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Good practice issues in psychiatric intensive-care units

Findings from a national survey

Published online by Cambridge University Press:  02 January 2018

Stephen Pereira ,
M. Dominic Beer  and
Carol Paton
Stephen Pereira*
Affiliation:
Oxleas NHS Trust, Bexley Hospital, Old Bexley Lane, Bexley, Kent DA5 2BW
M. Dominic Beer
Affiliation:
Oxleas NHS Trust, Bexley Hospital, Old Bexley Lane, Bexley, Kent DA5 2BW
Carol Paton
Affiliation:
Oxleas NHS Trust, Bexley Hospital, Old Bexley Lane, Bexley, Kent DA5 2BW
*
∗Correspondence
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Abstract

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Aims and method

To survey some aspects of care relevant to good practice in psychiatric intensive-care units.

Results

A number of areas of concern were identified, including care issues for informal and female patients, a lack of uniform clinical leadership and a paucity of policies/guidelines for high-risk areas of clinical practice.

Clinical implications

In an attempt to provide a service for the most disturbed patients from widely varying sources, psychiatric intensive-care units are at risk of compromising the ability to provide good-quality clinical care.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 23 , Issue 7: The Journal of Trends in Psychiatric Practice , July 1999 , pp. 397 - 400
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

Applebaum, P. S., Mirkin, S. A. & Bateman, A. L. (1981) Empirical assessment of competency to consent to psychiatric hospitalisation. American Journal of Psychiatry, 138, 1170 1176.Google Scholar
Atakan, Z. (1995) Violence on psychiatric in-patient units: what can be done? Psychiatric Bulletin, 19, 593 596.CrossRefGoogle Scholar
Atakan, Z. & Davies, T. (1997) ABC of mental health: mental health emergencies. British Medical Journal, 314, 1740 1742.Google Scholar
Barlow, F. & Wolfson, P. (1997) Safety and security: a survey of female psychiatric in-patients. Psychiatric Bulletin, 21, 270 272.CrossRefGoogle Scholar
Beer, M. D., Paton, C. & Pereira, S. (1997) Hot beds of general psychiatry. A national survey of psychiatric intensive-care units. Psychiatric Bulletin, 21, 142 144.CrossRefGoogle Scholar
Department of Health (1995) The Patient's Charter and You. London: HMSO.Google Scholar
Grossman, L. & Summers, F. (1980) A study of schizophrenic patient's ability to give informed consent. Hospital and Community Psychiatry, 31. 205 206.Google Scholar
Health and Safety Executive (1992) New Health and Safety At Work Regulations. Sheffield: Health and Safety Executive.Google Scholar
Mannion, L., Sloan, D. & Connolly, L. (1997) Rapid tranquillisation: are we getting it right? Psychiatric Bulletin, 21, 411 413.Google Scholar
Mitchell, G. D. (1992) A survey of psychiatric intensive-care units in Scotland. Health Bulletin, 50, 228 232.Google Scholar
Mortimer, A. (1995) Reducing violence on a secure ward. Psychiatric Bulletin, 19, 605 608.Google Scholar
Olin, G. B. & Olin, M. S. (1975) Informed consent in voluntary mental hospital admissions. American Journal of Psychiatry, 132, 938 941.Google Scholar
Royal College of Psychiatrists (1998) Management of Imminent Violence . Clinical Practice Guidelines to Support Mental Health Services (OP 41). London: Royal College of Psychiatrists.Google Scholar
Sugarman, P. & Moss, J. (1994) The rights of voluntary patients in hospital. Psychiatric Bulletin, 18, 269 271.Google Scholar
Thomas, C., Bartlett, A. & Mezey, G. C. (1995) The extent and effects of violence among psychiatric in-patients. Psychiatric Bulletin, 19, 600 604.CrossRefGoogle Scholar
Wolpe, P. R., Schwartz, S. L. & Sandford, B. (1991) Psychiatric in-patients' knowledge of their rights. Hospital and Community Psychiatry, 42, 1168 1169.Google Scholar
Zigmond, A. (1995) Special care wards: are they special? Psychiatric Bulletin, 19, 310 312.CrossRefGoogle Scholar
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