Despite the best efforts of a treating team, many patients with a first episode of psychosis will:
• be unwilling or unable to engage in a comprehensive assessment process;
• need urgent intensive care in hospital to minimize serious risks of self-harm or violence.
Criteria for admission will depend on the structure of the mental health service, including factors such as the availability of intensive outreach teams. If good outreach teams exist, then admission can be reserved primarily for risk management. At EPPIC, about one half of patients avoid hospitalization during the first three months of treatment and, when hospitalization does occur, it is usually for relatively short periods (typically 7-14 days). If involuntary admission is required, then it should not be viewed as a failure but as an aid to ensuring appropriate levels of care and treatment .
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Bipolar is a condition that wreaks havoc on those that it affects. If you suffer from Bipolar, chances are that your family suffers right with you. No matter if you are that family member trying to learn to cope or you are the person that has been diagnosed, there is hope out there.