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MissAnonymous · 11-09-2012, 10:37 PM

Hospital, it really depends.

The time when its justified is when you have tried everything else, the Crisis Team or Home Treatment Team, the option of staying with someone for a few days, and the CMHT not being able to support you [for example, too high a risk and need for support at the weekends].

Admissions are stressful, the other patients can be scary, the staff vary a lot, it depends what they are like, and if you can get on with them. The consultant is the person who will authorise an admission so if you are not in a crisis bed [these tend to be controlled by a crisis team consultant] it depends on the consultant's opinion of the problem, and ideas of what is and is not helpful. Here anyone with BPD tends not to get an admission because the crisis team are of the opinion its better for a person to learn to manage in the community, being a chronic disorder rather than an acute illness like psychosis. This is not to say BPD does not have crisis points, but here they tend to reserve admission to acutely ill people needing constant supervision and often a medication reveiw under observation.

I think most of the time an admission has to have an aim, an objective to work towards. Being clear what you want from it, is not only helpful to you, but will direct the people caring for you towards helpful strategies and everyone will be singing from the same hymn sheet. Some wards have a really good OT service/programme, but some wards are literally a holding place for someone, with no interactions or therapeutic activities or provision for occupational therapists.

What do you want right now and is there no way it can be offered in the community?

One issue is that asides from crisis admissions, which here are no more than 7 days, no consultant wants a person in hospital longer than absolutely nesscessary, so an admission will probably be limited to 1-2 weeks, for example. If there is clear purpose, I think a consultant would be more willing, than to just help you keep safe, if the risk is chronic and the needs are to manage this day to day, often they will [here anyway] deem that the CMHT's job.

Do you wish to try a specialist ward for treatment or more of a short term crisis admission?

How are you feeling right now? Have you ever used the crisis team?

*hugs* & love xx

11-09-2012, 10:37 PM	#7
MissAnonymous Join Date: Jan 2010 Location: UK I am currently:	Hospital, it really depends. The time when its justified is when you have tried everything else, the Crisis Team or Home Treatment Team, the option of staying with someone for a few days, and the CMHT not being able to support you [for example, too high a risk and need for support at the weekends]. Admissions are stressful, the other patients can be scary, the staff vary a lot, it depends what they are like, and if you can get on with them. The consultant is the person who will authorise an admission so if you are not in a crisis bed [these tend to be controlled by a crisis team consultant] it depends on the consultant's opinion of the problem, and ideas of what is and is not helpful. Here anyone with BPD tends not to get an admission because the crisis team are of the opinion its better for a person to learn to manage in the community, being a chronic disorder rather than an acute illness like psychosis. This is not to say BPD does not have crisis points, but here they tend to reserve admission to acutely ill people needing constant supervision and often a medication reveiw under observation. I think most of the time an admission has to have an aim, an objective to work towards. Being clear what you want from it, is not only helpful to you, but will direct the people caring for you towards helpful strategies and everyone will be singing from the same hymn sheet. Some wards have a really good OT service/programme, but some wards are literally a holding place for someone, with no interactions or therapeutic activities or provision for occupational therapists. What do you want right now and is there no way it can be offered in the community? One issue is that asides from crisis admissions, which here are no more than 7 days, no consultant wants a person in hospital longer than absolutely nesscessary, so an admission will probably be limited to 1-2 weeks, for example. If there is clear purpose, I think a consultant would be more willing, than to just help you keep safe, if the risk is chronic and the needs are to manage this day to day, often they will [here anyway] deem that the CMHT's job. Do you wish to try a specialist ward for treatment or more of a short term crisis admission? How are you feeling right now? Have you ever used the crisis team? hugs & love xx Last edited by MissAnonymous : 11-09-2012 at 10:46 PM.