Psychiatric intensive care in acute psychosis

Hyde, Clive E.; Harrower-Wilson, Colina

doi:10.1097/00004850-199605002-00010

Cited by 17 publications

(26 citation statements)

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“…This gives a cost per patient per annum of £103,501 based mainly on staffing costs in the mid 1990s (Hyde & Harrower-Wilson 1996). The other study, from Canada, gives a cost of $365 per patient per day compared to $235 for an acute unit (Birnie & Natsuna 1988).…”

Section: Costmentioning

confidence: 99%

“…A number of studies report or mention other types of containment used while patients are in PICU care: medication (coerced or rapid tranquillisation or PRN, see Table 1) ; seclusion (Brown & Bass 2004;Cohen & Khan 1990;Ford & Whiffin 1991;Hafner, Lammersma, Ferris, & Cameron 1989;Khan, Cohen, Chiles, Stowell, Hyde, & Robbins 1987;Michalon & Richman 1990;O'Brien & Cole 2004;Wynaden et al 2001); special observation (Citrome, Green, & Fost 1994;Hyde & Harrower-Wilson 1996); mechanical restraint (Cohen & Khan 1990;Khan, Cohen, Chiles, Stowell, Hyde, & Robbins 1987;Michalon & Richman 1990). The general impression conveyed is that such measures are used more frequently within a PICU environment than on general acute wards, and this impression is confirmed by the one study offering comparative information (Brown & Bass 2004), showing greater use of rapid tranquillisation and seclusion.…”

Section: The Incidence and Management Of Dangerous And Disruptive Behmentioning

confidence: 99%

“… 13% (Musisi, Wasylenki, & Rapp 1989)  17% (Walker, Seifert, & Walker 1994)  25% (Hyde & Harrower-Wilson 1996)  28% (Palmstierna, Huitfelt, & Wistedt 1991).…”

Section: Studies Of Approximately Six Months In Durationmentioning

confidence: 99%

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Psychiatric Intensive Care Units: a Literature Review

Bowers

Jeffery

Bilgin

et al. 2008

Int J Soc Psychiatry

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Section: Costmentioning

confidence: 99%

Section: The Incidence and Management Of Dangerous And Disruptive Behmentioning

confidence: 99%

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Psychiatric Intensive Care Units: a Literature Review

Bowers

Jeffery

Bilgin

et al. 2008

Int J Soc Psychiatry

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“…Only two studies provide any data on cost and, of these, only one is from the UK; this study gives a cost per patient per annum of £103,501, based mainly on staffing costs in the mid-1990s. 8 The other study, from Canada, gives a cost of CA$365 per patient per day, compared with CA$235 for an acute unit 9 (i.e. a difference of 55%).…”

Section: Psychiatric Intensive Care Unitsmentioning

confidence: 99%

Seclusion and Psychiatric Intensive Care Evaluation Study (SPICES): combined qualitative and quantitative approaches to the uses and outcomes of coercive practices in mental health services

Bowers

Cullen

Achilla

et al. 2017

Health Serv Deliv Res

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Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 11/1024/02. The contractual start date was in March 2013. The final report began editorial review in January 2016 and was accepted for publication in December 2016. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of He...

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“…Admission and discharge criteria are usually clearly defined and the majority have locked doors (Michalon & Richman, 1990;Hyde & Harrower-Wilson, 1996). The average length of stay ranges from 2.6 days (Hafner et al, 1989) to 30 days (Citrome et al, 1994), although Rachlin (1973) reported that 20% of his patients stayed over 2 months.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and outcomes of patients admitted to a psychiatric intensive care unit in a medium secure unit

Dolan

Lawson

2001

Psychiatr. bull.

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Aims and MethodThere have been no reports on psychiatric intensive care units (PICUs) in medium secure psychiatric facilities. Using case files, we retrospectively examined the characteristics and outcomes of 73 patients who were admitted to a PICU in a medium secure unit between 1 July 1994 and 30 April 1998.ResultsThe PICU population was predominantly male, suffering from illness and detained under Part III of the Mental Health Act, 1983. Although the mean length of stay was 75 days, the majority were ultimately transferred to less intensive nursing environments and only nine required transfer to maximum security. In 10% of cases PICU admission was owing to lack of appropriate facilities elsewhere.Clinical ImplicationsAlthough the PICU was intended as a crisis facility for the management of challenging behaviours, its function was affected by the lack of clear admission and discharge criteria and appropriate facilities for patients with diverse mental, physical and security needs.

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Psychiatric intensive care in acute psychosis

Cited by 17 publications

References 0 publications

Psychiatric Intensive Care Units: a Literature Review

Psychiatric Intensive Care Units: a Literature Review

Seclusion and Psychiatric Intensive Care Evaluation Study (SPICES): combined qualitative and quantitative approaches to the uses and outcomes of coercive practices in mental health services

Characteristics and outcomes of patients admitted to a psychiatric intensive care unit in a medium secure unit

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