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by Marion Janner
Last updated: February 2016 by Geoff
There used to be almost total consensus about the
poverty of acute in-patient stays.
'As we all know, acute units have
been starved of resources, marginalised when it comes to service
development, and then criticised for an excessively custodial form
of care.' Consultant psychiatrist quoted in The
Search for Acute Solutions (Sainsbury
Centre for Mental Health, 2006).
It wasn't so much the locked doors (even
on ostensibly ‘open wards’) that created the custodial environment,
but the culture of staff ‘watching and waiting’. This very passive
approach, combined with an almost total absence of resources and
activities for patients, produced days and weeks characterised by
boredom, frustration and lack of development, for both patients and
But acute care is changing. Very much for the
better, in terms of therapeutic input, patient involvement in their
own care, and meaningful activities. Improved staff satisfaction
and motivation is both cause and effect of these improvements.
Informed by the author's own experience of being an acute mental
health in-patient, this module looks at some of the key components
of constructive acute in-patient wards and the role of the
psychiatrist in enabling positive changes.
Start the module
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Involving patients and carers in
training by Dr Alka Ahuja
Managing challenging behaviour in mental health
in-patient units by Dr Dominic Beer and Mr Darryl
Alternatives to acute admission: crisis resolution
and home treatment by Dr Christopher Bridgett
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