Chapter 16: The interface with general psychiatric services From the general adult psychiatry perspective which of the following are key features requiring a patient transfer to a Psychiatric Intensive Care Unit? The need for additional nursing staff Limited staff numbers or experience on the open ward A court’s requirement for security Substantial risk of absconding leading to self-harm or harm to others The need for rehabilitation from substance misuse General adult psychiatric services should be able to provide which of the following? A secure drug-free assessment Assessment and treatment in the local community A range of community facilities Expert opinion in court Crisis intervention integrated with community mental health teams From a general adult perspective, the placing of a dual diagnosis patient on a Psychiatric Intensive Care Unit can be helpful in clarifying whether a psychotic illness is associated with, or secondary to, substance abuse … True False The presence of a Psychiatric Intensive Care Unit separate from acute wards can be helpful from which of the following perspectives? Providing different levels of ward environment can provide different training resources Acute wards don’t have to deal with complex need patients Patients with a forensic history can go straight to the PICU The response available for acutely disturbed patients is enhanced Patients on acute ward can have a more beneficial and therapeutic inpatient experience The Royal College of Psychiatrists’ (1998) article ‘Not Just Bricks and Mortar’ highlighted which of the following with regard to psychiatric inpatient units in general? Units are best sited at a different location from the district general hospital Disadvantages of purely single-sex-ward are emphasised Ideal Psychiatric Intensive Care Unit and acute ward sizes are between ten and fifteen beds Stand-alone units should be between one and two wards in size Carers should be involved in developing operational policies What should general adult psychiatric consultants and services expect from a Psychiatric Intensive Care Unit? The consultant should be responsible for outreach services A bed should always be available for acutely disturbed patients There should be daily multidisciplinary discussion of all patients There should be close and constant cooperation between senior medical and nursing staff The ward manager is responsible for which patients they accept Loading …
