How does it look like
How does it look in a psychiatric clinic (Part 1 - Patients, staff, accommodation)
Welcome to my new series “What is it like in a mental hospital”.
Since the topic is very complex, I will write different parts about it. The first part is about the rough structure of a psychiatry.
I have had a lot of experience in psychiatry. Please note for the time being: I can't speak for every psychiatry, which means it can look completely different in a facility in Hamburg, for example. I just want to give you a rough insight so that you know what is going on here. The article refers to a closed general psychiatry.
I will write about other psychiatric institutions in the course of time
I'll break the topic down into different sections to make it easier to read.
1) Let's start with the logistics:
A psychiatry would of course be nothing without the staff. In general, there are nurses, doctors, senior physicians, therapists and social educators in every psychiatrist.
As soon as you go to such a facility, you will automatically be assigned a doctor who is automatically responsible for you. He takes care of you and does the medication and regulates everyday life for you.
Should you be in a closed one you can also call the doctor God because without him you are practically not allowed to do anything.
The doctor also regulates the exit and tells you when you can go bze makes the discharge.
Either way you have to work with him whether you like it or not.
The senior doctor stands above the doctor. He does practically nothing to the patient but actually only signs the papers for the attending physician. If he says “No, the patient gets to know the exit” then that's it. What he says is law.
In the food chain directly below the doctor are the social educators. These take care of legal matters as well as personal matters that go beyond psychiatry.
The educator will also hold talks with you to see how far along you are in therapy. The therapist should therefore always put the right hand in good hands with the doctor.
The nurses are right behind the teacher.
These are the contact persons for the patients and primarily there to be available to you.
The keepers keep a record of when the clock messes up or improves you. What the nurses write down comes to the rounds and from this the doctor concludes how far advanced you are.
At the bottom are the cleaning forces. These keep the station clean. Actually nothing more.
So much for the staff.
2) The room structure.
Every closed alg. Psychiatry is structured as follows: there is an awake area and a living area. Occasionally there are also so-called monitor rooms.
Guard area : all patients come there first, no one comes by sa the doctors don't know what makes you tick. Harder cases that eg cannot have their aggression under control can linger longer. There are also the fixed beds. If you refuse to take your medication for a long time or otherwise screw up the chances that you will get fixated. That means you will be tied tightly until the doctor thinks you can run around again. If you cannot rest even in the fixed state, there is a nice calming injection to top it off. After that you will be calm, I promise you.
If you are responsible for the guard area, you are not allowed to leave it. The doors to the outside are locked and you can only get out if you knock on the awake pulpit. The pulpit is right next to the wb and is separated by windows, which means that the nurses can monitor you around the clock. In the wb, dangerous objects are forbidden such as Deodorants, charging cables, belts, tobacco and a lot more. But that is different from institution to institution.
In the wb there is a toilet and sink, nothing else. Most of the time the guard areas are overcrowded and it stinks.
Monitor room: Since they do not exist in every psychiatry, I just want to go into it briefly: is like the living area, only there is a camera there that observes you around the clock. Night vision included.
Living area: should you have made it there, congratulations.
Here you can get all your things that have been converted. Here you can have everything (except that which of course violates the station rules).
Most of these rooms are equipped with a wash basin. Otherwise nothing. Another advantage is that these rooms usually only accommodate 2 patients.
I can't say much about the further equipment of a closed psychiatry, as it is different in every clinic. There were the following things in almost every mental hospital where I was:
- TV room
- indoor smoking room
- Dining room / common room
- balcony (naturally fenced)
- Therapy room
- public toilets
- laundry room
- shower / bath
3) other patients:
If you are not in a special psychiatric clinic, you are dealing with all kinds of illnesses. In a general psychiatry everything is represented:
From depression to psychosis to dementia.
What I noticed is that the most common illness is psychosis.
If you are lucky it will be pretty quiet on the ward. If not ... well then prepare yourself for a sleepless night. Because when a patient freaks out, then really….
As I said, it looks different in every facility ... So inform in advance if you decide to go to a closed one.
Very important: read the online clinic reviews!
So that was a very rough overview in a closed psychiatry.
Part 2 comes the days as well as other reports
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