520
Detailed Needs and Requirements: Psychiatric Unit
525
PSYCHIATRIC UNIT
525.1
USER NEEDS
In most recent years psychiatric units have been included in most new
Veterans Administration hospitals. It appears that this pattern will
continue although the percentage of hospitalized psychiatric patients
apparently is declining at this time.
525.1.1
Objectives
The psychiatric unit is an integral part of a comprehensive system of
mental health care. This system also includes day care programs,
outpatient treatment and consultation for patients in other units of the
hospital. The psychiatric unit is mainly employed for the treatment of
veterans for the acute phase of an emotional disorder.
Emphasis, generally, is on brief rather than long-term therapy for patients
with relatively favorable prognosis. Patients with resistive disorders who
fail to respond to treatment are transferred to other specialized V.A.
hospitals.
525.1.2
Operational Relationships
The relationship between this unit and other functional units is much less
exacting than between most other units in the hospital. However, a strong
relationship with other psychiatric programs such as day care or outpatient
can be prime importance for particular psychiatric programs.
An active occupational therapy program is important in patient
rehabilitation. This therapy may occur on the unit or, if not feasible, in
closely related facility. Occupational therapy should be available to
patients on a 16 hour per day, 7 day per week basis.
The use of medical and other supportive supplies on the psychiatric unit is
minimal. Drugs, linen and nourishment comprise the bulk of required
supplies.
A relation to the out-of-doors, preferably at ground level, provides a
substantial benefit for patient treatment as will as easing the burden on the
staff in their attempt to provide a range of environmental exposure.
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