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Welcome to the Psychiatry and Behavioral Medicine Unit

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Welcome to the Psychiatry and Behavioral Medicine Unit Welcome to the Psychiatry and Behavioral Medicine Unit How to contact the unit Page 4 What to expect on the PBMU Page 4 How you can be involved Page 10 Visiting and staying overnight Page 12 Keeping your child safe Page 12 Other hospital resources Page 15 Patient and Family Education Welcome to the Psychiatry and Behavioral Medicine Unit A note from parents Welcome. If you and your child have just arrived here, it can be hard to know what to expect. You probably have a lot of questions and may feel overwhelmed. As parents, we did. We’ve learned how important it is to take an active role in our children’s healthcare. We encourage you to trust your instincts, ask questions and share your concerns. It makes a difference. After all, you know your child best. We know how tough caring for a sick child may be here at the hospital and at home. You are not alone. You can look to the staff to teach you about your child’s condition and help you find resources to care for your child after you leave. This brochure answers basic questions we had during our stay. Hopefully it will do the same for you. If you have other questions or don’t understand something, ask anyone on your healthcare team. We hope this helps you begin to find your way. Sincerely, The Family Advisory Council 2 of 16 Welcome to the Psychiatry and Behavioral Medicine Unit Contents How do I contact the unit? ...............................................4 How will the unit contact me? .........................................4 Care on the PBMU ................................................................4 Supervision ......................................................................... 5 Structure ..............................................................................6 Group Activities ................................................................ 7 Nursing Care ...................................................................... 7 Clinical Assessment ........................................................ 8 Identified Providers.........................................................9 How You Can Be Involved .......................................... 10 What if I have comments or concerns? ..............11 When may I be with my child? ..............................12 Safety Guidelines .................................................................12 Unit Safety .........................................................................12 Hospital Safety .................................................................13 Hospital Services .................................................................15 3 of 16 Welcome to the Psychiatry and Behavioral Medicine Unit How do I contact the unit and my child? Contacting the • Call us at 206-987-2055 at any time (24 hours a day, 7 days a week). If you PBMU have any questions about supervision, structure, group activities, or nursing care, ask any staff member or request to speak to the Charge Nurse. Psychiatry and • For questions about Clinical Assessment or Identified Providers, your Behavioral Medicine primary point of contact is your child’s therapist. If you need help Unit contacting them, contact a member of the Parent Support Team by Level 5, River zone calling 206-987-0208 or email [email protected] 206-987-2055 • A member of our leadership team is on call 24 hours a day, 7 days a week. You can reach the Leader on Call (LOC or PBMU Leader) by calling Parent Support 206-987-2000 and asking a staff member to page the PBMU Leader for 206-987-0208 you. • The hospital offers free interpreter services. In the hospital, ask any member of your child’s care team. If you’re calling from outside the hospital, dial 1-866-583-1527 and tell them the name or extension you need. How will the hospital contact me? Check in with our unit coordinator (at the family reception area) to make sure that we have your most up-to-date contact information. The contact information you give to the unit coordinator will be included in your child’s electronic medical record. Care on the PBMU See our handout “Care on the Psychiatry and Behavioral Medicine Unit (PBMU)” for a one-page overview of what you can expect on the unit. What can I expect on the Psychiatry and Behavioral Medicine Unit? The Psychiatry and Behavioral Medicine Unit serves children and teens between 3 and 18 who are in psychiatric crisis. Our goal is to help stabilize your child’s behavior by dealing with their immediate crisis. After that, we work on returning your child to the community. How long will my child stay on the unit? A stay on this unit is about 5 days on average and is based on medical need. This means most children and teens do not leave the hospital without symptoms. For many of our patients, the care plan will need to continue at home and in the community. Our aim is to help you reduce these challenges over time. This will be more likely if the work we start here continues with your community providers. What can my child bring to the Psychiatry and Behavioral Medicine Unit? See our handout “Patient and Visitor Information for the PBMU” (available in our family reception area, River 5) which lists items that are and are not allowed on the unit. 4 of 16 Welcome to the Psychiatry and Behavioral Medicine Unit Visitors to the Psychiatry and Behavioral Medicine Unit are allowed to bring cell phones. If visitors bring any other items that are not allowed on “Our son calls the the unit, parents or caregivers can store them in the parent lockers in the PBMU his safe family reception area until they can be taken home. Our unit coordinator place, where he can help you with the lockers. The hospital is not responsible for lost or knows when his stolen items. own actions are Supervision dangerous, he can trust that there will How are patients supervised on the PBMU? be others to protect All patients are supervised by PBMU staff according to the level of him, and staff supervision necessary for their care. Patients are never left alone together, (coaches, nurses, and they have access to staff at all time. Keeping our patients safe is our doctors, purple main priority. team) all treat him with compassion What are some behaviors my child might witness? and respect. He Our unit serves children and teens with emotional and behavioral now shares his symptoms. Your child could see behaviors you may find distressing. This experience with may include the use of curse words, aggression, self-harm, purging, mania other youth to help and psychosis. alleviate their fears around seeking support.” Former PBMU Parent 5 of 16 Welcome to the Psychiatry and Behavioral Medicine Unit What happens if a child is physically aggressive or tries to run away? The Psychiatry and Behavioral Medicine Unit maintains an environment that is free from seclusion and restraint. Instead, we use other interventions like coaching, redirection and modeling to help our patients. However, in cases of extremely aggressive behavior that patients cannot manage through self-control, or that we cannot manage through standard interventions like coaching, we may have to physically restrain a patient. A doctor will authorize the use of restraints. Once it is safe, we will end the restraint. If your child runs away from the unit, we will follow your child until support arrives. To keep your child here, we may need to use restraints. We will do this safely and follow Seattle Children’s Hospital Aggression Management procedures. If a child leaves the hospital, we will contact the Seattle Police Department. We will work with the police to accompany them back to the hospital. How might the least-restrictive philosophy impact you and your child’s care? At times, areas of the unit will be temporarily closed for staff to provide additional support to escalated patients. This might mean that staff will ask parents and visitors to wait in the family reception area or in certain areas of the unit for a period of time. Additionally, staff may ask parents to wait to access their child’s room until the space has re-opened. While this may have some impact on the groups’ schedules, we work hard to ensure that it does not interfere with patient care. This process of closing down spaces allows us to utilize the least restrictive intervention while ensuring a safe environment for all patients, visitors, and staff. We are dedicated to our philosophy of being seclusion and restraint free and we appreciate your patience and understanding. Questions? Structure Ask any staff What is my child’s daily schedule? member for Your child will be assigned to a peer group based on their age: questions about supervision, A – ages 3 to 9 structure, and B – ages 10 to 12 C – ages 13 to 15 group activities. D – ages 16 and up Request to speak to We also have separate groups for patients admitted for concerns of an eating the Charge Nurse. disorder, an Autism spectrum diagnosis or a psychotic presentation. These Psychiatry and patients will be assigned to a peer group based on age and other criteria. Behavioral Medicine Your child will attend skill-building groups and school with others in their Unit peer group. Your child will take part in therapeutic activities and practice Level 5, River zone skills that will help them to be safer in the community. 206-987-2055 We have copies of your child’s peer group schedule in our family reception area. 6 of 16 Welcome to the Psychiatry and Behavioral Medicine Unit Due to continual changes in the number of patients we serve, the age range in each group outlined above may shift slightly to help us appropriately manage the groups. Group Activities Solution-focused interventions The focus of the hospital stay is on solution-focused interventions. This includes developing new skills to cope with stress and get a better understanding of what is driving your child’s behavior. Children, teens and families can learn how to manage emotional and behavioral problems in a safe and caring environment. What is the Psychiatry and Behavioral Medicine Unit program philosophy? We use a program based on a behavior management system of natural and logical consequences.
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