Types of Hospital Admissions

There are generally two types of hospital admissions for mental health: voluntary and involuntary.

• Voluntary Admission: This occurs when a person chooses to admit themselves for mental health treatment.
• Involuntary Admission: Also known as being sectioned, this is when admission is under mental health law for individuals who may be a risk to themselves or others.

Voluntary Admission

Voluntary admission is often sought by individuals who feel they need intensive support. It includes assessment, treatment, and access to various mental health professionals.

There are different types of voluntary admission for mental health treatment, which can vary based on the level of care needed, the specific mental health condition, and the treatment approach.

Here are some common types :

Acute Inpatient Care

This is for individuals experiencing severe mental health crises that require immediate and intensive treatment. It often involves round-the-clock care in a hospital setting.

Subacute or Intermediate Care

Less intensive than acute care, this type of admission is suitable for individuals who still require hospitalization but are not in an acute crisis. It often focuses on stabilization and transition to outpatient care.

Residential Treatment Programs

These programs offer a structured environment and are often used for long-term treatment of chronic mental health conditions. They provide therapy, medication management, and other services in a more home-like setting.

Partial Hospitalisation Programs (PHP)

PHPs are a step down from full inpatient care. Patients spend part of their day in the hospital for treatment and return home in the evenings. It's suitable for those who need significant support but not 24-hour hospitalization.

Intensive Outpatient Programs (IOP)

These programs offer a high level of care without requiring overnight hospital stays. Patients attend the program for several hours a day, several days a week.

Each type of voluntary admission has its criteria, treatment approaches, and length of stay, which can vary based on individual needs and the specific mental health facility.

It's important for patients and their families to discuss with healthcare professionals to understand which type of admission is most suitable for their situation.

Involuntary Admission

Involuntary admission is a more complex process and involves specific legal criteria. It's important for patients and families to understand their rights and the procedures involved.

Being sectioned refers to the legal process of compulsory admission to a mental health facility for assessment or treatment under mental health law.

This usually occurs when an individual is deemed unable to make informed decisions about their care due to severe mental health issues, and there is a risk to themselves or others. The decision is typically made by healthcare professionals and often involves legal procedures to ensure the person's rights are protected. It's intended as a last resort when other treatment options are insufficient.

Preparing for Hospital Admission

Understanding what to expect during a hospital stay can ease anxiety and facilitate the treatment process. This includes understanding the treatment plan, duration of stay, and post-discharge support.

Understand the Treatment Plan

Familiarise Yourself with the Process : Try to learn about the treatment methods that might be used during your stay, such as therapy sessions, medication plans, or group activities.

Ask Questions : If you have any concerns or questions about the treatment, don't hesitate to ask your healthcare provider for clarification.

Duration of Stay

Expected Length of Stay : Get an estimate of how long your hospital stay might be, though keep in mind that this can change based on your progress.

Flexibility and Patience : Understand that recovery times can vary, and it's essential to be patient with the process.

Packing for the Stay

Essential Items : Bring comfortable clothing, personal hygiene items, and any other essentials recommended by the hospital.

Comfort Items : Consider packing items that can provide comfort, such as a favorite book, photos of loved ones, or a small comforting object.

Legal and Administrative Preparation

Important Documents : Ensure all necessary paperwork, including any insurance documents and identification, is in order.

Healthcare Directives : If you have any healthcare directives or specific wishes regarding your care, make sure they are documented and communicated.

Post-Discharge Support

Aftercare Plan : Discuss with healthcare providers what aftercare might look like, including follow-up appointments or continued therapy.

Support System : Inform family and friends about your situation and how they can support you after discharge. Consider arranging for someone to assist you with tasks post-discharge if necessary.

By preparing comprehensively for a hospital admission, you can help make your stay as beneficial and stress-free as possible. Remember, this step is a proactive approach to taking charge of your mental health and well-being.

Accessing Hospital Admission

Admission can be accessed through referrals from GPs, mental health professionals, or in urgent situations, through A&E departments.