The psychiatric intensive care unit: A prospective survey of patient demographics and outcomes at seven English PICUs

Brown, Sarah; Chhina, Navjyoat; Dye, Stephen

doi:10.1017/s1742646408001295

Cited by 16 publications

(20 citation statements)

References 13 publications

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“…Nearly all the patients showed significant improvements in mental state during their PICU stay. 3 The study design cannot explicitly link the improvement to particular treatments, nor does it provide information on the relative efficacy of different drugs or allow more than the most general speculation about the appropriateness of these drug treatment interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Details of the units, patients and data collection procedure are described by Brown et al 3 Data on class of medication administered, route of administration and total dose were collected by staff working on the units and recorded on a semistructured collection sheet, developed by a steering group of representatives from each participating unit and piloted on one of the units. All numbers refer to drugs recorded on the patient's drug chart as having been administered.…”

Section: Methodsmentioning

confidence: 99%

“…= 295, P50.001) than those who were not given rapid IM tranquillisation. They received a mean of 2.1 injections (median 2.0, range [1][2][3][4][5][6][7][8][9][10][11][12]. No patients were given psychotropic medication by intravenous injection during the study period.…”

Section: Rapid Im Tranquillisationmentioning

confidence: 99%

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Use of psychotropic medication in seven English psychiatric intensive care units

2010

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Aims and methodTo describe the psychotropic medication given to 332 patients admitted consecutively to seven English psychiatric intensive care units (PICUs) by prospective, multicentre case-note analysis.ResultsOverall, 104 (32%) patients received rapid tranquillisation or zuclopenthixol acetate by intramuscular injection; 72 (23%) received more than one regular antipsychotic drug simultaneously. It was reported that 20 patients received high-dose antipsychotic medication, which was probably an underestimate. The use of these interventions varied significantly between different units.Clinical implicationsPotentially risky treatments such as forcible intramuscular medication are a standard part of PICU activity. Further work is needed to clarify the reasons behind the differences in prescribing practices between different PICUs.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Use of psychotropic medication in seven English psychiatric intensive care units

2010

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“…Mean total scores for clinical populations were found to be between 37.9 (SD = 11.1) and 61.6 (SD = 12.9; Biancosino et al, 2004;Brown, Chhina, & Dye, 2008;Segal & Silverman, 2002), while the mean total for the BPRS-E among inmates with psychiatric problems in the prison population was found to be 49.29 (SD = 14.78;Gray, Bressington, Lathlean, & Mills, 2008). When individuals were tested over time in a clinical setting, mean scores significantly decreased at each testing interval (Biancosino et al, 2004;Brown et al, 2008), which indicates that the test may be sensitive to change over time following an intervention.…”

Section: Brief Psychiatric Rating Scale (Bprs)mentioning

confidence: 91%

“…When individuals were tested over time in a clinical setting, mean scores significantly decreased at each testing interval (Biancosino et al, 2004;Brown et al, 2008), which indicates that the test may be sensitive to change over time following an intervention.…”

Section: Brief Psychiatric Rating Scale (Bprs)mentioning

confidence: 99%

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

O'Keefe¹,

Klebe²,

Stucker³

et al. 2011

PsycEXTRA Dataset

105

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The researchers would also like to acknowledge the support of Mr. Aristedes Zavaras and the staff at the Department of Corrections. This project would never have been possible without the commitment and contributions of management, mental health, case management, offender services, and security staff.This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice.ii ABSTRACT One of the most widely debated topics in the field of corrections -the use of long-term administrative segregation (AS) -has suffered from a lack of empirical research. Critics have argued that the conditions of AS confinement exacerbate symptoms of mental illness and create mental illness where none previously existed. Empirical research has had little to offer this debate; the scant empirical research conducted to date suffers from research bias and serious methodological flaws. This study seeks to advance the literature in this regard.This study tested three hypotheses: (1) offenders in AS would develop an array of psychological symptoms consistent with the security housing unit (SHU) syndrome, (2) offenders with and without mental illness would deteriorate over time in AS, but at a rate more rapid and extreme for the mentally ill, and (3) inmates in AS would experience greater psychological deterioration over time than the comparison groups.Study participants included male inmates who were placed in AS and comparison inmates in the general population (GP). Placement into AS or GP conditions occurred as a function of routine prison operations. GP comparison participants included those at risk of AS placement due to their institutional behavior. Inmates in both of these study conditions (AS, GP) were divided into two groups -inmates with mental illness (MI) and with no mental illness (NMI). A third comparison group of inmates with severe mental health problems placed in San Carlos Correctional Facility, a psychiatric care prison facility, was also included. A total of 302 inmates were approached to participate in the study, and 55 refused to participate or later withdrew their consent. Participants were tested at 3-month intervals over a yearlong period.Standardized test data were collected through self-report, correctional staff and clinical staff measures. Tests with demonstrated reliability and validity were selected to assess the eight primary constructs of interest: (1) anxiety, (2) cognitive impairment, (3) depression-hopelessness, (4) hostility-anger control, (5) hypersensitivity, (6) psychosis, (7) somatization, and (8) withdrawal-alienation. Extensive analyses of psychometric properties revealed that inmates self-reported psychological and cognitive symptoms in remarkably reliable and valid ways.The results of this study were largely inconsistent with our hypotheses and the bulk of literature that indi...

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Female-Only PICUs

Marques de Paiva,

Balachandra

2024

Psychiatric Intensive Care

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The psychiatric intensive care unit: A prospective survey of patient demographics and outcomes at seven English PICUs

Cited by 16 publications

References 13 publications

Use of psychotropic medication in seven English psychiatric intensive care units

Use of psychotropic medication in seven English psychiatric intensive care units

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

Female-Only PICUs

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