St Patrick’s Mental Health Services aim to deliver care and treatment in the least restrictive environment possible. With this in mind, St Patrick's Mental Health Services developed day services to allow individuals to work on their recovery after discharge by attending the hospital for clinical programmes. These programmes are delivered on one to four half days per week and last anything from three to 20 weeks.
For the past decade, day services at St Patrick’s have become an integral part of each services users’ treatment pathway. Day services are made up of a number of closed and open programme-based interventions that are relevant to the service users’ diagnosis or particular mental health difficulty.
The programme structure is based on evidence-based clinical best practice and international standards of care. Most programmes are closed, i.e. they start on a particular day and end some weeks later. After the start date, no new participants can join a closed programme. Most programmes can accommodate 12 to 14 participants.
All day programmes are facilitated by clinically experienced and appropriately qualified mental health professionals, from a variety of professional disciplines including medicine, nursing, cognitive behavioural therapy (CBT), psychotherapy, social work, psychology, occupational therapy and pharmacy.
Closed programmes ensure group cohesion and a logical flow to the group process. Programmes that are open (participants can join at any time) are based on a series of standalone modules. Individuals are referred to, and attend, programmes that are suitable for their needs and have been identified as the most appropriate programme to support their recovery. Both open and closed programmes are clinically relevant to the service users attending. Individuals may attend more than one programme as part of their recovery; this will be agreed as part of the individual’s care plan.
Programmes fall broadly into three categories; diagnosis-specific, recovery-based and psychological programmes. Diagnosis-specific programmes focus on education regarding symptoms and their management, current research relevant to a diagnosis and treatment options. Recovery-based programmes focus on recognising the signs of mental ill health, support, crisis prevention and crisis management. Psychological programmes consider how our thinking and emotions affect our mental health and focus on symptom management, self-compassion, coping strategies and problem solving. All programmes have an overall aim of assisting service users in their recovery and relapse prevention through education, skills, problem solving and understanding of their mental health difficulty.
Any service user attending St Patrick's Mental Health Services can be referred to a programme by a member of their multidisciplinary mental health team. Anyone not currently under the care of St Patrick's Mental Health Services (including St Patrick’s, Dean Clinics and St Patrick's, Lucan) can be referred for assessment by their general practitioner. Those referred by their GP will receive a free-of-charge telephone assessment by a member of our Referral and Assessment Department. This assessment will allow our clinicians to assess the needs of the person referred and to ensure their treatment pathway is the most appropriate to their needs.
Following referral and assessment, the service user’s health insurance cover is checked to ensure it covers the service and a clinician from the programme will arrange an appointment to ensure that the programme is suitable to the service user’s needs. Open programmes generally provide immediate access but waiting times and lists may operate on some of the closed programmes.
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