Veileder i akuttpsykiatri

Supervisor in acute psychiatry

The supervisor in acute psychiatry (VAP) was originally written by physicians for physicians

psychiatric department of the hospital Østfold. The guide was created after a

desire of doctors in specialization, which missed an easily accessible tool

for assessment and treatment of patients on duty. VAP has since proven

useful for both doctors and other medical staff at other psychiatric wards

in Norway, in somatic departments, emergency services and for employees in front-line services.

In updated version in July 2018, we have also to revise consisting

chapters added new kaptiler about eating disorders, mental disorders under

and after pregnancy as well as expanded chapter psychotropic drugs / other treatment

multiple medications and ECT, LAR and milieu therapy. The chapter on legal

conditions are updated according to changes in the PHL with links to Lovdata.

The guide covers the acute phase of illness. VAP is not a textbook, but a

indicative aid. It must always be holistic assessments based on

individual and situational factors, and local policy. By ordination

of drugs have interactions, comorbidities and contraindications always

considered. The drugs mentioned are suggestions and are based on the most frequently

used compositions.

With VAP we desire to collect the acute psychiatric field nationally. We

hope VAP will help to facilitate the training of new doctors and other health care professionals,

and think VAP will be able to improve quality and patient safety for acutely ill patients

with psychiatric symptoms. VAP is thought to increase the interaction between doctors from different fields in the specialist, and different levels of health care. To succeed

with this we rely on user feedback, and suggestions for updates, changes or else be sent to:

[email protected]

VAP was first released in paper form in 2013 and in 2014 became VAP launched as an application (Windows platform). From 2016 has VAP been available on all platforms. This has increased the availability and will also facilitate the update. In 2015 acute psychiatric department of Aker University had responsibility for management and updating of the VAP, and the current editorial committee consisting of doctors from Østfold Hospital and Medical Psychiatric Center, Akershus University.

We thank all partners for their participation. A special thanks to the management of

mental health care at Østfold Hospital, for positive attitude and support in the development of

VAP, and the South-East of innovation funding for the project, which made possible the development avVAP and Fund Committee for the Norwegian Medical Association for project funding for revision and updating. It addressed also a big thank you to the medical library at Akershus

University, for assistance with the literature in this edition of VAP.

Editorial Committee, May 2018

Marianne Sophie Kvam Dahl (operations)

Solvor-Aina Mukkaden-Queseth

Guro Bræin-Kjellvik

Enrico Callegari

Inger Lise Gravaas

Christine Esbensen

Christine Grøtte