Tackling substance misuse in a secure mental health unit

2005 ◽  
Vol 9 (2) ◽  
pp. 22-25
Author(s):  
Jayne Moore ◽  
Matthew Lister ◽  
Haythem Nadeem
Keyword(s):  
Mental Health ◽  
Substance Misuse ◽  
Health Unit ◽  
Mental Health Unit

scholarly journals Identifying Risk Factors for Re-admission: A Service Evaluation from an Adult Inpatient Mental Health Unit

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S59-S59
Author(s):  
Kirsty Ward ◽  
Suveera Prasad
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Personality Disorder ◽  
Substance Misuse ◽  
P Value ◽  
Health Unit ◽  
P Values ◽  
Adult Mental Health ◽  
Emotionally Unstable Personality Disorder ◽  
Mental Health Unit

AimsTo identify risk factors for re-admission to an acute inpatient general adult mental health ward. There is need to ensure that mental health services adapt to the increasing demand for inpatient bedsMethodWe conducted a single centre retrospective analysis of electronic records of 85 discharges from an adult mental health unit from 4th March 2019 – 5th August 2019. We collected information on demographics, admission details, substance use, forensic history, diagnosis as per the International Classification of Diseases 10th Edition (ICD-10), and discharge details and compared two cohorts; those re-admitted within three months of discharge and those who were not. Odds ratio (OR), 95% confidence intervals (CI) and p values were calculated where possible.ResultAmong seventeen service users who were re-admitted within the three month period there were nine women and eight men. There was no difference in ethnicity, employment or marital status. The mean length of admission for those readmitted was 48.2 days (range 1–140 days) and 47.1 days (range 1–350 days) for those who were not readmitted. Certain features were more prevalent among the readmitted group including forensic history (58.8% [10] vs 26.5% [18], OR 3.97, CI 1.31–11.9, p value 0.007), substance misuse history (70.6% [12] vs 55.9% [38], OR 1.89, CI 0.60–5.97, p value 0.138), previous contact with mental health services (100% [17] vs 76.5% [52]) and the rate of detention under the Mental Health Act at point of admission (76.5% [13] vs 66.2% [45], OR 1.66, CI 0.49, 5.67, p value 0.209).Among those readmitted, a diagnosis of emotionally unstable personality disorder (17.6% [3] vs 10.3% [7], OR 1.87, CI 0.43,-8.14, p values 0.203) and substance misuse disorder (41.2 % [7] vs 17.6 % [12], OR 3.27, CI 1.04–10.31, p value 0.218) were more prevalent. They were more likely to use illicit substances whilst they were an inpatient (23.5% [4] versus 7.6% [5], OR 3.88, CI 0.92–16.43, p value 0.033) and to be involved in police incidents (35.3% [6] versus 17.6% [12], OR 2.55, CI 0.79–8.23, p value 0.059).ConclusionOur trends demonstrate that people with substance misuse, emotionally unstable personality disorder and forensic history are more likely to be readmitted to an adult mental health inpatient unit. They were more likely to misuse illicit substances and be involved with police during admission.

Implementing violence and incident reporting measures on a forensic mental health unit

2015 ◽  
Vol 21 (10) ◽  
pp. 973-986 ◽  
Author(s):  
Phil Woods ◽  
Mark Olver ◽  
Marelize Muller
Keyword(s):  
Mental Health ◽  
Incident Reporting ◽  
Forensic Mental Health ◽  
Health Unit ◽  
Mental Health Unit

Descriptive Study of Adjustment Disorders in a Mental Health Unit.

2017 ◽  
Vol 41 (S1) ◽  
pp. S607-S607
Author(s):  
L. González ◽  
B. Pecino ◽  
C. Gomez ◽  
M. Anibarro ◽  
C. Ortigosa
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Physician ◽  
Psychiatric Evaluation ◽  
Adjustment Disorders ◽  
Health Unit ◽  
Social Difficulties ◽  
Current Employment Status ◽  
Competing Interest ◽  
Mental Health Unit

IntroductionAdjustment disorders are a common psychiatric disorder in primary care and mental health units, with point prevalence estimates ranging from 0.9% to 2.3%. These disorders have been recently defined as a stress response syndrome in the fifth edition of the DSM, causing emotional and social difficulties and also a large economic burden on society.ObjectivesThe aim of this descriptional study was to analyse the socio-demographic characteristics and treatment of the patients diagnosed with adjustment disorders in the first visit in a mental health unit.MethodsThe study sample consisted of 128 patients admitted for a psychiatric consultation in a mental health unit in Alicante (Spain) from their primary care physician, between February and July 2016. Variables of gender, age, current employment status, diagnosis and treatment were measured. Data analysis was conducted using SPSS software.ResultsThe data from 31 patients who were diagnosed with adjustment disorders meant a 24% of the sample. The median age was 47 years old in the adjustment disorders group. Among those with adjustment disorders, 61% were women, and 52% of them were unemployed. Almost 60% of them had at least one pychotropic prescription and only 22% were derived to psychology.ConclusionsAdjustment disorders are considered as an intermediate category between no mental disorder and affective disorders. Most authors recommend to start with a psychotherapeutic intervention. Despite starting with medication has not proved effectiveness in the studies, most of the patients had at least one psychotropic prescription before the psychiatric evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Prevalence of housing needs among inpatients: a 1 year audit of housing needs in the acute mental health unit in Tallaght Hospital

2016 ◽  
Vol 33 (3) ◽  
pp. 159-164 ◽  
Author(s):  
J. Cowman ◽  
P. Whitty
Keyword(s):  
Mental Health ◽  
Psychiatric Hospitals ◽  
Numerical Data ◽  
Health Unit ◽  
Psychiatric Unit ◽  
Nursing Managers ◽  
Housing Needs ◽  
Delayed Discharges ◽  
Number Of Discharges ◽  
Mental Health Unit

ObjectiveThere is a dearth of information relating to the prevalence of housing needs among psychiatric in-patients in Ireland. Most of the information we have to date emerged as a result of attempts to plan for the closure of old psychiatric hospitals and inappropriate community residences. This study sought to identify the prevalence of housing needs among in-patients in the acute psychiatric unit in Tallaght Hospital.MethodsEach week, over a 12-month period, nursing managers and/or key nurses who knew the patients well were asked for numerical data. Information was collected on the numbers of in-patients with accommodation needs, number of delayed discharges due to accommodation needs and number of discharges to homeless accommodation in the previous week.ResultsOn average, 38% of in-patients had accommodation related needs at any one time. Most (98%) of delayed discharges had accommodation related needs. Delayed discharge in-patients with accommodation needs accounted for 28% of all inpatients and for 72% of all inpatients with accommodation related needs.ConclusionsAccommodation need among psychiatric in-patients is underreported. Housing need data should be routinely collected and effective interagency strategies developed to address housing needs.

scholarly journals The application of mental health legislation in younger children

2015 ◽  
Vol 39 (6) ◽  
pp. 302-304 ◽  
Author(s):  
Victoria Thomas ◽  
Barry Chipchase ◽  
Lisa Rippon ◽  
Paul McArdle
Keyword(s):  
Mental Health ◽  
Young Child ◽  
Legal Issues ◽  
Legal Authority ◽  
Challenging Behaviour ◽  
Health Unit ◽  
Mental Health Legislation ◽  
History Of ◽  
Health Legislation ◽  
Mental Health Unit

SummaryWe review a case history of a young child who was admitted to an in-patient mental health unit due to extremely challenging behaviour and review the legal issues that had to be considered in ensuring that there was appropriate legal authority for the child's admission and treatment. In this particular case, the patient was detained for assessment under section 2 of the Mental Health Act 1983. This case demonstrates that all clinicians working in this area require a good understanding of the law in relation to treatment of children with mental disorder, which is extremely complex.

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