Treatment in hospital aims to reduce the severity of psychotic symptoms, and promote the remission of psychosis through the use of thorough
Table 2.16 Some goals of inpatient care in first-episode psychosis
• Provide comprehensive assessment.
• Provide effective treatment with the lowest possible doses of medication to minimize the side effects.
• Minimize the trauma of admission to a psychiatric unit.
• Instil hope and an expectation of recovery.
• Provide counselling and support to assist the patient come to terms with the illness and hospitalization.
• Involve the family in assessment, treatment and discharge planning.
• Provide information about psychosis and treatment for the patient and family.
• Involve a case manager as soon as possible, to facilitate engagement with the community team and continuity of care.
• Involve a general practitioner in care as soon as possible.
• Provide activities and group programmes which are appropriate for young people and promote supportive social interactions.
assessment, careful and selective use of medication, supportive nursing and a broad range of biological, psychological and social interventions. Ideally, inpatient staff and the patient's outpatient doctor and case manager should begin planning for discharge very early in the admission, actively involving the young person and family in the process. Some goals of inpatient care are listed in Table 2.16.
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