Care Options for Patients with Mental Health Issues

Regarding the target population of nursing homes?

Hello, I would like to inquire about the target population for your nursing home services.
In my family, there is a patient with a mental illness who experienced an incident last year, resulting in lower limb paralysis and bowel function issues.
Currently, they can move around in a wheelchair and have regular follow-up appointments at Chang Gung Memorial Hospital.
I would like to know if you accept patients with such conditions for care.
Additionally, are there other nursing homes or assisted living facilities that accept patients with similar conditions? I have searched some related websites, but it seems that they do not accept such patients.
I would also like to ask how to care for patients like this; should we start with rehabilitation? Sometimes their emotional instability causes difficulties for the family.

Diguo, 20~29 year old female. Ask Date: 2007/09/11

Dr. Xie Dicheng reply Psychiatry

Hello,
Although our institution is named a "rehabilitation hospital," our primary focus is on providing services for individuals with "depression, various psychosomatic disorders, acute episodes of mental illness, or post-episode mental rehabilitation treatment." Regarding your family member's condition, services can be provided through the "Home Care" offered by the "Long-Term Care Centers" in various counties and cities.
The main target population is patients at home who hold a disability certificate and require home care.
The caregivers are known as "home care service providers," and they are mostly contracted by private nursing institutions or charitable foundations.

To apply, you need to fill out an application form at local health centers, provide the necessary information, and undergo a home assessment.
For detailed application procedures, please contact the social service office of various hospitals or inquire at local health centers.
If you are receiving treatment at our hospital, you can also ask your outpatient physician for a referral to a social worker for more detailed inquiries.

Additionally, please refer to the website http://104net.net/patronize/index.htm or search for the "Taoyuan County Long-Term Care Center" webpage.
Thank you for your inquiry.

Reply Date: 2007/09/11

More Info

When it comes to understanding care options for patients with mental health issues, particularly those who may also have physical disabilities, it is essential to consider a holistic approach that addresses both mental and physical health needs. In your case, you mentioned a family member who has experienced a mental health crisis leading to physical disabilities, including lower limb paralysis and bowel function issues. This situation requires a comprehensive care plan that encompasses various aspects of health and well-being.

Care Options for Patients with Mental Health Issues
1. Inpatient Care Facilities: Many mental health facilities, including psychiatric hospitals and rehabilitation centers, provide specialized care for individuals with severe mental health disorders. These facilities often have the resources to manage both psychiatric and physical health needs. It is crucial to inquire whether the specific facility you are considering can accommodate patients with physical disabilities, as not all facilities are equipped for such cases.

2. Long-Term Care Facilities: Nursing homes and assisted living facilities may also be options for patients with both mental health issues and physical disabilities. These facilities typically offer a range of services, including medical care, rehabilitation, and assistance with daily activities. When researching these options, it is important to ask about their experience with mental health patients and their ability to provide the necessary support.

3. Home Health Care Services: If institutional care is not suitable, home health care services can be a viable alternative. These services can include nursing care, physical therapy, and personal care assistance. Home health aides can help with daily activities while also providing companionship and emotional support, which can be beneficial for mental health.

4. Rehabilitation Services: Given the physical disabilities your family member is facing, rehabilitation services are crucial. Physical therapy can help improve mobility and function, while occupational therapy can assist with daily living skills. These therapies can also have a positive impact on mental health by promoting independence and improving quality of life.

5. Mental Health Support: It is essential to ensure that your family member continues to receive appropriate mental health care. This may include therapy, medication management, and support groups. Engaging with a mental health professional who understands the complexities of co-occurring mental and physical health issues is vital.

Addressing Emotional Instability
Emotional instability can be a significant challenge for both the patient and their family. Here are some strategies to consider:
- Establishing a Routine: A consistent daily routine can provide structure and predictability, which may help reduce anxiety and emotional fluctuations.

- Communication: Open and supportive communication is key. Encourage your family member to express their feelings and concerns, and be there to listen without judgment.

- Crisis Planning: Develop a plan for managing emotional crises. This may include identifying triggers, having a list of coping strategies, and knowing when to seek professional help.

- Family Support: Family members should also seek support for themselves. Caring for someone with complex needs can be emotionally taxing, and having a support system in place is crucial for maintaining your own mental health.

Seeking Additional Resources
When searching for appropriate care facilities, consider reaching out to local mental health organizations, social services, or community health centers. They can provide valuable information about available resources and help you navigate the options that best suit your family member's needs.

In summary, caring for a family member with both mental health issues and physical disabilities requires a multifaceted approach. By exploring various care options, including inpatient facilities, long-term care, home health services, and rehabilitation, you can create a supportive environment that addresses both their mental and physical health needs. Additionally, fostering open communication and establishing a routine can help manage emotional instability, ensuring that both the patient and family members receive the support they need.

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