Abstract

We recently conducted an audit of the documentation of cardiopulmonary resuscitation (CPR) status in patients on a 20-bed dementia assessment ward (all with a diagnosis of dementia and lacking mental capacity to discuss resuscitation) and found that only a quarter had their CPR status documented.

Highlights

  • Lelliott et al highlight some real and urgent problems in acute mental health services (Psychiatric Bulletin, October 2006, 30, 361^363)

  • As the Psychology Lead on adult acute in-patient services in Lambeth I have a long experience of working on acute in-patient wards and agree with all the problems described: focus has been on community services; the environment is often not therapeutic; there is always a staffing crisis and the bed management system governing the functioning of the services is there to meet the needs of the service rather than the needs of the service users

  • In-patient care is overshadowed by the focus on community care, which, important, cannot remove the need for a safe and therapeutic environment for those who require hospitalisation

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Summary

Introduction

Lelliott et al highlight some real and urgent problems in acute mental health services (Psychiatric Bulletin, October 2006, 30, 361^363). To improve the quality of care and the therapeutic environment on the wards we need to focus on the ward itself. The accreditation of acute inpatient mental health services as described by Lelliott et al would be an important development.

Results
Conclusion

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