When Patients with Mental Disorders Are Referred to Mental Hospitals

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When Patients with Mental Disorders Are Referred to Mental Hospitals
When Patients with Mental Disorders Are Referred to Mental Hospitals

Psychiatric hospitals are often places of integrated rehabilitation for people who have mental disorders with severe and frequent relapses. However, there are several procedures that need to be passed before a patient is decided in need of rehabilitation at this place

He alth services for people with mental illness can generally be obtained at mental hospitals. In the long term, this aims to train and encourage patients and their families to create a supportive and stigma-free environment, so that patients can return to living in society.

When Patients with Mental Disorders Are Referred to Mental Hospitals - Alodokter

There are several main reasons for patients with mental disorders requiring special treatment in mental hospitals, namely:

  • Ensuring that the patient's condition can be evaluated more rigorously.
  • Get supervision so that the patient does not endanger himself or others.
  • Providing more comprehensive care such as meeting nutritional and social needs.
  • Monitoring the patient's response to treatment and therapy.

Procedure before Referral to Mental Hospital

Never sentence someone to suffer from a mental illness before that person undergoes a psychiatric medical examination from an expert. In order to declare a mental disorder to someone, he or she must go through the following stages:

1. Psychiatric interview with expert doctor

During the interview process, the doctor will observe the patient from various sides. The doctor will further explore what the patient's main complaint is, and pay attention to the patient's mental status which is monitored from the patient's attitude, mood, and behavior during the interview.

Observations by this doctor will be carried out in as much detail as possible to avoid misdiagnosis. If the patient has experienced related symptoms, telling the doctor about it will increase the accuracy of estimates about the patient's condition.

When interviewing and interacting with patients, the doctor also assesses the patient's ability to think, reason, and remember (the patient's cognitive function) through several questions.

The questions asked may also relate to the patient's feelings about his personal life and whether he intends to commit suicide. The doctor will also ask about your previous medical history, drug history, or substance abuse history.

2. Physical examination

To provide a diagnosis regarding a person's mental he alth condition, a physical examination by a doctor also needs to be carried out to determine the general condition of the patient and determine a possible diagnosis.

3. Support test

In order to make the doctor's assessment more accurate, sometimes additional tests such as laboratory tests are needed. This test usually requires a sample of the patient's blood or urine.

If there is a suspicion of a disorder in the nervous system, the doctor will advise the patient to undergo an MRI, EEG, or CT scan. Other tests that may be needed to detect problems with the body are:

  • thyroid function test
  • Electrolyte levels in the body
  • Toxicology screening

Toxicology testing is carried out to detect whether the patient has a history of drug abuse or excessive consumption of alcoholic beverages.

Patients may also be asked to fill out a list of written questions (psychotest) to evaluate thinking, logical and memory skills, as well as daily habits.

Criteria for Patients to be Referred to Mental Hospital

The mental hospital still has a negative stigma in the eyes of society. Even though in fact, it does not necessarily mean that people with mental disorders have to go to the rehabilitation center.

There are several criteria for patients who are required to undergo treatment in a mental hospital, namely:

  • Patient exhibits symptoms of suicidal ideation and intentions, including a tendency to harm oneself or others.
  • Patients with symptoms of psychosis or hallucinatory disorders.
  • Patient cannot perform daily activities properly independently.
  • Patients are not safe if left unattended.
  • Displaced patients who do not receive treatment outside the hospital. People with mental disorders who are neglected in the community are usually assisted by the local social service.

Although the criteria above are a kind of sign that people with mental disorders should be treated in mental hospitals, voluntary willingness from patients can be a better first step.

On the other hand, for patients with low visibility, the decision to treat them in a mental hospital will be based on clinical interests and family consent. Here, doctors play the role of advocating and giving the best advice regarding the steps for handling patients in mental hospitals.

Mental disorders of various types, ranging from mild to acute. The openness of the family will help the psychiatrist in making a diagnosis and determining the right treatment for the patient.

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