Reclassification of Patients
The aim of this project is to ensure that the best quality psychiatric service is provided to the most needed acute and sub-acute in-patients. At present patients are distributed across the facility in twenty two wards with each ward staffed by psychiatric nurses, enrolled assistant nurses, psychiatric nursing aides and ward assistants. Approximately two thirds of the patients are long-staying, who do not necessarily require the same level of care as the more critically ill psychiatric patients. Consequently, the management has embarked on a project to reorganise the in-patient population and realign the staffing requirements according to their level of dependency. At the end of the project it is anticipated that scarce resources will be better utilised by ensuring that the appropriate skillsets and relevant equipment are assigned clients according to the level of care required. Part of the requirement for the project is also to ensure that the safety and privacy issues are appropriately addressed. Accordingly, there will be infrastructural modifications to meet these standards. To date, renovation work on the forty two (42) bed H-Ward that has been unoccupied for over five (5) years, is over seventy five percent (75%) complete. A number of furniture items have also been sourced from an overseas benefactor and Food For The Poor. Additionally, work is currently in progress on the over sixty five (65) bed E-Ward which has been closed for over a decade.
Occupational Therapy is considered a critical part of the rehabilitation process for psychiatric patients. This includes a rehabilitation centre in the Windsor Road Community of St. Catherine that houses forty two clients. The program is by enlarge crop, poultry and broiler production. The Occupational Therapy program at the Bellevue Hospital includes activities such as craft making, sewing, art therapy, farming, woodwork and placement in other functional areas of the institution. The current project involves returning the Occupational Therapy Unit to the original building that was being used to house clients after a number of wards were damaged during Hurricane Ivan in 2004. The activities include infrastructure renovation, recruitment of Occupational Therapists and expansion of the current program.
The institution currently has a laundry that caters only to inpatients in the facility. However, the capacity to provide laundry services to its approximately eight hundred (800) clients is inadequate. The hospital also does not have the services of the relevant Occupational Therapists, in order to establish an effective Occupational Therapy programme that is consistent with our service model. In addition, laundry services for most of the health facilities within the South East Region are outsourced, while the management of the various institutions continue to grapple with issues such as cost constraints and value for money. As such, the aim of this project is to ultimately reduce cost through improving the laundering process, thus ensuring longer lifespan of the sheet, timely replacement and efficient turnaround time for delivery and pickup, hence improving client satisfaction. While the Bellevue Hospital laundry is the largest of its kind within the South East Region that is not outsourced, the infrastructure is derelict and badly infested by termites. The institution also has a number of clients who remain institutionalized for a number of years, despite the fact that they have the capability for a reasonable level of functionality, through a structured rehabilitation process. The aim of this project is to restore the infrastructure and expand its capacity with a view to providing laundry services and the production of hospital linen to be supplied to other health facilities within the South East Region, in addition to satisfying internal demand. In so doing, the institution intends to fulfill some of the objectives of the strategic mental health plan including deinstitutionalization, whereby internal clients at the hospital will be employed at this facility, this will enable them to reside outside of the institution. The end result of the project will achieve a sustainable service that will redound to significant cost saving within the Region.