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Psychiatric hospitals are often seen by clients as stressful environments, impersonal and understaffed. They can feel a high degree of stigma and loss of autonomy during admission. Transfers to psychiatric hospital are often disorganised, which may have consequences to, for example, existing treatment for a medical condition. Psychiatric hospitals find it difficult to replicate a home environment with clients often exposed to unhappy, agitated or disruptive people.
Claimont live-in services offer highly personalised care to clients as an alternative to psychiatric hospital admission. We are also able to provide 24/7, round-the-clock support if clients are severely agitated or sleep is disturbed, or single 12 hour shifts when clients or relatives prefer daytime or night shifts only.
Claimont’s live-in care is delivered by registered mental health nurses, psychological wellbeing practitioners, peer support workers and support workers with mental health experience. Our live-in staff are supported by a consultant psychiatrist responsible for medical care; depending on location, Claimont may be able to recommend private psychiatrists if the client is not under the care of a medical doctor.
Our live-in service is suitable for clients when home support by experienced mental health staff is desired or necessary to:
All mental illnesses with severe symptoms present a similar range of consequences, which cause significant dysfunction, and require expert monitoring and supervision to keep clients safe, prevent deterioration and treat the condition.
Mental illnesses can also co-exist with physical illnesses or other mental illnesses, substance misuse, personality disorders, acquired brain injuries, dementia, learning disabilities or autism, that increases case complexity and escalates the need for additional support.
When living in, the role of Claimont staff is to help clients manage severe symptoms and consequences of mental illness by:
In the proportion of clients with chronic mental illnesses where improvement is slow, the role of live-in care may primarily be companionship and support, and monitor mental state, risks and medication compliance.
The general goal of services with acutely mentally ill clients is to safely manage them in the least restrictive environment that will get them better. Yet, a significant proportion of clients with an acute mental illness will be admitted to psychiatric hospital. The factors that increase the risk of admission include clients being left unsupervised or untreated. Monitoring clients carefully and actively treating their mental illness reduces the likelihood of admission to a psychiatric hospital.
A client with severe symptoms of mental illness who does not consent to voluntary treatment and presents high, unpredictable risks will need admission to psychiatric hospital; care at home or indeed private psychiatric hospital may not be suitable. A client who does not present severe risks or they are manageable at home, is suitable for Claimont’s live-in care rather than psychiatric hospital.
The level of support delivered by Claimont will depend on risk, client address, budget and personal preference, and will involve either a recommendation for specialist mental health staff to provide live-in care or undertake home visits.
Approximately 6% of clients with mental illness require admission to psychiatric hospital due to severe symptoms associated with significant vulnerability, or risk of self-neglect, self-harm or harm to others.
Claimont offers a live-in home service that expedites client hospital discharge and allows them to continue their treatment at home after hospital admission. Claimont does not have powers to rescind the client’s detention in psychiatric hospital under the Mental Health Act but can support clients at home on Section 17 leave from hospital, if the impression is that they will continue to co-operate with treatment when they are no longer detained.
The level of support delivered by Claimont will depend on risk, client address, budget and personal preference, and will involve either a recommendation for mental health staff to live in or undertake home visits.
We are unable to offer services to clients who present high risks that are unmanageable outside of hospital, such as the risk of violence or of serious self-harm.