Hi Inez, of course some manic or psychotic patients could not be handled in a PHH program, however, many admitted can be discharge fairly early to home treatment, even after a few days of good sleeps and starting on meds. However in my service we have treated numerous such patients without needing to admit them.
A surprising number of them can be cooperative with the right approach. Families are often very keen to avoid hospital admission , especially if the patient has had a previous bad experience, and will go to great lengths to avoid it. They can help us engage them and monitor them and supervise medication
Rapid control of agitation from the start is very helpful
I cover this in chapters 7 and 8 of my book. In Awais' piece linked to this, there is a link to free access of my book
This is absolutely fascinating. What an excellent introduction to the topic. I am curious about how the home hospital programs functions on a more granular level - how do you keep someone acutely manic or psychotic safe while at home? Are there staff with them during that period? It seems like such an elegant solution to some of the huge issues posed by involuntary hospitalization, which can be traumatic for some individuals, even if seemingly necessary from a safety standpoint. Very curious about how treatment at home would manage those risks.
Hi Michael, I understand you have EPSIAD teams in France -similar to Crisis Resolution Home Treatment teams ?
What do you think were the reasons you weren't getting referrals and how extensive is the problem ?
This is such a common feature of PHH it is ripe for a research project.
How many of these teams are there and how are they functioning overall ?
Hi Inez, of course some manic or psychotic patients could not be handled in a PHH program, however, many admitted can be discharge fairly early to home treatment, even after a few days of good sleeps and starting on meds. However in my service we have treated numerous such patients without needing to admit them.
A surprising number of them can be cooperative with the right approach. Families are often very keen to avoid hospital admission , especially if the patient has had a previous bad experience, and will go to great lengths to avoid it. They can help us engage them and monitor them and supervise medication
Rapid control of agitation from the start is very helpful
I cover this in chapters 7 and 8 of my book. In Awais' piece linked to this, there is a link to free access of my book
This is absolutely fascinating. What an excellent introduction to the topic. I am curious about how the home hospital programs functions on a more granular level - how do you keep someone acutely manic or psychotic safe while at home? Are there staff with them during that period? It seems like such an elegant solution to some of the huge issues posed by involuntary hospitalization, which can be traumatic for some individuals, even if seemingly necessary from a safety standpoint. Very curious about how treatment at home would manage those risks.
same experience here, had to fight to include people in home care instead of hospitalisation
was so effective that it allowed us to close some beds, but still had to fight for it
I eventually left because of boredom - we didnt have much work to do at all, and we grew tired of having to fight for patients