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  • Chapter 25 - Psychiatric Intensive Care in General Hospital Settings

  • Edited by Roland Dix, Gloucestershire Health and Care NHS Foundation Trust, Gloucester, Stephen Dye, Norfolk and Suffolk Foundation Trust, Ipswich, Stephen M. Pereira, Keats House, London
  • Book:
    Psychiatric Intensive Care
    Published online:
    15 March 2024
    Print publication:
    28 March 2024, pp 307-323

  • 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.