Comparison of the quality of care in psychiatric intensive care units and acute psychiatric wards

Abstract

Background: Literature comparing the quality of care on psychiatric intensive care units and acute wards is sparse, but a review has found differences in key areas e.g. violence, drugs and alcohol.

Understanding the nature of mental health nursing within CAMHS PICU: 1. Identifying nursing interventions that contribute to the recovery journey of young people

“…An environment in which multidisciplinary care and treatment can be delivered safely is created through high levels of physical, relational and procedural security, for which nursing staff (qualified and unqualified) often carry the burden of responsibility (McAllister & McCrae 2017). Despite the lack of coherency or underpinning ideology identified, there is little evidence to suggest that quality of patient care is compromised, as compared to other inpatient settings (Lemmey et al 2013). There is a limited but notable amount of evidence to suggest that treatment outcomes are positive for patients who are in acute psychiatric distress (Gwinner & Ward 2013), but an absence of understanding of the mechanisms that bring about change (Hayes et al 2017).…”

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“…Still, these studies demonstrate that PICU patients improved dramatically in symptomatology compared to patients in acute wards (Cohen & Khan 1989). However, a more recent study comparing the quality of care between PICU and acute wards found no significant differences (Lemmey et al 2012). Although PICU are established to provide care for patients with the worst phases of mental illness, relatively few studies have examined this subspecialty.…”

“…However, a more recent study comparing the quality of care between PICU and acute wards found no significant differences (Lemmey et al . ). Although PICU are established to provide care for patients with the worst phases of mental illness, relatively few studies have examined this subspecialty.…”