Dealing with the acute illness , somehow or other gets done.
Normally under persuasion, often amounting to coercion, or actual MHAct sectioning detentions.
Medication is successfully introduced,established, and maintained , usually starting in the acute admission ward. Medication is accepted over some weks so that the illness recedes and a hold on normal living and relationships resumes' with uncertainties remaining.
The full florid nature of the illness presentation cannot and will not be remembered by patient so that acceptance that he/she was ill, and insight into what has happened and what had to be done , and has to be done in future to prevent it happening again, , may not be convincing.
The level of acceptance and compliance with 'expert' advice may not be retained and continue to be respected away from the admission phase.
But generally the acute stage is managed.
It is the aftercare Service that is not there. It will be an unmet need in your area. It will be a Service deficiency. Nobody will be accountable and so never shamed into redeeming such a service.
There may well be a period when nobody quite knows who is to welcome the future care of the patient - which team - whcih clinical lead - so that they receive appropriate direction and support.
What you must look to see in place a well established
Rehabilitation and Recovery aftercare Service with a fully qualified clinical lead.
An established R & R service operates from daycentres. It has social workers linking to educational and training sources, to sheltered work places, to housing people, to ocupational therapist, to link up continuing activities of interest
The collective Service provides for a weekly programme of established engagements that is the settled framework, freating the personal 'map ' upon which the patient can rely , helping the working memory in the way that a list does for shopping.
Licznik Odwiedzin, Licznik Wizyt