Psychiatric Intensive Care

M. Dominic Beer; Stephen M. Pereira; Carol Paton

doi:10.1017/CBO9780511543593

Significantly expanded and updated from the first edition, this edition of Psychiatric Intensive Care is essential reading for all healthcare professionals and managers involved in the care of the mentally ill patient, particularly in the intensive care environment. It provides practical and evidence-based advice on the management of disturbed and severely ill psychiatric patients in secure hospital settings. New chapters were added covering multidisciplinary team working, and emphasising the interface of psychiatric intensive care with other mental health specialities; specifically, Interface with General Psychiatry, Interface with Learning Difficulties, Interface with the Child and Adolescent, Interface with Substance Misuse, Interface with Social Work, User and Carer Issues, Legal Issues and National Standards and Good Practice in Psychiatric Intensive Care. This book should be read by all mental health team members working with disturbed psychiatric patients on an inpatient basis, as well as by management staff responsible for establishing and running these services.

‘The book’s strengths include a very readable style, a multi-disciplinary authorship and chapters that cover the many diverse aspects of psychiatric intensive care. When reading it you get the firm impression that most of the chapters are written by people with real ‘hands on’ practical experience in their fields.’

Source: Bulletin of the National Association of Psychiatric Intensive Care Units

‘I strongly recommend this book. It should have wide appeal to a multi-disciplinary audience. It is soundly researched, able constructed and well written. I suspect that it will sit well in all mental health settings and on individual professional’s bookshelves, and that in time it will become a well-thumbed and much appreciated text.’

Source: Mental Health Practice

‘The book is packed full of extremely sensible advice on how to manage difficult clinical problems in the most challenging of patients. It has something for everyone - trainees, consultants, nurses, managers and those professions allied to medicine.’

Source: Hospital Doctor

‘It is comprehensive and multi-disciplinary. It is clinically oriented and most chapters will be of interest to clinical staff working on intensive care units.’

Source: British Journal of Psychiatry

'The concise chapters make this book easy to read and the various topics are useful to any member of an impatient team. This second edition covers areas that were not captured in the first edition.'

Alyson Myers - MD, Rush University Medical Centre

'I'd suggest reading this volume many times, as I did, since so much is covered so well in only 350 pages. My compliments to the authors and editors!'

Source: Journal of Clinical Psychiatry

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Contents

Frontmatter
pp i-iv
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Contents
pp v-vi
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List of contributors
pp vii-x
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Preface to second edition
pp xi-xii
- By M. Dominic Beer, Consultant Psychiatrist, Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust; Honorary Senior Lecturer, Institute of Psychiatry, London, Stephen Pereira, Lead Consultant Psychiatrist, Goodmayes Hospital, Essex, Carol Paton, Chief Pharmacist, Oxleas NHS Foundation Trust; Honorary Research Fellow, Department of Psychological Medicine, Imperial College, London
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Preface to first edition
pp xiii-xiv
- By Dominic Beer, Consultant Psychiatrist, Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust; Honorary Senior Lecturer, Institute of Psychiatry, London, Stephen Pereira, Lead Consultant, Psychiatrist, Goodmayes Hospital, Essex, Carol Paton, Chief Pharmacist, Oxleas NHS Foundation Trust; Honorary Research Fellow, Department of Psychological Medicine, Imperial College, London
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Foreword
pp xv-xvi
- By Michael J. Travis, University of Pittsburgh, Medical Center and Institute of Psychiatry, London
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Part I - Therapeutic interventions
pp 1-2
- By M. Dominic Beer, Consultant Psychiatrist, Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust; Honorary Senior Lecturer Institute of Psychiatry, London, Stephen M. Pereira, Lead Consultant, Psychiatrist, Goodmayes Hospital, Essex, Carol Paton, Chief Pharmacist, Oxleas NHS Foundation Trust; Honorary Research Fellow, Department of Psychological Medicine, Imperial College, London
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1 - Psychiatric intensive care – development and definition
pp 3-11
- By M. Dominic Beer, Consultant Psychiatrist, Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust; Honorary Senior Lecturer, Institute of Psychiatry, London, Stephen M. Pereira, Lead Consultant Psychiatrist, Goodmayes Hospital, Essex, Carol Paton, Chief Pharmacist, Oxleas NHS Foundation Trust; Honorary Research Fellow, Department of Psychological Medicine, Imperial College, London
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2 - Management of acutely disturbed behaviour
pp 12-23
- By M. Dominic Beer, Consultant Psychiatrist, Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust; Honorary Senior Lecturer, Institute of Psychiatry, London, Carol Paton, Chief Pharmacist, Oxleas NHS Foundation Trust; Honorary Research Fellow, Department of Psychological Medicine, Imperial College, London, Stephen M. Pereira, Lead Consultant Psychiatrist, Goodmayes Hospital, Essex
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3 - De-escalation
pp 24-31
- By Roland Dix, Consultant Nurse in Psychiatric Intensive Care and Secure Rehabilitation; Visiting Research Fellow, University of the West of England; Executive Committee Member NAPICU; Editor in Chief, Journal of Psychiatric Intensive Care, Wotton Lawn, Horton Road, Gloucester, UK, Mathew J. Page, Greyfriars Psychiatric Intensive Care Unit, Severn NHS Trust, Wotton Lawn, Gloucester, UK
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4 - Rapid tranquillisation
pp 32-49
- By Caroline L. Holmes, Consultant, Forensic Psychiatrist, The Essex Forensic Mental Health Service, Runwell Hospital, Wickford, Essex, UK, Helen Simmons, Consultant Psychiatrist
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5 - Pharmacological therapy
pp 50-73
- By Chike I. Okocha, Consultant Psychiatrist, Tarn PICU, Oxleas NHS Foundation Trust, Oxleas House, Queen Elizabeth Hospital, Woolwich, London, UK
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6 - Psychological approaches to the acute patient
pp 74-88
- By Marc Kingsley, Chartered Clinical Psychologist, North East London, Mental Health NHS Trust, Goodmayes Hospital, Essex, UK
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7 - Psychological approaches to longer-term patients presenting with challenging behaviours
pp 89-105
- By Brian Malcolm McKenzie, MA Clin Psychol (Natal) Dip for Psychotherapy (UCL), Forensic Psychologist, Oxleas NHS Foundation Trust, The Bracton Centre
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8 - Seclusion – past, present and future
pp 106-122
- By Roland Dix, Consultant Nurse in Psychiatric Intensive Care and Secure Rehabilitation, Visiting Research Fellow in the University of the West of England Executive Committee Member, NAPICU, Editor in Chief, Journal of Psychiatric Intensive Care, Wotton Lawn, Horton Road, Gloucester, UK, Christian Betteridge, Greyfriars Psychiatric Intensive Care Unit, Severn NHS Trust, Wotton Lawn, Gloucester, UK, Mathew J. Page, Greyfriars Psychiatric Intensive, Care Unit, Severn NHS Trust, Wotton Lawn, Gloucester, UK
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9 - Restraint and physical intervention
pp 123-131
- By Roland Dix, Consultant Nurse Psychiatric Intensive Care and Secure Rehabilitation; Visiting Research Fellow, University of the West of England
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10 - The complex needs patient
pp 132-148
- By Zerrin Atakan, Lead Consultant psychiatrist/Hon Senior Lecturer, National Psychosis Unit, Maudsley and Bethlem Royal Hospitals, Denmark Hill, London, UK, Venugopal Duddu, Consultant Psychiatrist, Avondale Unit, Royal Preston Hospital, Preston, UK
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11 - Therapeutic activities within Psychiatric Intensive Care and Low Secure Units
pp 149-160
- By Faisal Kazi, BSc Hons OT, Senior Occupational Therapist, Oxleas NHS Foundation Trust, Bracton Centre, Darford Kent, UK, Brenda Flood, Lecturer Department of Occupational Therapy, Auckland University of Technology, Auckland, New Zealand, Sarah Hooton, Formerly Occupational Therapist, Oxleas NHS Foundation Trust, Bracton Centre, Dartford, Kent, UK
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12 - Risk assessment and management
pp 161-180
- By Stephen M. Pereira, Lead Consultant Psychiatrist, Goodmayes Hospital, Essex, Sabrina Pietromartire, Pathways PICU Goodmayes Hospital, North East London Mental Health NHS Trust, Ilford, Essex, UK, Maurice Lipsedge, Emeritus Consultant Psychiatrist, Guy's Hospital, London, UK
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Part II - Interface issues
pp 181-182
- By M. Dominic Beer, Consultant Psychiatrist, Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust; Honorary Senior Lecturer Institute of Psychiatry, London, Stephen M. Pereira, Lead Consultant, Psychiatrist, Goodmayes Hospital, Essex, Carol Paton, Chief Pharmacist Oxleas NHS Foundation Trust; Honorary Research Fellow, Department of Psychological Medicine, Imperial College, London
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13 - The provision of intensive care in forensic psychiatry
pp 183-190
- By Harvey Gordon, Consultant Forensic Psychiatrist, Oxfordshire and Buckinghamshire, Mental Health Partnership, NHS Trust; Honorary Senior Lecturer in Forensic Psychiatry, University of Oxford, Littlemore Mental Health Centre, Oxford Clinic
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14 - The interface with forensic services
pp 191-201
- By James Anderson, Consultant Forensic Psychiatrist, Oxleas NHS Foundation Trust, The Bracton Centre, Dartford, Kent, UK
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15 - Supporting people with learning disabilities on general psychiatric wards, PICUs and LSUs
pp 202-219
- By Andrew Flynn, Consultant Psychiatrist, Oxleas NHS Foundation Trust, Bexley Learning Disabilities Team, Stuart House, Sidcup, Kent, UK
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16 - The interface with general psychiatric services
pp 220-228
- By Trevor Turner, Consultant Psychiatrist and Clinical Director (General Adult Psychiatrist), East London and The City Mental Health, NHS Trust, The City and Hackney Centre for Mental Health, Homerton University Hospital, London, UK
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17 - The interface with the Child and Adolescent Mental Health Services (CAMHS)
pp 229-246
- By Gordana Milavić, Clinical Director, Child and Adolescent Mental Health Services (CAMHS), The South London and Maudsley NHS Foundation Trust and Lead Clinician, National and Specialist Services, CAMHS Directorate, CAMHS, Michael Rutter Centre, Maudsley Hospital, London, UK
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18 - Severe mental illness and substance abuse
pp 247-264
- By Zerrin Atakan, Lead Consultant psychiatrist/Hon Senior Lecturer, National Psychosis Unit, Maudsley and Bethlem Royal Hospitals, Denmark Hill, London, UK
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19 - Social work issues in PICUs and LSUs
pp 265-274
- By David Buckle, Approved Social Worker, Montpellier Unit, Severn NHS Trust, Wotton Lawn, Gloucester, UK
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20 - User and carer involvement
pp 275-282
- By Kate Woollaston, Pathways PICU, Goodmayes Hospital North East London Mental Health, NHS Trust, Ilford, UK, Stephen M. Pereira, Lead Consultant Psychiatrist, PICU and Honorary Senior Lecturer, Guy's King's, St Thomas' School of Medicine Pathways, PICU Goodmayes Hospital, North East, London, Mental Health, NHS Trust, Ilford, Essex, UK
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Part III - Management of the Psychiatric Intensive Care Unit/Low Secure Unit
pp 283-284
- By M. Dominic Beer, Consultant Psychiatrist, Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust; Honorary Senior Lecturer Institute of Psychiatry, London, Stephen M. Pereira, Lead Consultant, Psychiatrist, Goodmayes Hospital, Essex, Carol Paton, Chief Pharmacist Oxleas NHS Foundation Trust; Honorary Research Fellow, Department of Psychological Medicine, Imperial College, London
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21 - Setting up a new Psychiatric Intensive Care Unit: principles and practice
pp 285-293
- By Andrew W. Procter, Consultant Psychiatrist, Manchester Royal, Infirmary, Honorary Senior Clinical Lecturer, University of Manchester, Manchester, UK, David Ridgers, Ward Manager Oxford Ward PICU, Manchester Royal Infirmary, Manchester, UK
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