English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

In this editorial, and in the series of four editorials that follow, the Journal of Psychiatric Intensive Care ( JPI) will deal head on with these questions. For many service managers and clinicians, the answer to the first question may seem straight forward. ‘A care pathway is a flow chart we have lots of them’. The natural logic that seems innate to the concept of a care pathway is that it is indeed a series of steps by which a person enters and leaves different aspects of mental health care. It is also very useful to express these steps in neat boxes, often positioned artistically with colour in a flow chart. In terms of acute care, the Psychiatric Intensive Care Unit (PICU) will often occupy about box (4) in the CP flow chart. In box (1) the patient is first engaged by the community primary care mental health team. Box (2) is the intervention of the Community Crisis and Home Treatment Team (CCHTT). On to box (3) the in-patient acute wards and then box (4) the PICU. A long enough stay in the PICU and the contents of box (5) could well be the Low Secure rehabilitation Unit (LSU). Each box is connected to the other like a line of dominos, the right conditions will cause one to trigger the next allowing a momentum through the pathway, taking a patient in and out of acute care services. If only it were that simple.

Care pathways to acute care and the future of Psychiatric Intensive Care Units – How the dominos line up and what makes them fall