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Chapter 25 - Psychiatric Intensive Care in General Hospital Settings

Published online by Cambridge University Press:  15 March 2024

By
Jim Welch ,
Karen Williams  and
Emma Phillips
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

This chapter describes clinical situations that arise in the general hospital requiring intensive psychiatric care, the use of rapid tranquilisation (RT) and the legal aspects of management. It discusses challenges of delivering psychiatric care in general hospitals, including organisational barriers, environmental difficulties, lack of access to occupational/psychological interventions and managing psychiatric conditions alongside complex medical care, including in the critical care setting. It highlights staff factors affecting good psychiatric treatment, including lack of knowledge about psychiatric conditions and low confidence in providing treatment to mental health patients. The chapter also describes how mental health liaison teams work in the general hospitals.

Keywords

deliriumdementiaemergency sedationliaison psychiatryneuropsychiatryrapid tranquilisation (RT)refeedingself-injurysuicidesubstance misuse
Type
Chapter
Information
Psychiatric Intensive Care , pp. 307 - 323
Publisher: Cambridge University Press
Print publication year: 2024

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