St Vincent's Hospital, FairviewInpatient Services

Admission Unit

St Louise’s Ward

St. Louise’s is a 30 bed acute admission unit which also includes a 6 bed high observation ward.

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There is also a specific area on the unit for our activity program which provides a holistic range of therapeutic activities for those with acute and enduring mental health problems. The catchment area for the admission unit is the Dublin North Central area.

Referrals:

Referrals for psychiatric assessment are accepted from General Practitioners and other medical professionals (eg doctors working in general hospitals). Self-referrals are accepted but where possible patients are encouraged to attend their General Practitioner in the first instance, and if a psychiatric assessment is required, a referral letter should be sent to the sector team requesting an appointment (see outpatient_clinic for contact details). If an urgent assessment is required, a referral letter can be sent with the patient to attend the Assessment Office in the hospital. Patients attending the Assessment Office will be seen by the duty doctor.

Admission Process:

Admission to the unit is arranged following psychiatric assessment (in the outpatient clinic or in the Assessment Office ofthe hospital) and in consultation with the sector consultant psychiatrist (or at night and at weekends with the duty consultant psychiatrist). Admission is generally reserved for those patients with major mental illness who cannot be safely managed in the community.

What to expect on admission

Patients are admitted under the care of a Consultant Psychiatrist and patient care is delivered by the multi -disciplinary team, which includes the consultant psychiatrist, non-consultant hospital doctors and nursing staff. The multi-disciplinary team works closely with other staff from other disciplines including psychology and psychotherapy, Community Mental Health Nurses (CMHNs), Social work, Day Hospital staff, Home Care Team, Substance Abuse, Physiotherapy and Pharmacy. Treatment will vary according to the specific needs of the patient but may include drug therapy and psychosocial interventions. The physical health of patients is also attended to, with routine physical examination carried out following admission and there are close links with the Mater Hospital.

Unit Philosophy

  • Our philosophy is to care for patients in a non-judgmental manner that acknowledges the values and self-beliefs of each individual, and to care for patients in a holistic way maintaining dignity and respect at all times.
  • We acknowledge the importance of clients being actively involved in their own care and maintaining their own independence.
  • The unit is accessible, and provides care in an equitable manner, to the wide variety of communities in Community Care Area 7.
  • We recognise the important role of the family and encourage their participation.
  • We operate as a team, supporting colleagues encouraging education, creativity, the sharing of ideas and trying new approaches.
  • We are open and accountable to the people to whom we provide a service.

Unit Objectives

  • To provide a comprehensive range of treatment and care for those with acute mental health problems.
  • To provide a specialised assessment and treatment are for those patients who are acutely ill, at risk to themselves or others, in crisis, and in need of specialist in-patient treatment and care.
  • To identify factors which have influenced or caused initial presentation or relapse of their condition.

Following Initial Phase Of Treatment

  • Development of a collaborative approach to Discharge Planning at the earliest possible stage, focusing on the client, the identified risk factors and using a health promotion approach.
  • In accordance with their rehabilitation and preparation towards discharge, the activity area will provide support to enable the clients to cope with many of the influencing factors offering a range of group work aimed at the client making the healthier choice.
  • To prevent deterioration of those who develop mental health problems by early detection and intervention, emphasis is placed on the importance of the social and family support networks of the individual and the support and education, which they need.
  • Following identification and implementation of the levels of support the client needs in the community in order to prevent similar relapse the client is then discharged
  • It is our aim to measure our effectiveness and quality of care through client satisfaction.

Activity Programme on the Unit

In collaboration with the stakeholders and the multidisciplinary team we enhance the lives of the stakeholders with the emphasis influencing mental health. Supportive care is offered by expanding knowledge, offering health promoting activities, developing social skills and encouraging self-expression within structured and unstructured groups. It is recognized that illness inhibits motivation and interest in participation therefore sensitivity to the needs of the individual as well as the group is required. Groups are for the most part nurse-lead to empower the individual to return to the community on discharge while all the time maintaining their independence, respect and dignity.

Facilities

  • Kitchen
  • Gymnasium
  • Art & Craft Room
  • Relaxation Room
  • Enclosed Garden
  • Courtyard
  • Activity Office

St Louise’s has links with the following external agencies:

SHINE (formerly Schizophrenia Ireland)
Aware
Recovery Ireland
National Learning Network
Job Club
Citizen Information
MABS
The Irish Advocacy Network
Garda Drug Unit.
http://www.shineonline.ie/
http://www.aware.ie/
http://www.recovery-inc-ireland.ie/
http://www.rehab.ie/nln/index.aspx

http://www.citizensinformation.ie
http://www.mabs.ie
http://www.irishadvocacynetwork.com/


Irish Advocacy Network

Advocacy is a supportive weekly service. It is available to stakeholders to empower them to speak up for self and to aid with decisions operating independently within the mental health services. Advice and support is given 1:1 or in groups on topics related to mental health especially the new Mental Treatment Act.