We are a unique specialist clinic established to cater to the general medical and psychiatric needs of people.
– To provide easily accessible psychiatric outpatient service.
– To ENSURE early detection and early treatment.
– To ensure that all new cases are appropriately assessed by specialist to determine underlying illness and initiate biopsychosocial treatment.
– To provide continuing treatment for those who require longer term follow up.
– To provide psychosocial interventions including counseling, psychotherapies, patient and family education.
– High dependency Care
– Acute care
– Convalescent care
– Rehabilitation
Objectives of Ward Admission
– To quickly stabilize the acutely ill and unstable psychiatric patients.
– To prevent injury to the patient and staff.
– To form a therapeutic alliance with the patient and care giver.
– To exclude organic problems for the patients symptoms.
Standard of Care
– Patients in this ward shall have 1 patient to 1 staff or 2 patients to 1 nursing care.
– All patients in this ward shall be reviewed at least once every shift by the medical officer ( 3 times per day, every day).
– All patients in the ward shall be reviewed daily by the specialist.
– Relevant investigations shall be ordered and the results traced and reviewed by the medical officer on the same day they
are ordered.
– Relatives may request to talk to the specialist / medical officer in charge at least once per day.
Infrastructure and Facilities.
– Toileting, dining facilities shall be separate from patients in other wards.
– A Resuscitation trolley, defibrillation machine, oxygen, suction, a patient monitoring device which measures blood pressure
and pulse shall be present.
Care Plan
– All patients shall have a nursing and a psychiatric care plan.
– The specialist in charge shall determine and review the care plan.
Seclusion And Restraint
– Dangerousness
– Psychiatric patients especially, those suffering from schizophrenia, mania, epilepsy or other psychoses, cognitive disorders,
Behavioural problems can happen in children of all ages. Some children have serious behavioural problems. The signs to look out for:
– If the child continues to behave badly for several months or longer, is repeatedly being disobedient, cheeky and aggressive.
– If the child’s behaviour is out of the ordinary, and seriously breaks the rules accepted in their home and school; this is much more than ordinary childish mischief or adolescent rebelliousness.
Common types of learning disabilities
Dyslexia – Difficulty with reading
– Problems reading, writing, spelling, speaking
Dyscalculia – Difficulty with math
– Problems doing math problems, understanding time, using money
Dysgraphia – Difficulty with writing
– Problems with handwriting, spelling, organizing ideas
Dyspraxia (Sensory Integration Disorder) – Difficulty with fine motor skills
– Problems with hand-eye coordination, balance, manual dexterity
Dysphasia/Aphasia – Difficulty with language
– Problems understanding spoken language, poor reading comprehension
Auditory Processing Disorder – Difficulty hearing differences between sounds
– Problems with reaiding, comprehension, language
Visual Processing Disorder – Difficulty interpreting visual information
– Problems with reading, math, maps, charts, symbols, pictures
Other disorders that make learning difficult
Difficulty in school doesn’t always stem from a learning disability. Anxiety, depression, stressful events, emotional trauma, and other conditions affecting concentration make learning more of a challenge. In addition, ADHD and autism sometimes co-occur or are confused with learning disabilities.
ADHD – Attention Deficit Hyperactivity Disorder (ADHD), while not considered a learning disability, can certainly disrupt learning. Children with ADHD often have problems sitting still, staying focused, following instructions, staying organized, and completing homework.
Autism – Difficulty mastering certain academic skills can stem from pervasive developmental disorders such as autism and Asperger’s syndrome. Children with autism spectrum disorders may have trouble communicating, reading body language, learning basic skills, making friends, and making eye contact.
Geriatric Psychiatry services are provided primarily for people aged 60 years and above with the following conditions:
– People with psychiatric or severe behavioral difficulties associated with organic disorders such as dementia.
60 Psychiatric And Mental Health Services Operational Policy
– People who develop the first episode of a functional mental illness in later life. The most prevalent disorders are depression, paranoid psychoses and anxiety states.
– People who have had mental illness for many years and develop difficult behavior or cognitive problems
Services where initial consultation and mental state opinions is needed both in civil or criminal cases
– Treatment should be multimodal and may include pharmacotherapy and psychosocial therapies.
Collaboration with other professionals and agencies may be required to obtain maximum benefits to patients.
Neurological problems presenting with psychiatric manifestations. Neurological disorders are diseases of the brain, spine and the nerves that connect them. There are more than 600 diseases of the nervous system, such as brain tumors, epilepsy, Parkinson’s disease and stroke as well as less familiar ones such as frontotemporal dementia.
To enable patients to achieve their optimal functioning.
– To enable patients to live independently.
– To empower patients to understand and manage their illness effectively.
– To encourage involvement of families in care
Inpatient rehabilitation
Components:
a) Psycho education
b) Family intervention
c) Activities of daily living
d) Management of daily routine
e) Grooming and personal hygiene
f) Job search and job matching
g) Effective use of leisure time
h) Illness management