What patients can expect
The Health professionals will conduct an initial assessment of the patients need by means of a clinical interview and review of all available information. Every attempt will be made to build a therapeutic relationship from the earliest possible stage. The assessment process will be as collaborative as possible, aiming for effective involvement of other professionals in the multidisciplinary team, the patient and relevant others.
Confidentiality and its limits will be discussed at the earliest possible opportunity, together with discussion around how information is held and shared[i].
Before admission every reasonable effort to identify and utilise any relevant documentation including advanced statements, previous assessments and any existing management or action plans. For example, crisis self management plans, wellness recovery action plans (WRAP) and Care Programme Approach (CPA) plans.
On arrival for assessment the Mental Health Assessment Unit nurse or doctor will explore the purpose, potential benefits and risks of admission, together with the purpose, potential benefits and risks of choosing alternative care and treatment options.
[i] General Medical Council (2009). Confidentiality
Before any admission assessment of risk and development of a risk management plan will be started. It is important to identify the risks associated with hospital admission and discuss with the patient and relevant others[i].
The role, purpose and limitations of an acute inpatient setting should be discussed and understood by the Mental Health assessment Unit, the patient and relevant others.
There may be occasions when there is disagreement between the patient, relevant others and the assessors around whether hospital admission is the most appropriate care and treatment option. If this is the case careful documentation of the disagreement should be made and discussion with senior colleagues will be sought with the aim of obtaining a pragmatic solution.
[i] General Medical Council (2008). Consent: patients and doctors making decisions together.