"Psychiatric Discharge issues"

About: Carseview Centre / General Psychiatry

(as a carer),

My son was an inpatient of Carseview Centre, Dundee, from December 2012 to June 2013, and during this time I made some complaints in the early weeks about the psychiatric drug cocktails used, the Mental Health Officer behaviour and the advocacy project. These were dealt with appropriately although I wasn’t always happy with the outcome. However my son was happy with the care he received and I was treated with respect by the clinical staff in the hospital.

I found that I had to help my son complete his benefit forms in the hospital and advocate at meetings when necessary. There seemed to be a lack of support in these areas and therefore patients stayed longer in the ward, according to the social work department who said my son had got discharged much quicker than others usually did. The clinical meetings in the ward were attended by a variety of staff, including social work, but it didn’t appear that they were all knowledgeable about community resources.

Therefore when my son was getting ready for discharge, according to the clinical assessment of his mental health, there was less thought given to the community resources. So when he was discharged into his own accommodation there were no white goods for nearly a month and no access to day services had been arranged. No cooker, fridge or washing machine. It was summer and the milk went off quickly. A very stressful situation.

I spent days and weeks chasing up the resources and his benefits which were also delayed. Not so easy as I don’t live in the same town. My son had spent more than 6 months in the psychiatric ward getting everything done for him and suddenly he was out “in the community” with few resources to hand. It costs £3000 per bed per week for a patient in Carseview (I made an FOI request to NHS Tayside about this) so it makes financial sense, in my opinion, to ensure a smooth transition from hospital to community.

There seemed to be a lack of joined-up working, at times, between health and social care professionals in the Carseview psychiatric situation. As a carer I found that I had to take up the slack at these times, to ensure that my son’s mental health did not deteriorate. It caused us both added stress and I found myself at the receiving end of brusque retorts and defensive attitudes from health and social care professionals.

I do hope that the psychiatric discharge processes have improved and plan to participate in groups where I can share my experiences, for the benefit of others.

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Responses

Response from Tracey Passway, Clinical Governance and Risk Team Leader, Clinical Governance and Risk, NHS Tayside

Thank you for your feedback regarding your son's recent experience. Your opinion is very valuable to us as it can help us shape and improve our future services.

If you would like to get in touch with us on feedback.tayside@nhs.net we can look into this matter further for you and signpost you to groups where your experiences can be shared to improve services for others.

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Update posted by family carer (a carer)

Dear Tracey

I sent an Email to you, as requested, on 9 December 2013, and have had no response or reply, after a month.

Is anyone there?

Chrys

Response from NHS Tayside

Thank you for your e-mail on the 9th December, which I should have responded to. I am sorry that you have not been directly contacted by the Mental Health Services at NHS Tayside yet, this is due to a number of reasons including making sure the right person contacts you. There is a plan for you to be contacted by the end of this week. Thank you for your patience and my sincere apologies again.

Tracey

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Update posted by family carer (a carer)

Update on contact with NHS Tayside:

Unfortunately a meeting to discuss my concerns hasn't yet been arranged. I was contacted by an NHS Tayside manager by phone message, got back left voicemail, then was contacted by Email at a busy time so hadn't responded. I'm an unpaid carer for two sons with mental disorder labels, one in Dundee, the other in Fife, and I'm also involved in mental health work, voluntarily, so sometimes I can be quite busy.

I checked back my Emails and have now responded to the NHS Tayside manager, asking for a meeting. I expect to hear something this week.

Updates, changes and questions related to this story