Exploring consumer functioning in High Dependency Units and Psychiatric Intensive Care Units: Implications for mental health occupational therapy

Abstract

This study provides the first description of functional abilities of consumers admitted to an HDU and PICU. Results were used to develop an initial conceptualisation of 'stages' of regaining functional abilities and a set of initial guidelines to support targeted occupational therapy interventions. This study will contribute to a better understanding of the functional abilities of individuals admitted to HDUs and PICUs and will support the development of optimal occupational therapy interventions in these settings.

Humanization of care in acute psychiatric hospitalization units: A scoping review

“…They are raised as the first option, before providing extra medication when you feel worse (Molin et al, 2019). They were committed to welcoming the patient upon admission (Fernandes Moll et al, 2016; Voskes et al, 2021), to do individual interviews, to planning interventions in the ward through an individualized care plan for users (Evatt et al, 2016; Fernandes Moll et al, 2016; Oliveira et al, 2015; Pitkänen et al, 2011; Voskes et al, 2021), and other nursing activities, either with direct or indirect contact with patients (McAllister & McCrae, 2017). Activities could be directed towards users, such as self‐centred strategies—mindfulness—(Delaney et al, 2017), or group interventions as a form of social inclusion, such as games, eating together or watching television together (Evatt et al, 2016; Fernandes Moll et al, 2016).…”

“…They were committed to welcoming the patient upon admission (Fernandes Moll et al, 2016; Voskes et al, 2021), to do individual interviews, to planning interventions in the ward through an individualized care plan for users (Evatt et al, 2016; Fernandes Moll et al, 2016; Oliveira et al, 2015; Pitkänen et al, 2011; Voskes et al, 2021), and other nursing activities, either with direct or indirect contact with patients (McAllister & McCrae, 2017). Activities could be directed towards users, such as self‐centred strategies—mindfulness—(Delaney et al, 2017), or group interventions as a form of social inclusion, such as games, eating together or watching television together (Evatt et al, 2016; Fernandes Moll et al, 2016). Activities could also be directed towards a standardized educational program focused on recovery, promoting hope, security, support, symptom management, empowerment, interpersonal relationships, coping and the search for meaning (Knutson et al, 2013; McKenna et al, 2014), to demonstrate more autonomy and independence (Evatt et al, 2016).…”

“…Finally, regarding the use of scales, it should be noted that in one of the articles the Hyperacute Screening Tool (HST) validation was used, based on the performance of skills, social skills, and initiation tasks, and defining six states, ranging from inability to participate to total commitment (Evatt et al, 2016). In other, the Client Centered Rehabilitation Questionnaire-Mental Health (CCRQ-MH) questionnaire was used (Óladóttir & Pálmadóttir, 2017).…”

“…They were committed to welcoming the patient upon admission (Fernandes Moll et al, 2016;Voskes et al, 2021), to do individual interviews, to planning interventions in the ward through an individualized care plan for users (Evatt et al, 2016;Fernandes Moll et al, 2016;Oliveira et al, 2015;Pitkänen et al, 2011;Voskes et al, 2021) (Evatt et al, 2016;Fernandes Moll et al, 2016). Activities could also be directed towards a standardized educational program focused on recovery, promoting hope, security, support, symptom management, empowerment, interpersonal relationships, coping and the search for meaning (Knutson et al, 2013;McKenna et al, 2014), to demonstrate more autonomy and independence (Evatt et al, 2016). Other authors defined interventions as activation interventions (McKenna et al, 2014;Pitkänen et al, 2011).…”

Policy Analysis: The Prevalence of Leisure-related Concepts Found in Mental Health Legislation

“…A study completed by [4] noted that consumers spend approximately ninety minutes engaging in any organised activity in a week over a 35 hour working week, in a general adult mental health inpatient unit (MHIU) which they received mental health support or care. High dependency units frequently offer limited access to leisure occupations due to the nature of the consumer acuity, furthermore persons in seclusion are highly restricted to access activity [10,11]. This situation is unlikely to change unless access to leisure occupations is supported by policy and legislation.…”