Having been an inpatient on *Heron ward for the last five months I feel I have gained enough experience to write a bit about the positives and negatives of inpatient treatment. Please note that I have only experienced two hospitals, and treatment varies from unit to unit. This first post will be on what I consider to be the positives of inpatient treatment.
Hospital treatment means that you are in a place of safety 24/7 and have round the clock care. For those who need it this makes inpatient treatment the safest out of the tier four CAMHS care options. This can take the pressure away from a family which is likely suffering from the stress of maintaining the safety of a mentally ill young person. Family therapy can also be used to build better communication in the family for when the young person’s inpatient treatment ends and they return home.
The amount of actual 1:1 psychological therapy received varies from unit to unit, but nursing and care staff, in my experience, are kind and supportive- these are, after all, the qualities they get paid for. I have seen members of staff stay on after a twelve and a half hour shift, sometimes for four hours or more, because the ward is in trouble. This is because they care, nothing more and nothing less. They understand that a patient in crisis can throw the whole ward out, and they want to try to keep everyone as safe as possible. Depending on the ward or unit different therapies are available; DBT, CBT, art therapy, occupational therapy, family therapy, psychotherapy or groups. It means you can often do more than one therapy at a time, in theory making therapeutic success much more likely.
In hospital you also get some space away from all the *stuff*- the static in your day to day life which can wear you out and make a mental illness trickier to fight. Things like the constant bombardment of social media, deadlines and commitments. Not that these things should be avoided, but that it gives you a rare opportunity to focus on purely recovery.
When in hospital medication can also be altered straight away without waiting for a consultant’s appointment, and for anyone who has experience of attempting to get hold of a duty psychiatrist in the middle of the night this will come as a massive pro! It also means that PRN (as and when medication) can be given when immediately, this is really good for people whose illness fluctuates or those who experience episodic symptoms.
So those are my positives of inpatient treatment, however it is definitely not something which works for everybody and I also think there are a lot of negatives. To get the balance, keep an eye out for my Negatives of CAMHS Inpatient Treatment post coming up in the next couple of days.