In-Patient Hospital Care by sdfsb346f


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									                                                                                           Mind in Croydon
                                                                                           26 Pampisford Road
For better                                                                                 Surrey
mental health                                                                              CR8 2NE

                                                                                           T: 020 8668 2210
                In-Patient Hospital Care                                                   Reg. Charity No: 3351324

                Where is in-patient hospital care provided?
                Inpatient care is provided in the Bethlem Royal Hospital which is specifically for the treatment
                and care of people suffering from mental illness. Alexandra Ground Floor had 20 beds and is
                for female patients only. Gresham 1 has 22 beds (mixed patients). Gresham 2 has 25 beds
                (male patients only). Gresham Psychiatric Intensive Care Unit (PICU) Unit has 7 beds, is male
                only and incorporates a Section 136 assessment suite. The hospital is situated about 4 miles
                from the centre of Croydon, and is accessible either by car or by bus (119, 194, 356, 358, or

                Contact: South London and Maudsley NHS Foundation Trust on 020 3228 6000.

                The Gresham Psychiatric Intensive Care Unit (PICU) Unit accommodates patients with acute
                behavioural disturbance and is a locked ward which serves male patients throughout the

                In-patient provision for mothers and babies, drug & alcohol dependency and people with eating
                disorders is also available at the Bethlem.

                Chelsham House, the elderly assessment unit for people of 65 years and over has 30 beds, a
                relatives’ room, therapy rooms and 10 day-places. It is designed to assess and treat elderly
                people with functional and/or organic mental health problems. Chelsham House is a short-term
                facility provided to help people return to the community. Long term care is provided by the
                private sector at Amberley Lodge.


                How would I be admitted to hospital?
                When people suffering from some form of mental illness need to go into hospital, most of them
                are admitted in exactly the same way as people suffering from any other kind of illness. A doctor
                has recommended that they should go into hospital and they have agreed. They are called
                voluntary, or informal, patients and are free to leave hospital at any time.

                Some patients are admitted compulsorily under a section of the Mental Health Act and kept in
                hospital for a specified length of time. This usually happens because they are seriously ill and
                unable or unwilling to give their consent. The application for admission is made either by the
                person's nearest relative or, more usually, an Approved Social Worker (ASW) (See Health
                services in the Community). It must be supported by medical recommendations from 2 doctors
                (or, in the case of an emergency, one). These would be the person's GP, if possible, and a
                consultant or another approved doctor. People admitted to hospital in this way are called formal
                or detained patients and are free to leave only with the knowledge and permission of the

                Formal patients can appeal to the Hospital managers of the Mental Health Review Tribunal
                against the order under which they are held. Your key worker can give you information about
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                Mental Health Act

                What is the Mental Health Act?
                The law about formal admissions is contained in the Mental Health Act 1983. This is an Act of
                Parliament and it lays down all the rules concerning admission, length of stay, appeals, etc.
                People admitted to hospital under the Mental Health Act must be informed about the provisions
                under which they are held and their rights including their right of appeal to a Mental Health
                Review Tribunal or the Hospital Managers. This information must be given in writing to the
                patient and to the nearest relative. An information booklet “Out of the Maze – Your Guide to the
                Mental Health Act 1983” has been produced by the Bethlem and Maudsley NHS Trust. This is
                available from:

                Contact: Mental Health Act Office Maudsley Hospital

                Further information on tribunals may be had from:

                The Mental Health Act Tribunal
                Mental health Review Tribunial
                5th Floor, 11 Belgrave Road
                Victoria, London,
                SW1V 1RS
                Tel: 020 7592 1068
                Fax: 020 7592 1097

                If you need help with an appeal or tribunal under the Act, please contact Mind in Croydon
                Advocacy Service.

                What would happen to me after admission to hospital?
                During your stay you will be under the care of a Consultant Psychiatrist who specialises in
                inpatient treatment and care only. Your treatment will be tailored to your needs. The
                Consultant and Multi-disciplinary Team will meet with you regularly in a ward round/review to
                plan and evaluate your care on a weekly basis. Prior to discharge an after care plan will be
                agreed with you. Most adult patients stay in hospital for less than a month.

                You would not have to stay in bed and you would wear and use washing facilities for your own
                clothes. You would be able to receive visitors at any reasonable time. Apart from any specific
                treatment recommended by the doctor, the day's programme might include ward meetings,
                attended by patients and staff, activities in the occupational therapy resources, and social
                activities on site at the Bethlem Royal Hospital in the community centre.

                What would happen to me after I left hospital?
                As soon as you were being considered for discharge, a discharge and after-care plan would be
                drawn up with you and a community key worker would be nominated who would have overall
                responsibility for co-ordinating and reviewing your care programme.

                After leaving hospital, your GP would resume care of you, or you might be asked to attend a
                psychiatric outpatient clinic, a resource centre, or see a community psychiatric nurse. If you
                continued to see a psychiatrist, it would normally be the same consultant that you had seen in
                hospital or one of his/her assistants.
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                What is the Care Programme Approach (CPA)?

                CPA was introduced in 1991 and applies to anyone using Specialist Mental Health Services. It
                has four main parts:

                        Assessment of your care needs
                        Naming of your Care Co-ordinator
                        Development / Agreement of your Care Plan
                        Review of your care

                It promotes close working between all staff who are caring for you, and also aims to ensure that
                you have a say in decisions about your care.

                What is Supervised Discharge?

                Supervised discharge is intended to ensure that a person who has been detained in hospital for
                treatment under the Mental Health Act and who is thought to be a serious risk to themselves or
                others co-operates with the plan made to look after them when they are discharged from
                hospital. A supervisor is appointed to keep an eye on the person's care and the supervisor may
                require them to live in a particular place or attend a named place for education or treatment. If
                they do not comply they can be conveyed back to hospital.

                Contact: any Resource Centre

                Central and North: Tamworth Road, 37 Tamworth Road, Croydon, CR0 1XT
                Tel: 020 3228 6320
                Fax: 020 8649 8402

                West: Westways Resource Centre, 49 St. James's Road, West Croydon, CR0 2UR
                Tel: 020 3228 5800
                Fax: 020 8700 8541/8524

                South: Purley Resource Centre, 50 Pampisford Road, Purley, CR8 2NE
                Tel: 020 3228 5400
                Fax: 020 8700 8944

                East: Crescent Resource Centre, Salcot Crescent, New Addington, CR0 0JJ
                Tel: 01689 8038400
                Fax: 01689 800874


                A small number of people may be required to be placed under Guardianship in support of their
                care and treatment plan. The Mental Health Act Code of Practice (1999) describes the purpose
                of Guardianship as follows " to enable patients to receive care in the community where it cannot
                be provided without the use of compulsory powers”. It provides an authoritative framework for
                working with a patient, with a minimum constraint, to achieve as independent a life as possible
                within the community. Where it is used it must be part of a patient's overall care and treatment
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                Alternatives to Hospital

                Crisis Crisis Unit Croydon Social Services, South London and Maudsley NHS Foundation Trust,
                58 Ashburton Road, Croydon (Phone 020 8654 4301, Fax 020 8656 4307) is a 7-bed 24-hour
                crisis unit run by SLAM. Stays can be between one day to four weeks and the aim is to
                encourage a self-help approach to crisis by giving practical and emotional support. Referrals
                only through a CPN, Care Manager, Psychiatrist etc.

                The Women’s Service, 158 Foxley Lane, Purley CR8 3NF (Phone 020 8660 8676 Fax 020 8763
                6182) provides 24-hour care and support to women over the age of 17 who might otherwise be
                offered an informal admission to psychiatric hospital. If a woman was considering entering
                hospital as an informal patient she might want to try this service as an option.

                What Provision is there for In-Patient Rehabilitation?

                Westways Inpatient Rehabilitation Mental Health Unit which offers in-patient facilities. The unit
                caters for people who require an intensive period of support in the areas of social functioning,
                self care, sustaining quality of life, independent living skills prior to moving on to more
                independent living.

                There is an outreach team which offers intensive holistic support to people who were formerly at
                Westways but are now living in their own homes. The team also provides a support, monitoring
                and reviewing service to individuals placed in supportive lodgings and with registered carers in

                Information provided by Mind in Croydon.
                Electronic version Croydon Online.

                                                                                            Updated 22 March 2007

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