scholarly journals Repeated use of mechanical restraints in patients admitted to an acute psychiatric ward

2019 ◽  
Author(s):  
Anna Giménez Palomo
Keyword(s):  
Psychiatric Ward ◽  
Repeated Use ◽  
Acute Psychiatric Ward ◽  
Mechanical Restraints

scholarly journals From Wish to Reality: Soteria in Regular Care—Proof of Effectiveness of the Implementation of Soteria Elements in Acute Psychiatry

2021 ◽  
Vol 12 ◽  
Author(s):  
Theresa Wolf ◽  
Philine Fabel ◽  
Adrian Kraschewski ◽  
Maria C. Jockers-Scherübl
Keyword(s):  
Treatment Time ◽  
Psychiatric Ward ◽  
Schizophrenia Spectrum Disorders ◽  
Duration Of Treatment ◽  
Coercive Measures ◽  
Schizophrenia Spectrum ◽  
Regular Care ◽  
Quasi Experimental ◽  
Acute Psychiatric Ward ◽  
Mechanical Restraints

Objective: This article examines the influence of the implementation of Soteria elements on coercive measures in an acute psychiatric ward after reconstruction in 2017, thereby comparing the year 2016 to the year 2019. The special feature is that this is the only acute psychiatric ward in Hennigsdorf Hospital, connected now both spatially and therapeutically to an open ward and focusing on the treatment of patients suffering from schizophrenia and schizophrenia spectrum disorders.Methods: The following parameters were examined: aggressive assaults, use of coercion (mechanical restraints), duration of treatment in open or locked ward, type of discharge, coercive medication, and dosage of applied antipsychotics. For this purpose, the data of all legally accommodated patients in the year 2016 (before the reconstruction) and 2019 (after the reconstruction) were statistically analyzed in a pre–post mirror quasi-experimental design.Results: In 2019, the criteria of the Soteria Fidelity Scale for a ward with Soteria elements were reached. In comparison to 2016 with a comparable care situation and a comparable patient clientele, there was now a significant decrease in aggressive behavior toward staff and fellow patients, a significantly reduced number of fixations, a significantly reduced overall duration of inpatient stay, and a significant increase in treatment time in the open area of our acute ward.Conclusion: The establishment of Soteria elements in the acute psychiatric ward leads to a verifiable less violent environment of care for severely ill patients and to a drastic reduction in coercive measures.

scholarly journals The relationship of insight with psychopathological dimensions in patients with schizophrenia

2021 ◽  
Vol 12 (2) ◽  
pp. 204380872110199
Author(s):  
Si-Sheng Huang ◽  
Cheng-Chen Chang
Keyword(s):  
Medical Center ◽  
Self Report ◽  
Psychiatric Ward ◽  
Neurocognitive Functions ◽  
Bivariate Correlation ◽  
Syndrome Scale ◽  
Acute Psychiatric Ward ◽  
Negative Syndrome ◽  
Relationship Of ◽  
The Relationship

Impaired insight in patients with schizophrenia results in less satisfactory clinical outcomes. This study was conducted to investigate the relationship between insight and individual psychopathological dimensions in inpatients with schizophrenia using a self-report questionnaire. In this study, 90 patients with schizophrenia aged 18–75 years admitted in the acute psychiatric ward of a medical center in Taiwan were enrolled. Patient insight was measured using the Self-Appraisal of Illness Questionnaire (SAIQ), and psychopathological dimensions were measured using the Positive and Negative Syndrome Scale (PANSS) and its five-factor structure model. A higher SAIQ score indicates greater insight. In bivariate correlation analyses, statistically significant correlations were observed between age, single marital status, educational level, and positive, excited, and depressed symptom factor of the PANSS and SAIQ score. In regression analyses, age and excited and depressed symptom factors were significantly associated with SAIQ score. No significant association was observed between insight and neurocognitive functions. Considering demographic characteristics, psychopathology, and neurocognition, in the acute phase of schizophrenia, younger patients with less severe excited symptoms and more severe depressive symptoms had greater insight.

scholarly journals Unlocking an acute psychiatric ward: The impact on unauthorised absences, assaults and seclusions

2017 ◽  
Vol 41 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Ben Beaglehole ◽  
John Beveridge ◽  
Warren Campbell-Trotter ◽  
Chris Frampton
Keyword(s):  
Psychiatric Inpatient ◽  
Psychiatric Ward ◽  
Inpatient Service ◽  
Positive Effects ◽  
Adverse Event Data ◽  
Before And After ◽  
Acute Psychiatric Ward ◽  
Restrictive Environment ◽  
Open Wards ◽  
The Impact

Aims and methodThe acute psychiatric inpatient service in Christchurch, New Zealand, recently changed from two locked and two unlocked wards to four open wards. This provided the opportunity to evaluate whether shifting to an unlocked environment was associated with higher rates of adverse events, including unauthorised absences, violent incidents and seclusion. We compared long-term adverse event data before and after ward configuration change.ResultsRates of unauthorised absences increased by 58% after the change in ward configuration (P = 0.005), but seclusion hours dropped by 53% (P = 0.001). A small increase in violent incidents was recorded but this was not statistically significant.Clinical implicationsAlthough unauthorised absences increased, the absence of statistically significant changes for violent incidents and a reduction in seclusion hours suggest that the change to a less restrictive environment may have some positive effects.

scholarly journals The frequency of catatonic signs and symptoms in an acute psychiatric ward

2019 ◽  
Vol 53 (6) ◽  
pp. 1251-1260 ◽  
Author(s):  
Rozália Takács ◽  
Márton Asztalos ◽  
Gabor Ungvari ◽  
Anna Antosik-Wójcińska ◽  
Gábor Gazdag
Keyword(s):  
Signs And Symptoms ◽  
Psychiatric Ward ◽  
Acute Psychiatric Ward

scholarly journals Risk factors for long-stay in an Italian acute psychiatric ward: a 7-year retrospective analysis

2013 ◽  
Vol 4 (1) ◽  
Author(s):  
Rosaria Di Lorenzo ◽  
Vitantonio Formicola ◽  
Elena Carra ◽  
Chiara Piemonte ◽  
Paola Ferri
Keyword(s):  
Risk Factors ◽  
Retrospective Analysis ◽  
Psychiatric Ward ◽  
Acute Psychiatric Ward

Validation of the Chinese version of Perception of Care in an acute psychiatric ward in Hong Kong

2012 ◽  
Vol 5 (4) ◽  
pp. 322-330
Author(s):  
Chi-Kin Jackie Fu ◽  
Po-Ling Paulina Chow ◽  
Wai-Sum Joanna Lam ◽  
Chi-Kwong Tung ◽  
Yue-Lok Francis Cheung
Keyword(s):  
Hong Kong ◽  
Chinese Version ◽  
Psychiatric Ward ◽  
Acute Psychiatric Ward ◽  
Perception Of Care

Description and Evaluation of a Short-Stay Admission Ward

1980 ◽  
Vol 136 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Peter Kennedy ◽  
Fiona Hird
Keyword(s):  
General Practitioners ◽  
Patient Experience ◽  
Readmission Rate ◽  
Psychiatric Ward ◽  
Short Stay ◽  
Admission Ward ◽  
Clinical Methods ◽  
The Family ◽  
Acute Psychiatric Ward ◽  
One Year

SummaryDuration of stay for unselected admissions to an acute psychiatric ward was reduced to an average of 11 days. The clinical methods by which this was achieved are described. Comparing patients randomly allocated to this experimental ward and other admission wards: (i) the readmission rate to the experimental ward was higher but readmissions were briefer so that total in-patient experience per patient over the course of one year remained substantially lower; (ii) symptom levels and burden on the family had improved equally at three weeks and at four months after discharge; (iii) experimental ward patients made fewer demands on their general practitioners and reported fewer parasuicides. Beds can be released for other purposes in this way.

Sign in / Sign up

Export Citation Format

Share Document