Ensuring the best care and treatment in hospital

If your relative has been admitted to hospital, you will probably want to know what services the hospital can offer your relative, and who is responsible for which aspects of the care and treatment programme. You can encourage the health professionals to actively involve you in the care and treatment of your relative, including sharing information that will be of benefit.
It may be that you would like to be involved in ward rounds, as it is at that meeting that information is exchanged by staff involved with the patient. this information is then used as the basis of your relative's treatment and you can contribute by sharing your knowledge of your relative.

You can also ask questions about types of and visiting arrangements so that you can help your relative adjust to their new, and possibly confusing environment.

A good first step is to find out the names of the consultant psychiatrist who is leading the medical team looking after your relative, as well as the name of the ward manager, as this can come in useful over time.

Potential difficulties

Conflict with staff can arise through misunderstandings about treatment and care. It is important that understandably high emotions be channeled as constructively as possible. It is usually better to explore any problems fully first by seeking any necessary explanations before expressing a complaint.

A common difficulty for family members is that professionals may deny them active involvement in decisions about their relative's care and treatment on grounds of confidentiality - An adult patient does have the right to refuse information to be passed to family members and symptoms of a mental illness (paranoia for example) may lead someone to doing this.

It is important to be assertive rather than aggressive if you are having problems negotiating your involvement with your relative's professional carers and to ensure that the questions that you are asking relate to specific points to which you require information and answers. It can sometimes be helpful in these circumstances to have with you someone who is less emotionally involved, in order to support you at meetings with the health professionals.

If problems arise that cant be solved through negotiation
The appropriate complaints procedure can be used but it is important to consider the relative's complaints realistically and act only upon those complaints that are neither trivial nor unsubstantiated. Complaints

In Rethink's experience...

Some professionals misunderstand the legal position with regard to 'patient confidentiality'. for example some will refuse to accept any information at all from the family, which does not help or allow them to understand the complete picture of their patient, and so can hinder assessment of risk.

Despite being in the 21st century, some professionals still view the families of people with a mental illness as part of the problem, and as a result deny them the information and support they need to provide informal care effectively.

As a result of these issues, it can be helpful to make a list of questions to ask the psychiatrist when the opportunity arises. For example

how do you feel about involving the family in discussions about the care and treatment offered to our relative?
what is the best time and the easiest way for us to get in touch with you?
who should we speak to if you are not available?
who should we contact in an emergency?
how much information have you given our relative and their diagnosis and/or treatment?
have you done tests to eliminate any physical disorders which might be causing the symptoms / condition?
how often will you see our relative?
will our relative see a psychologist?
what other medication might be appropriate?
how can we help our relative cope with any side effects
what other therapies might be useful?