With each patient having different needs at each phase of their illness, Brevin's expert teams are formed of the appropriate mental health specialists to respond to the person's changes in mental state. We also work alongside the person's existing team to help them in supporting the client though out their treatment.
When a patient is too unwell for merely outpatient treatment with a GP, Consultant Psychiatrist or therapist, their condition has moved to a higher level of severity and risk of further deterioration. It is highly probable that the patient is going to need more regular reviews of medication, management of some symptoms with PRN medication, expert monitoring of mental state to help manage medication and risk and increase care and support by experienced mental health professionals in the least restrictive environment to safely treat and manage the patient. Then it is about giving the patient time to respond to treatment. Once the patient's mental state is stabilised other experts i.e. therapists can be introduced to focus on giving on-going input.
Three essential elements remain at acute stages of mental illness:
So, treatment at home is generally structured as follows:
Consultant Psychiatrists are medical specialists in the diagnosis and treatment of mental and behavioural disorders. They undergo regular appraisals and revalidation by their regulator to retain their licenses to practice and ensure that they are keeping up to date with advances in their field. In addition to prescribing medication and assessing response with careful examinations of the mental state during visits to your residence, your consultant psychiatrist is also the clinical lead and oversees the activities of the team via regular professionals’ meeting and progress reviews, and supervise the general direction of your treatment.
Registered Mental Health Nurses (RMN) specialise in the management of mental ill health; their regulator oversees their appraisal and revalidation to maintain their licenses to practice.
They monitor mental state, basic physical health, risks associated with your condition (e.g. forgetting medication, exacerbations in symptoms requiring prompt action such as medication), and help with managing certain symptoms, coordinating your treatment through care plans prepared to address your various needs. Your nurse(s) work closely with your psychiatrist, and as they spend more time with clients, they can provide expert feedback to the team on your progress, allowing quick adjustments to improve or prevent deterioration in your condition.
Clients, relatives or your doctor often prefer nurses to live in during the more acute phases of care and, depending on the nature of the problem, may reduce their input over time or be replaced by another live-in or daytime companion for the next phase of treatment.
Psychologists and therapists treat psychological and behavioural disorders by assessing and tackling the symptoms (e.g. low mood, phobic anxiety, inattention, impulsivity, insomnia, cravings, compulsion to consume illicit substances) and the causes of those symptoms (e.g. lifestyle choices, personality traits, traumatic experiences, loss of loved ones).
They use a variety of verbal procedures, such as cognitive behavioural, schema, acceptance & commitment, integrative or trauma therapies, depending on underlying problems and how ingrained they are, occasionally accompanied by augmentation techniques such as Eye Movement Desensitisation and Reprocessing in psychological trauma.
Most therapists belong to recognised organisations and have personal supervisors to support them in their work. Your therapist will have been explicitly selected to assess and treat symptoms and causes typically associated with your condition, and may draw on numerous treatment types at different times to help you at different times of your treatment.
Mental ill health can have a significant impact on the ability of the individual to perform everyday activities such as leisure, education, self-care (e.g. washing, dressing, eating), and occupational or domestic work.
Occupational therapists help people of all ages to carry out these functions, which are essential for health and well-being, in a safe and planned manner. This help may include advice on how to approach a task differently, use equipment or assistive technology, adapt your living or working environment, or find strategies to help you meet your goals; mainly, they'll find ways to help you continue with activities that are important to you.
There is an association between long-term mental ill health and nutritional imbalances combined with poor eating habits. There is evidence promoting healthy attitudes to food and improving nutritional status had a positive outcome on health outcomes.
BREVIN provides expert assessment and management of dietary states, implementing food plans for clients to augment general well-being, and delivered through chefs, either already part of the client’s in-house staff or provided by BREVIN, with whom our experts liaise regularly. In some instances, our experts review existing supplements and make recommendations for new ones, depending on the circumstances.
There is an association between long-term mental ill health and a lack of routine exercise and physical health in some cases, which gradually de-condition clients in their fitness.
Evidence shows promoting healthy attitudes to exercise, and improving physical health status have a positive outcome on health outcomes. Your fitness assessment is followed by a programme developed by a specialist, either a physiotherapist or fitness specialist, to help recondition you in a graded way and reduce the risk of injuries, helping you achieve initial fitness goals.
Healthcare assistants come from a variety of backgrounds and are involved in providing healthcare in some capacity.
Clients whose severity of problems are mild and who do not require specialist nursing, perhaps some companionship and moderate care, may benefit from healthcare assistants who have the experience of dealing with mental health for support, often after live-in nursing is no longer needed.