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Three types of PICU admission for those diagnosed with personality disorder

Dohren, Stacey
Glos Author
Date
2020-06-15
Type
Journal Article
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Abstract
This article describes three types of PICU admission which could be considered for patients with a diagnosis of personality disorder. These are: a structured planned admission; a respite admission and a risk management admission. All three types of admission are based on the existing PICU admission criteria. There is a need for admissions for this patient group to be more structured, with robust pathways in and out of services. A key factor is the assessment of readiness and motivation to engage in treatment. This provides the basis for choosing which type of admission should be offered. There is a lack of consistency about how to assess readiness and motivation to engage in treatment for patients with a diagnosis of personality disorder. Models that are used within the forensic sector are discussed. For those patients who are not yet ready to engage clear pathways and suggested guidance are outlined within this article. While writing this article it became clear that there is little evidence to guide nursing practice for this patient group within acute mental health inpatient services as a whole. There remains scope for further research into this specific area.
Citation
Dohren, S. (2020). Three types of PICU admission for those diagnosed with personality disorder. Journal of Psychiatric Intensive Care, 16(2), 53–60. https://doi.org/10.20299/jpi.2020.007
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