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Three types of PICU admission for those diagnosed with personality disorder

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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.
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Document Type: Commentary

Publication date: September 1, 2020

This article was made available online on June 15, 2020 as a Fast Track article with title: "Three types of PICU admission for those diagnosed with personality disorder".

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  • Published twice a year, the Journal of Psychiatric Intensive Care is devoted to issues affecting the care and treatment of people with mental disorders who manifest severely disturbed functioning. The journal is international and multidisciplinary. It provides stimulating papers and articles of interest to those who work in or study psychiatric intensive care, low secure services, acute inpatient wards, challenging behaviour environments, emergency psychiatry, or intensive treatments settings in other parts of the wider mental health system. The Journal of Psychiatric Intensive Care encourages informed debate and exchange of opinion. Its content includes editorials, original research, brief reports, reviews, conference reports, news and notices, but preference is given to original research of a high scientific quality.
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