Publication - Advice and guidance

Admission to adult mental health wards for under 18's - adaptation for Scotland: guidance

Published: 25 Jun 2020
From:
Minister for Mental Health
Directorate:
Mental Health Directorate
Part of:
Health and social care
ISBN:
9781839608193

Best practice guidance to aid implementation of s23 of the Mental Health (Care & Treatment)( Scotland) Act 2003 which places a duty on health boards to provide sufficient services and accommodation to meet the needs of young people under 18 when they are admitted to hospital for treatment of a mental disorder.

36 page PDF

740.1 kB

36 page PDF

740.1 kB

Contents
Admission to adult mental health wards for under 18's - adaptation for Scotland: guidance
Section 1: Environment and Facilities

36 page PDF

740.1 kB

Section 1: Environment and Facilities

General (Including Facilities)

1.1 Young people have access to a safe and appropriate environment, suitable to their needs as a young person.

No.

Type

Standard

1.1.1

2

The ward provides a comfortable environment for young people.

1.1.2

2

Young people can access a diverse range of age-appropriate and developmentally appropriate games and media entertainment on a daily basis, with discretion around patient and staff safety and privacy.

Note: Young people have requested that this is managed discretely and does not limit the choice of materials for others over 18 on the ward.

1.1.3

1

The ward has safeguards in place to monitor media use (including the internet) and prevent exposure to inappropriate material.

1.1.4

1

Young people on the ward have easy access to outside space on a daily basis for exercise and fresh air.

1.1.5

2

The outside space has seating available for relaxation, and has an area where patients and visitors can converse in private.

1.1.6

1

Staff take the necessary action to ensure the young person's safety outside by, for example, providing a member of staff to escort the young person outside.

1.1.7

1

Reasons for denying access to outside space must relate to a young person's individual clinical risk, and be justified and recorded in the notes each time access is denied.

Safety
1.2 The ward has procedures in place to ensure a young person's safety throughout their stay or visit to the ward.

No.

Type

Standard

1.2.1

1

There are policies and procedures to prevent unwanted visitors entering the ward.

1.2.2

2

Where possible and if required, young people can access a discrete age-appropriate day area, where young people can be cared for away from the adult patient group. This is to be based on clinical need only.

Note: Young people emphasise that they are not to be kept away from other adult service users on the ward unless there is a clinical need for separation.

1.2.2.1

1

There are policies and procedures to prevent adult service users from entering the young person's designated area.

1.2.3

1

The ward has a policy to support and safeguard visitors under the age of 18.

1.2.4

2

Entrances and exits are designed to enable staff to see who is entering or leaving, and if required CCTV is used to achieve this.

1.2.5

1

Young people are given the most appropriate bed according to their clinical need i.e. those at high risk should be given a bed located in an area with clear lines of sight for closer observation.

Privacy
1.3 The ward is designed and managed so that young people's rights, privacy and dignity are respected.

No.

Type

Standard

1.3.1

1

The young person's sleeping area is in a securely separated area of the ward, away from the opposite-sex.

1.3.2

2

Young people are provided with their own single bedroom.

Note: Young people reported that they would like a choice of a single room or sharing with another young person of the same sex. A young person should not share a bedroom with an adult where at all possible.

1.3.3

1

All young people can bathe and wash in private and in areas separate from the opposite sex.

1.3.4

2

Young people have access to a comfortably furnished private room, other than their bedroom, where they can meet with visitors such as their family or friends (including children or younger siblings).

1.3.5

2

Young people have access to a telephone to make and receive calls in private (not right outside the nurses' station) and on which they may raise concerns without being overheard (e.g. to Childline). There is a clear communication policy about the use of mobile phones.


Contact

Email: MentalHealthStrategyandCoordinationUnit@gov.scot