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Chapter 3 - National Standards and Good Practice

Published online by Cambridge University Press:  15 March 2024

By
Stephen Dye
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

Psychiatric intensive care units (PICUs) treat patients with an acute episode of a major mental illness who present with additional risk of harm to themselves or others that cannot be managed on an acute psychiatric ward. This chapter outlines standards of care that are expected upon such units, what they are and how the standards were developed with clinical rationale. It also gives examples of other guidelines and standards that impact practice within a PICU setting. It also describes the process of quality improvement in such units and how this relates to continual positive progress within a PICU setting. It alludes to how the principles of psychiatric intensive care can be incorporated within other settings and the need for clear definition of subspecialities within psychiatry.

Keywords

psychiatric intensive care unit (PICU)standardsqualityguidancecarepsychiatryintensive
Type
Chapter
Information
Psychiatric Intensive Care , pp. 38 - 45
Publisher: Cambridge University Press
Print publication year: 2024

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References

Department of Health (2002) National Minimum Standards for General Adult Services in Psychiatric Intensive Care Units (PICU) and Low Secure Environments. In Pereira, S and Clinton, C (eds.), Mental Health Policy Implementation Guide. London: Department of Health.Google Scholar
Department of Health (2008) High Quality Care for All: NHS Next Stage Review Final Report. London: Department of Health.Google Scholar
Department of Health (2015) Mental Health Act 1983: Code of Practice. London: Department of Health.Google Scholar
Dye, S, Johnston, A, and Pereira, S (2005) The National Psychiatric Intensive Care Governance Network 2004–2005. Journal of Psychiatric Intensive Care 1 (2) 97–104.CrossRefGoogle Scholar
Dye, S, Smyth, L and Pereira, S (2016) ‘Locked Rehabilitation’: A Need for Clarification. BJPsych Bulletin 40 (1) 1–4.CrossRefGoogle ScholarPubMed
Dye, S (2017) Can Mental Health Clusters Be Replaced By Patient Typing? British Journal of Health Care Management 23 (5) 229–37.Google Scholar
Ham, CM, Alderwick, H, Dunn, P and McKenna, H (2017) Delivering Sustainability and Transformation Plans. London: Kings Fund.Google Scholar
Loynes, B, Innes, J, and Dye, S (2013) Assessment of Physical Monitoring Following Rapid Tranquillisation: A National Survey. Journal of Psychiatric Intensive Care 9 (2) 85–90.CrossRefGoogle Scholar
Munjaz v United Kingdom, no. 2913/06, 44 § 2, ECHR 2012 [Online]. www.globalhealthrights.org/wp-content/uploads/2013/02/ECtHR-2012-Munjaz-v-United-Kingdom.pdf.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2014) National Minimum Standards for Psychiatric Intensive Care in General Adult Services. Glasgow: NAPICU. https://napicu.org.uk/wp-content/uploads/2014/12/NMS-2014-final.pdf.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2015) National Minimum Standards for Psychiatric Intensive Care Units for Young People. Glasgow: NAPICU. https://napicu.org.uk/wp-content/uploads/2014/08/CAMHS_PICU_NMS_final_Aug_2015_cx.pdf.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2016a) Guidance for Commissioners of Psychiatric Intensive Care Units (PICU). Glasgow: NAPICU. https://napicu.org.uk/wp-content/uploads/2016/04/Commissioning_Guidance_Apr16.pdf.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2016b) NAPICU Position on the Monitoring, Regulation and Recording of the Extra Care Area, Seclusion and Long-Term Segregation Use in the Context of the Mental Health Act 1983: Code of Practice (2015). Glasgow: NAPICU. https://napicu.org.uk/wp-content/uploads/2016/10/NAPICU-Seclusion-Position-Statement.pdf.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2020) Managing Acute Disturbance in the Context of COVID-19. Glasgow: NAPICU. https://napicu.org.uk/wp-content/uploads/2020/12/NAPICU-Guidance_rev5_15_Dec.pdf.Google Scholar
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) and Design in Mental Health Network (DIHMN) (2017) Design Guidance for Psychiatric Intensive Care Units. Glasgow: NAPICU. https://napicu.org.uk/wp-content/uploads/2017/05/Design-Guidance-for-Psychiatric-Intensive-Care-Units-2017.pdf.Google Scholar
National Institute for of Health and Care Excellence (NICE) (2005) Violence: Short-Term Management for Over 16s in Psychiatric and Emergency Departments. London: NICE.Google Scholar
National Institute of Health and Care Excellence (NICE) (2015) Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings [NG10]. London: NICE. www.nice.org.uk/guidance/ng10.Google Scholar
Patel, MX, Sethi, FN, Barnes, TR, Dix, R, Dratcu, L, Fox, B, et al. (2018) Joint BAP NAPICU Evidence-Based Consensus Guidelines for the Clinical Management of Acute Disturbance: De-escalation and Rapid Tranquillisation. Journal of Psychopharmacology 32 (6) 601–40.CrossRefGoogle ScholarPubMed
Paton, C, Adams, C, Dye, S, et al. (2019) Physical Health Monitoring after Rapid Tranquillisation: Clinical Practice in UK Mental Health Services. Therapeutic Advances in Psychopharmacology 9: 1–12.CrossRefGoogle ScholarPubMed
Pereira, S and Dalton, D (2006) Integration and Specialism: Complementary Not Contradictory. Journal of Psychiatric Intensive Care 2 (1) 1–5.CrossRefGoogle Scholar
Pereira, S, Dawson, P and Sarsam, M (2006) The National Survey of PICU and Low Secure Services: 2. Unit Characteristics. Journal of Psychiatric Intensive Care 2 (1) 13–19.CrossRefGoogle Scholar
Pereira, SM, Walker, L and Dye, S (2021) A National Survey of Psychiatric Intensive Care, Low Secure and Locked Rehabilitation Units. Mental Health Practice.CrossRefGoogle Scholar
Ross, S and Naylor, C (2017) Quality Improvement in Mental Health. London: Kings Fund.Google Scholar
Royal College of General Practitioners (2015) Quality Improvement for General Practice: A Guide for GPs and the Whole Practice Team. London: Royal College of General Practitioners. https://elearning.rcgp.org.uk/pluginfile.php/174184/mod_book/chapter/519/RGCP-QI-Guide-260216%20%285%29.pdf.Google Scholar

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