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Chapter 22 - PICU for the Care of Young People

Published online by Cambridge University Press:  15 March 2024

By
Mathew Page
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

Psychiatric intensive care for young people is a developing specialism with a developing evidence base.

The care of young people is provided separately to the care of adults, and within such services there are particular considerations regarding such matters as presenting condition and legal frameworks.

The skills and knowledge required are highly specialist: pharmacology, psychological interventions and educational provision all require detailed procedures and expert practitioners.

The development of national standards has enabled the specialism to be better defined, it is expected that the emerging evidence base will grow in order that practice can be further improved.

Keywords

psychiatric intensive care unit (PICU)young peopleChild and Adolescent Mental Health Services (CAMHS)National Minimum Standardsparticipationpharmacological interventionspsychological supporteducational provision
Type
Chapter
Information
Psychiatric Intensive Care , pp. 279 - 285
Publisher: Cambridge University Press
Print publication year: 2024

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References

Article 39 (2021) Abuse in Children’s Institutional Settings: How Much is Known? https://article39.org.uk/wp-content/uploads/2021/12/Abuse-in-institutional-settings-how-much-is-known-2021-Final-15-Dec-2021.pdf.Google Scholar
Christie, D and Viner, R (2005) Adolescent Development. British Medical Journal 330 (7486) 301–4.CrossRefGoogle ScholarPubMed
Department for Education (2018) Education in Inpatient Children and Young People’s Mental Health Services: Research Report. London: Department for Education.Google Scholar
Department of Health (2002) National Minimum Standards for General Adult Services in Psychiatric Intensive Care Units (PICU) and Low Secure Environments London: Department of Health.Google Scholar
Department of Health (2015) The Mental Health Act 1983: Code of Practice 2015. London: Department of Health.Google Scholar
Doran, GT (1981) There’s a S.M.A.R.T. Way to Write Management’s Goals and Objectives. Management Review 70 35–6.Google Scholar
Flynn, D, Kells, M, Joyce, M, Corcoran, P, Gillespie, C, Suarez, C, et al. (2019) Innovations in Practice: Dialectical Behaviour Therapy for Adolescents: Multisite Implementation and Evaluation of a 16-Week Programme in a Public Community Mental Health Setting. Child and Adolescent Mental Health 24 (1) 76–83.CrossRefGoogle Scholar
Foster, C and Smedley, K (2019) Understanding the Nature of Mental Health Nursing Within CAMHS PICU: 1. Identifying Nursing Interventions That Contribute to the Recovery Journey of Young People. Journal of Psychiatric Intensive Care 15 (2) 87–102.CrossRefGoogle Scholar
Goffman, E (1961) Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. New York: Anchor Books.Google Scholar
Mayer, C and McKenzie, K (2017) ‘… It Shows That There’s No Limits’: The Psychological Impact of Co-Production for Experts by Experience Working in Youth Mental Health. Health and Social Care in the Community 25: 1181–9.CrossRefGoogle ScholarPubMed
National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) (2015) National Minimum Standards for Psychiatric Intensive Care Units for Young People. Glasgow: NAPICU. https://napicu.org.uk/wp-content/uploads/2014/08/CAMHS_PICU_NMS_final_Aug_2015_cx.pdf.Google Scholar
National Collaborating Centre for Mental Health (2019) Working Well Together: Evidence and Tools to Enable Co-production in Mental Health Commissioning. London: National Collaborating Centre for Mental Health.Google Scholar
NHS England (2018) Service Specification: Tier 4 CAMHS Psychiatric Intensive Care Unit (PICU). www.england.nhs.uk/wp-content/uploads/2018/02/camhs-psychiatric-intensive-care-unit-service-specification-v2.pdf.Google Scholar
NHS England (2019) NHS Mental Health Implementation Plan 2019/20 – 2023/24. www.longtermplan.nhs.uk/wp-content/uploads/2019/07/nhs-mental-health-implementation-plan-2019-20-2023-24.pdf.Google Scholar
NHS England and NHS Improvement and the National Collaborating Centre for Mental Health (2019) The Community Mental Health Framework for Adults and Older Adults. www.england.nhs.uk/wp-content/uploads/2019/09/community-mental-health-framework-for-adults-and-older-adults.pdf.Google Scholar
National Institute for Health and Care Excellence (NICE) (2015) Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings. London: NICE.Google Scholar
National Institute for Health and Care Excellence (NICE) (2021) BNF for Children. www.pharmaceuticalpress.com/products/bnf-for-children/.Google Scholar
Patel, MX, Sethi, FN, Re Barnes, T, Dix, R, Dratcu, L, Fox, B, et al. (2018) Joint BAP NAPICU Evidence-Based Consensus Guidelines for the Clinical Management of Acute Disturbance: De-Escalation and Rapid Tranquillisation. Journal of Psychopharmacology 32(6) 601–40.CrossRefGoogle ScholarPubMed
Restraint Reduction Network (2021) Our Scope. https://restraintreductionnetwork.org/aboutGoogle Scholar
Royal College of Psychiatrists (2021) Quality Network for Inpatient CAMHS Standards for Services Eleventh Edition. www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/child-and-adolescent-inpatient-services-(cahms)/qnic-standards-11th-ed.pdf?sfvrsn=ab861d11_4.Google Scholar
Smith, L and Hartman, D (2003) Implementing a Community Group on an Adolescent Psychiatric Intensive Care Unit. Mental Health Practice 6 (5) 14–17.CrossRefGoogle Scholar
Taylor, C (2020) A Review of the Use of Pain-Inducing Techniques in the Youth Secure Estate. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/893193/charlie-taylors-review-pain-inducing-techniques.pdf.Google Scholar
United Kingdom House of Lords (1985) Gillick Respondent and West Norfolk and Wisbech Area Health Authority First Appellants and Department of Health and Social Security Second Appellants. www.bailii.org/uk/cases/UKHL/1985/7.html.Google Scholar
United Nations Children’s Fund UK (1989) The United Nations Convention on the Rights of the Child. New York: United Nations.Google Scholar

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