Free Dissertations - Psychology Dissertations

The Treatment Plan Should Take Into Account All Aspects Of The Patient's ...

The treatment plan should take into account all aspects of the patient's management in hospital, ranging from treatment options to pharmacological and psychological interventions to discharge planning.
2.1.3 Admission To Hospital
At this point, temporary admission should be considered especially for patients who are who are very distressed, for people who may be returning to an unsafe or harmful environment and for people in whom psychosocial assessment proves too difficult for any number of reasons (NICE, 2004). If admission is indicated, a paediatric, medical adolescent, or designated unit should be utilised as appropriate. Despite the NICE guidelines, some schools of though believe that regardless of the toxicological or physical state of the young person, hospital admission is desirable, so that adequate further physical and psychosocial assessments can be carried out, and management/crisis interventions can be planned and initiated (Hawton and James, 2000). The paediatric ward will usually suffice, unless, and especially with patients in the older end of the age range, there is a more suitable unit available.
Waterhouse and Platt (1990) investigated the difference in outcomes between self-harm patients who were admitted to hospital and those were discharged as outpatients. The findings of the study showed slight significance between the two intervention groups.
It is the role of the admitting staff to obtain agreement for the mental health assessment of the patient from parents or relevant guardians, and to alert all members of staff of each young person's needs. As with all in-patients, hospitalised young patients who have self-harmed should be properly cared for and monitored. In addition, responsibilities of staff of the mental health team will include providing consultation to the young person and his/her family, the paediatric team and staff of the social services and education departments.
The Crisis Recovery Unit at the Bethlem Hospital in London, a national specialist unit for people of 17 years and above who repeatedly self-harm, have a different and slightly radical approach to the in-patient treatment of these patients (Mental Health Foundation, 2006). Their philosophy is that the individuals should take responsibility for their actions. This practice-supported technique focuses on helping young people realise for themselves that self-harm is not an effective strategy for dealing with their problems. It encourages these patients to talk about their problems and explore alternative coping strategies, including strategies for dealing with the urge to self-harm. However, the effectiveness of such an intervention in younger patients (11-16) is not certain, as these children might not be mentally mature for such self-realisation tactics.
2.1.

Order Now. It takes less than 2 minutes.

  1.  
  2.  
  1.  

Please note: The above dissertation snippet was written by a student and then submitted to us to display and help others. Thanks to all the students who have submitted their work to us.