Inpatient Treatment In Early Psychosis Criteria for Hospital Admission

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 [46].

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