Philosophy of Care

1
Philosophy of Care

• The philosophy of care is the approach to care
  and treatment of patients with mental health
  problems. It includes-
• Service Standards
• Patient Environment
• Model of care

2
Service Standards

• Holistic approach
• Psychological and social integration
• Promotes patient independence
• Non institutionalised ethos

3
Patient Environment

• Aim to provide a safe environment where
• Individuals-
• Are free from abuse
• Can gain self esteem
• Promote safety of service users, their families
  and staff
• Have relational security

4
Model of Care

• Holistic Health Model

Societal
Environmental
Spiritual
Social
Physical
core
Sensual
Sexual
Psychological
5
Seclusion

• When a patient is secluded
• Reviewed by a doctor immediately
• 2 hourly independent nurse reviews
• 4 hourly doctors reviews
• If more than 12 hours in seclusion must be
  reviewed by Multi Disciplinary Team

6
Sections

• Mental Health Act 1983
• Reasons for being sectioned-
• Risk of harming themselves or others
• Symptoms are of a nature it warrants detention
• Alleviate or prevent further deterioration
• Remanded to hospital by the courts

7
Section 2

• Admission for Assessment
• Requires two medical recommendations
• Duration is up to 28 days.
• No provision for renewal or extension
• If further treatment is needed detained under
  section 3

8
Section3

• Admission for Treatment
• Requires two medical recommendations
• Duration is initially 6 months. This can be
  extended to another 6 months and then for a year
  at a time
• Usually follows a section 2 unless patient is
  know to hospital, then can go straight on section
  3

9
Section 35

• Remanded to Hospital by the Courts
• Assessment and preparation of a report only
• Evidence supplied to the court by 1 Doctor
• Can be imposed by Crown or Magistrates Court
• Duration 28 days. Extended 28 days at a time up
  to 12 weeks
• Can not be discharged and have no rights of appeal

10
Section 37

• Hospital orders made by the Courts
• Courts can send people to hospital when the
  alternative sentence might have been prison
• Evidence supplied to court by 2 Doctors
• Duration is 6 months, it can be renewed for
  another 6 months and then anually
• Can not be discharged and have no rights of appeal

11
Section 47

• The home office can make a Transfer Direction
  which allows them to transfer a prisoner to
  hospital for treatment.
• The home office must believe this in the interest
  of the public
• The duration may be longer than their original
  sentence.