The Impact of Stopping Risk Assessment Checklists at a Specialist Personality Disorder Unit

Yue, Adelaide C; Philbey, Alasdair W; Crawford, Owen; Zimbron, Jorge

doi:10.7759/cureus.33935

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…Specialist longer-term inpatient wards may offer tailored care for specific clinical groups, such as people with “personality disorder”, or other groups with specific needs, such as deaf people. An example identified in our consultation was the Springbank Unit, an inpatient unit for women with a diagnosis of “borderline personality disorder”, which also aimed to implement less restrictive risk management procedures (e.g., by offering service users an optional conversation with staff in the place of a formal risk assessment checklist when leaving the ward) (96).…”

Section: Resultsmentioning

confidence: 99%

Alternative approaches to standard inpatient mental health care: development of a typology of service models

Griffiths,

Baldwin,

Vasikaran

et al. 2023

Preprint

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BackgroundInpatient mental health care is a challenging component of the mental health services system, with frequent reports of negative and coercive experiences and doubts about its therapeutic value. As such, alternative approaches for individuals experiencing a mental health crisis are highly desirable. This research aimed to identify models which offer an alternative to standard inpatient mental health care across all age groups, both nationally and internationally, and to develop a typology for these alternative models.MethodsA dual literature search and expert consultation research methodology was adopted to identify relevant models. Three typologies of models were developed according to age group and acuity, including: alternatives to standard acute inpatient services for adults; alternatives to longer-stay inpatient services for adults, including rehabilitation and forensic inpatient services; and alternatives to standard inpatient services for children and young people.ResultsWe identified an array of service models in each typology, some in community settings, some hospital-based and some working across settings. Models varied greatly in characteristics, extent of implementation and supporting evidence.ConclusionsThrough this mapping exercise, we have developed three novel typologies of alternatives to standard inpatient care. A range of community-based, hospital-based and cross-setting approaches were identified. The identification of services providing inpatient care in a substantially different way to the standard suggests that some improvements could be provided within existing structures. Potential inequities in access to alternatives were identified for certain groups, such as people who are compulsorily detained, younger children and young people transitioning between children’s and adult services. These typologies can inform future description, evaluation and comparison of different service models. This research also yields some key considerations for the design, development and implementation of alternative mental health service models and service arrays.

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Section: Resultsmentioning

confidence: 99%