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AIBU?

To ask what the chances of Hospital care

19 replies

User100600 · 20/02/2017 22:07

My 22 year old dd has a Bmi of 15.6 and has had anarexia for about a year now. She's had general hospitals for Iv drips. I was wondering when it might get to the point where they might section her. She won't go for bloods or by weighed by the community team.

OP posts:

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dottycat123 · 20/02/2017 22:18

Has she seen anyone from your eating disorders (distress) team? If she is refusing to engage with anyone then a mental health act assessment can be requested by her GP or even you (assuming you are nearest relative) . I work in mental health but not specifically eating distress. As a general rule a BMI of 14 is likely to require inpatient care.

MollyHuaCha · 20/02/2017 22:23

14? That's shocking it needs to be so low.
OP: for you and yr daughter.

User100600 · 20/02/2017 22:24

She's under both eating disorder service and General cmht for her depression.

OP posts:

dottycat123 · 20/02/2017 22:39

I would start to raise questions with her eating distress team about her capacity to continue to refuse intervention, make them aware that you are so concerned you think she may require sectioning. Ask what their next plan is and at what point they implement it.

UnbornMortificado · 20/02/2017 22:41

Hospitalisation saved my life but inpatient places are so hard to get especially lately with all the MH cuts.

I don't know the criteria when it comes to ED's but I know a hospital which has a separate ward dealing with those issues if your anywhere in the NE.

I'm sorry it sounds horrendous for all involved

dottycat123 · 20/02/2017 22:59

Even if your local mental health trust doesn't have its own inpatient unit for eating distress they will have a system for purchasing beds if needed from an area with a unit. I do think if you start to raise issues around mental capacity and have they assessed this around her refusal to engage there will be a response from services. Also say you want your concerns around this documented in her notes.

UnbornMortificado · 20/02/2017 23:18

Is going in voluntary an option when under 18?

dottycat123 · 21/02/2017 06:30

Yes, voluntary admission is preferable but has the potential to result in a mental health act assessment whilst there if an Individual refuses treatment and is at risk.

UnbornMortificado · 21/02/2017 08:50

I don't know if it varies as a only have personal hospital experience but when I was in "voluntary" it wasn't voluntary. If I'd refused treatment I would of been sectioned they pretty much told me so.

I don't know if that's standard.

I really hope you can get get some help User

User100600 · 21/02/2017 10:08

I just feel like they don't really care until she's going to be so ill that her organs fail.

OP posts:

FormerlyFrikadela01 · 21/02/2017 10:13

It's not that they don't care. It's all down to money I'm Afraid. I spent a few weeks with the ED team as a student and the thresholds for inpatient intervention was shockingly low. Especially if your trust doesn't have it own beds and try have to buy from out of area.
I hope your DD gets help soon.

User100600 · 21/02/2017 13:02

Out trust has beds

OP posts:

dottycat123 · 21/02/2017 18:26

You may have to be more forceful with the team's looking after her. Your eating distress team and cmht will both have psychiatrists within them. I would ask the eating distress team for an urgent review by the specialist psychiatrist if daughter refuses say you want the review to take place as a mental health act assessment. If you have no response to this contact the duty AMPH and say you are requesting mental health act assessment yourself as no professionals are listening.

User100600 · 21/02/2017 20:46

Thank you I will do. She is just getting worse by the day.

OP posts:

WayfaringStranger · 21/02/2017 21:34

How difficult for you. NHS eating disorder services are abysmal. Is she engaging with the teams, does she go to her appts?

User100600 · 21/02/2017 21:37

No she doesn't. She did when she was a higher Bmi.

OP posts:

UnbornMortificado · 23/02/2017 12:05

Has there been any improvement User?

I think improvement may be the wrong word but any better engagement and such?

User100600 · 23/02/2017 20:29

No in fact she looks like she's lost weight..

OP posts:

UnbornMortificado · 23/02/2017 21:38

Oh god, I wish I had some decent advice to give you User

The only thing I could think of was could the crisis team do anything?

Again I wouldn't have a clue if they deal with ED's they have hospitalised me (voluntarily) in the past but that was suicidal intent.

I can't believe with an ED how Ill someone has to be before hospital is an option.

No doubt you know this already but I found some numbers relating to disordered eating on the MIND website.

www.mind.org.uk/information-support/types-of-mental-health-problems/eating-problems/useful-contacts/?o=6260#.WK9V7YbfWEc

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