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.

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.

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.

Evaluation of the Psychiatric Decisions Unit (PDU): effect on emergency department presentations and psychiatric inpatient admissions

2019 ◽  
Vol 95 (1119) ◽  
pp. 6-11 ◽  
Author(s):  
Samuel P Trethewey ◽  
Shantal Deepak ◽  
Samuel Saad ◽  
Ellen Hughes ◽  
George Tadros
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Psychiatric Inpatient ◽  
Mental Health Crisis ◽  
Liaison Psychiatry ◽  
Optimal Care ◽  
Health Crisis ◽  
Psychiatric Admissions ◽  
Number Of Patients ◽  
The Impact

BackgroundBusy emergency departments (EDs) are not the optimum environment for assessment of patients in mental health crisis. The Psychiatric Decisions Unit (PDU) was developed by the Birmingham and Solihull Mental Health Foundation Trust as an enhanced assessment service to ensure patients in mental health crisis receive optimal care.AimsTo evaluate the activities of the PDU and its impact on the frequency of ED presentations and inpatient admissions, and to explore patient satisfaction.MethodsData were collected over a 6-month period during 2015 regarding patient demographics, referral sources, length of stay, and frequency of mental health-related ED presentations and inpatient psychiatric admissions. Comparison group data were used to evaluate the impact of the PDU. Patient satisfaction was measured using the ‘Friends and Family Test’ and structured feedback forms.ResultsIn total, 385 patients were referred to the PDU during the study period. Implementation of the PDU was associated with a 39% decrease in the number of patients taken to the ED by Street Triage and a 26% fall in inpatient psychiatric admissions via the Trusts’ in-hospital liaison psychiatry team. Ninety-eight per cent of patients surveyed felt that they were treated with respect and understanding, and 94% reported that they were likely or extremely likely to recommend the service to friends and family.ConclusionsImplementation of the PDU was associated with a reduction in the frequency of ED presentations and inpatient psychiatric admissions. This study suggests that patients are satisfied with the care provided at the PDU.

Participant Reactions to Suicide-Focused Research

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 367-374
Author(s):  
Sarah P. Carter ◽  
Brooke A. Ammerman ◽  
Heather M. Gebhardt ◽  
Jonathan Buchholz ◽  
Mark A. Reger
Keyword(s):  
Medical Records ◽  
Research Study ◽  
Small Sample Size ◽  
Psychiatric Inpatient ◽  
Small Sample ◽  
Inpatient Unit ◽  
Online Laboratory ◽  
Psychiatric Inpatient Unit ◽  
Before And After ◽  
Participant Reactions

Abstract. Background: Concerns exist regarding the perceived risks of conducting suicide-focused research among an acutely distressed population. Aims: The current study assessed changes in participant distress before and after participation in a suicide-focused research study conducted on a psychiatric inpatient unit. Method: Participants included 37 veterans who were receiving treatment on a psychiatric inpatient unit and completed a survey-based research study focused on suicide-related behaviors and experiences. Results: Participants reported no significant changes in self-reported distress. The majority of participants reported unchanged or decreased distress. Reviews of electronic medical records revealed no behavioral dysregulation and minimal use of as-needed medications or changes in mood following participation. Limitations: The study's small sample size and veteran population may limit generalizability. Conclusion: Findings add to research conducted across a variety of settings (i.e., outpatient, online, laboratory), indicating that participating in suicide-focused research is not significantly associated with increased distress or suicide risk.

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