Ceiling of care decisions at an older person's mental health unit

"The issue was that decisions around ceilings of care for patients were often not discussed or at least recorded in the electronic notes and as a result when reviewing deteriorating patients out of hours trainees would find themselves without any guidance on the treating medics opinion on what was in the best interests of the patient."

Ceiling of care decisions at an older person's mental health unit in Gloucestershire
P Slack, A Rose
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207618.w3050

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Recommended content of referral letters from GPs to specialised mental health care

"Compared with general guidelines and guidelines for somatic care, the results of this study suggest that the referral letter to specialised mental health care should have a larger emphasis on the overall treatment plan, on the specific role of specialised health care in the continuum of care, and on patient involvement."

Recommended content of referral letters from general practitioners to specialised mental health care: a qualitative multi-perspective study
M Hartveit, O Thorsen, E Biringer, K Vanhaecht, B Carlsen, A Aslaksen
BMC Health Services Research, 2013, 13:329

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