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Family-inclusive practice in a psychiatric intensive care unit
Rosemary Sedgwick1, Alexa Duff2, Sharon Lines3
1South London and Maudsley NHS Foundation Trust/King's College London.
Bjpsych Bulletin
|March 12, 2019
Summary
A new relatives' and carers' clinic in psychiatric intensive care improved family involvement. Families felt more informed, respected, and valued, contrasting positively with previous experiences.
Area of Science:
- Psychiatry
- Mental Health Services
- Family Support
Background:
- National Institute for Health and Care Excellence (NICE) recommends family involvement in psychiatric care.
- Lack of specific guidance on implementing family involvement in psychiatric settings.
Purpose of the Study:
- To enhance family involvement in a National Health Service (NHS) psychiatric intensive care unit.
- To evaluate the effectiveness of a newly established relatives' and carers' clinic.
Main Methods:
- A relatives' and carers' clinic was implemented.
- Fifty family members completed questionnaires.
- Nine participants engaged in semi-structured interviews.
- Thematic analysis was used to analyze interview data.
Main Results:
- Families reported feeling significantly more informed and valued.
- Increased access to information was perceived as highly useful.
- Participants highlighted improved communication, respect, and understanding compared to prior experiences.
- The clinic's timing and environment positively impacted family perceptions.
Conclusions:
- The relatives' and carers' clinic was positively received by families.
- The initiative successfully aligned with the trust's commitment to carer inclusion.
- The clinic supports national guidance advocating for routine inclusion of carers in psychiatric care.
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