Chapter 1: Psychiatric intensive care – development and definition In the late 1950s what was the first pharmacological treatment for psychotic illness? Flupentixol Thioridazine Haloperidol Chlorpromazine Zuclopenthixol In comparison to 1983 what changes did Smith (1990) find in regional secure units in 1989? Patients were significantly more aggressive to staff More patients were referred from the criminal justice system Patients had significantly higher rates of a history of absconding Patients were prescribed significantly larger doses of medication In 1938 what percentage of patients were admitted informally? 19% 30% 35% 38% 40% According to Pereira and Clinton (2002) length of stay within a PICU should normally be less than? 1 week 6 weeks 8 weeks 10 weeks 6 months Faulk (1995) described the dominant function of Low Secure Units as accommodating which group? Chronically disturbed patients long term Chronically disturbed patients short term Acutely disturbed patients long term Acutely disturbed patients short term According to the Psychiatric Intensive Care text book what are the key principles supporting the agreed philosophy of psychiatric intensive care operation? Medication and risk assessment Risk management and rehabilitation Rehabilitation and medication Risk management and risk assessment Rehabilitation and risk assessment In the survey conducted by Beer et al in 1997, how many of the 110 PICUs surveyed were operational for more than 3 years? 25 35 45 55 65 The National Psychiatric Intensive Care Unit Governance Network (2004) was comprised of which three out of the following five organisations? National Institute of Mental Health in England North East London Mental Health Trust National Association of Psychiatric Intensive Care Units London South Bank University National Collaborating Centre for Mental Health In the 1970s which report recommended a figure of 2000 medium secure beds in the UK? Butler Reed Glancy Minority The case of Graham Young led to the recommendation of changes required in the provision of facilities and treatment for which group of patients? Wandering demented Severely learning disabled Acutely mentally ill Mentally disordered offenders General psychiatric inpatients What was the percentage of PICUs that met the National Minimum Standards for environmental design in 2006? 37% 63% 75% 89% 95% In what year was the first publication describing locked Psychiatric Intensive Care Units? 1970 1973 1979 1981 1985 In 1996 the Chief Medical Officer stated that by the end of 1998 there would be 2350 medium secure beds. By 2001 what was the actual number of beds? 1000 1500 2000 2500 3000 Which of the following had a universally agreed definition in the 1990s? Psychiatric Intensive Care Unit Psychiatric Intensive Care Locked ward Low Secure Unit None of the above According to the National Minimum Standards for PICU and LSU (Pereira & Clinton, 2002) what would be the usual upper limit for patient length of stay on a low secure unit? 1 year 2 years 3 years 4 years 5 years According to the Psychiatric Intensive Care text book admission to PICUs should be governed by which of the following? A court’s requirement for security Patients feeling unsafe on an open ward Admission from prison where there is a serious risk of absconding posed to the public The symptoms that drive behaviour The need for rehabilitation from substance misuse Loading …