Referral Patterns to Psychiatry Intensive Care Unit: Phoenix Care Centre

Pararajasingam, Shaeraine Raaj; Browne, Rachel; Bawagan, Anisha; Twomey, Pauline; Firdouas, Murad; Nwarie, Ernest; Navanathan, Sujesha

doi:10.5334/ijic.3920

Cited by 2 publications

(5 citation statements)

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“…Precious physical assaults, especially in past few weeks, emerged as strong predictor of future violence and violence during PICU admission as well in studies done in the past. 7,9 Around 80% of admission forms in this audit had this information, while 20% lacked this vital information. More emphasis shall be laid on documentation of previous, especially recent assaults.…”

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confidence: 93%

“…It has been documented previously that assault has been the commonest reason for referral to this unit, which highlights the risk involved with the patients managed here. 7 Keeping this in mind, accurate risk assessment at time of admission becomes one of the key components of overall psychiatric assessment. We, therefore, planned this clinical audit with the rationale to study the documentation of relevant components of forensic history on admission form for male patients admitted in psychiatric intensive care unit/OAK ward of Phoenix Care Center.…”

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confidence: 99%

“…Violent behaviour remained main indication for PICU admission, and around 20% patients had re-admission in six months. 4,7 Around 66% admission forms had documented previous admission of patients to PICU, while 34% forms did not have this information documented.…”

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confidence: 99%

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Audit of Documentation of Forensic History on Admission Form in a Psychiatric Intensive Care Unit

Zubair¹,

Brown²

2021

J Coll Physicians Surg Pak

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Objective: To study the documentation of relevant components of forensic history on admission form for male patients admitted in psychiatric intensive care unit (PICU)/OAK ward of Phoenix Care Center. Study Design: Clinical audit. Place and Duration of Study: Psychiatric intensive care unit/OAK ward of Phoenix Care Center, from August 2019 to July 2020. Methodology: Charts of all patients admitted in PICU from August 2019 to July 2020 were analysed, and admission forms were reviewed for documentation of relevant parameters of forensic history. A structured tool was made after literature search, which included drug and alcohol history, history of assaults, protection/barring orders, number of previous PICU admissions, previous charges, pending charges, use of depot medications and previous encounters with police without pending charges. Results: A total of 50 patients were admitted during the given time period. Drug and alcohol history was documented in 98% of the cases, previous charges were documented in 88% of the cases, protection/baring order was documented in 62% of the cases, while previous encounter with the police without being charged was documented in only 32% of the cases. Conclusion: Drugs and alcohol and previous charges were documented in most of the cases, but documentation of protection/baring order and encounter with the police without being charged was a neglected area, which should be worked upon in future.

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confidence: 93%

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confidence: 99%

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Audit of Documentation of Forensic History on Admission Form in a Psychiatric Intensive Care Unit

Zubair¹,

Brown²

2021

J Coll Physicians Surg Pak

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“…2000; Bailey, 2014; Pararajasingam et al . 2017). The frequency of threatening and aggressive incidents differ with the phase of the psychiatric disorder (Vaaler & Iversen, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…These cases can present with an associated increased risk to self or others, which poses a challenge for therapeutic management and treatment in a less secure mental health ward (Bowers et al 2008). The patient cohort admitted to a PICU requires higher intensity, more restrictive interventions to manage the increased risk (Karen Barlow et al 2000;Bailey, 2014;Pararajasingam et al 2017). The frequency of threatening and aggressive incidents differ with the phase of the psychiatric disorder (Vaaler & Iversen, 2011).…”

Section: Introductionmentioning

confidence: 99%

Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up

Raaj¹,

Navanathan

Matti

et al. 2021

Ir. j. psychol. Med.

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Objective: This study aims to describe the course of admission and clinical characteristics of admissions to a psychiatric intensive care unit (PICU) in the Phoenix Care Centre (PCC), Dublin, Ireland. Methods: This retrospective chart study was conducted at the PCC, Dublin, Ireland. The cohort included all admission episodes (n = 91 complete data) over a three-year study period between January 2014 and January 2017. Results: The mean age of admitted cases was 37.1 (s.d. = 11.3; range 18–63). The mean length of stay (LOS) was 59.3 days (s.d. = 61.0; median 39.5 days). All patients were admitted under Mental Health Act legislation. Antipsychotic polypharmacy was used in 61% (n = 55) of the admissions. A diagnosis of acute psychotic disorder (B = −1.027, p = 0.003, 95% CI: −1.691, −0.363) was associated with reduced LOS in PICU. Conclusion: Our study describes the cohort of patients admitted as being predominantly male, younger-aged, single, having a diagnosis of schizophrenia and being legally detained. The primary indication for referral is risk of assault, which highlights the need for the intensive and secure treatment model that a PICU can provide.

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Referral Patterns to Psychiatry Intensive Care Unit: Phoenix Care Centre

Cited by 2 publications

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Audit of Documentation of Forensic History on Admission Form in a Psychiatric Intensive Care Unit

Audit of Documentation of Forensic History on Admission Form in a Psychiatric Intensive Care Unit

Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up

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