The impact of a new psychiatric intensive care unit on the rest of an in-patient psychiatric service

Brown, Sarah; Langrish, Martin

doi:10.1017/s1742646407000404

Cited by 3 publications

(2 citation statements)

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“…Psychiatric intensive care units (PICUs) provide short-term care for patients who demonstrate highly challenging behaviors, are in need of close monitoring due to risks of self-harm and harm of others and who cannot be managed in acute psychiatric wards (Brown & Langrish, 2007;Stewart & Bowers, 2011). A key difference between acute and intensive care units is identified by Beer and colleagues (2008): PICUs offer higher levels of staffing and more secure facilities.…”

Section: Introductionmentioning

confidence: 99%

Being Subject to Restrictions, Limitations and Disciplining: A Thematic Analysis of Individuals' Experiences in Psychiatric Intensive Care

Salzmann‐Erikson

Söderqvist

2017

Issues in Mental Health Nursing

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The aim of this study was to describe individuals' experiences of being hospitalized in psychiatric intensive care units (PICUs). Four participants who had previously been admitted in a PICU were interviewed using open-ended questions. The data were analyzed using thematic analysis. Analysis resulted in a synthesis of the various ways patients experienced limitations: (1) Descriptions of Being Limited in the Environment, (2) Descriptions of being Limited in Interactions with Staff, (3) Descriptions of Being Limited in terms of Access to Information, and (4) Descriptions of Having Limited Freedom and Autonomy. Hospitalization is experienced as a life-changing event that shows a kaleidoscopic view of limitation. We stress that the conceptualization of limitation must be considered due to its historical origins, sociopolitical aspirations, and philosophy of care. Thus, nurse practitioners and nursing leaders are advised to put the patient's experience at the center of care, and to involve and integrate patients throughout the recovery process.

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Section: Introductionmentioning

confidence: 99%

Being Subject to Restrictions, Limitations and Disciplining: A Thematic Analysis of Individuals' Experiences in Psychiatric Intensive Care

Salzmann‐Erikson

Söderqvist

2017

Issues in Mental Health Nursing

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“…In spite of the fact that, in the United Kingdom, PICUs are a standard and integrated part of mental health services, hard evidence that they offer a superior treatment model when compared to conventional acute wards is still lacking (Brown et al 2008). Moreover, in an earlier study, it was demonstrated that the opening of a PICU appeared to have little long term effect on the clinical activity of the other hospital wards (Brown & Langrish, 2006). Without further and fundamental changes in the Belgian mental health system this would lead to a standstill, resulting in the existence of locally relevant but not generalizable, thus not scientifically comparable, intensive care service provisions.…”

Section: Development Of Specific Psychiatric Intensive Care Servicesmentioning

confidence: 99%

Psychiatric intensive care units in Belgium: a new mental health service provision meriting research?

Øvreeide

Bervoets²

2011

J. Psychiatr. Intensive Care

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Belgium has a large capacity of psychiatric beds as compared to most other European countries and is on the verge of reducing this capacity. An accompanying augmentation of assertive community treatment strategies alongside acute crisis resolution has already begun. The latter function has been implemented in recently developed psychiatric intensive care units. Whether this development will result in improved care for psychiatric patients and in a reduction in cost for the government remains unanswered. Outcomes research in psychiatric intensive care is ongoing in the United Kingdom but this is not the case in Belgium. In this commentary we suggest that this moment of change is a perfect time for initiating research on psychiatric intensive care units in Belgium preferably in close collaboration with experienced staff in the United Kingdom.

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Non-contact Health Monitoring to Support Care in a Psychiatric Intensive Care Unit

Ndebele

Wright

Gandhi³

et al. 2022

j psych intensive care

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Objective: Psychiatric intensive care units provide care to patients with severe mental health disorders, often associated with violence and aggression which may result in the administration of rapid tranquillisation (RT). Novel technologies may support staff in monitoring patient safety and intervening proactively to prevent assaults and RT. The objective of this single-centre pragmatic study was to assess the effect of clinical teams augmenting their existing clinical practices with a contact-free vision-based patient monitoring system on the number of assaults and RT events.Method: The number of incidents of assaults, and the associated use of RT, was examined before and after the introduction of a contact-free vision-based patient monitoring system in a male psychiatric intensive care unit. Staff surveys and interviews were undertaken to assess usability and acceptability of the system.Results: There was a 37% reduction in assaults across the wards with 26% reduction in bedroom assaults. There was a 40% reduction in RT episodes related to assaults. Staff reported that they felt confident in monitoring the physicalsigns and health of patients remotely with the contact-free vision-based patient monitoring system to support them.Conclusion: The results suggest that the contact-free vision-based patient monitoring system helped staff to reduce incidents of assaults and associated RT administration. Staff surveys and interviews showed the ways in which their use of this technology had supported them in physical health monitoring.

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The impact of a new psychiatric intensive care unit on the rest of an in-patient psychiatric service

Cited by 3 publications

References 0 publications

Being Subject to Restrictions, Limitations and Disciplining: A Thematic Analysis of Individuals' Experiences in Psychiatric Intensive Care

Being Subject to Restrictions, Limitations and Disciplining: A Thematic Analysis of Individuals' Experiences in Psychiatric Intensive Care

Psychiatric intensive care units in Belgium: a new mental health service provision meriting research?

Non-contact Health Monitoring to Support Care in a Psychiatric Intensive Care Unit

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