Understanding the Wards (A, B, C, D)

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Patient Wards System


Ward Placement at a Glance
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Ward A is the highest security ward, for the most severe patients who pose a real danger to themselves and/or others, and have the lowest functioning in most or all areas.

Ward B is the next lowest security ward, for patients who still have occasionally hazardous behaviours, but are progressing and do not need constant supervision like those on Ward A in order to ensure their safety.

Ward C is for patients who have trouble with their mental health and their life skills and other functioning, but do not pose a danger to themselves and others. Ward C patients focus more on therapy with independent living skills learning playing second fiddle.

Ward D is for patients who still have mental health complaints but can or have learned to use healthy coping skills most of the time. Ward D patients are learning independent living skills with staff support, and still attend therapy, but they are more independent than those on other wards.

Ward Conditions & Permissions
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Ward A has intensive, round the clock staff coverage. Patients sleep one to a room and are not permitted to keep personal belongings in their rooms. Ward A patients wear hospital-supplied patient scrubs. Ward A patients are allowed to eat in the dining hall with other patients up until/unless their clinician marks them as High Security on their patient files. If marked as High Security, they eat in the dining hall on the ward. Ward A restrooms are single occupancy, do not have locking doors, and can be monitored by staff. Ward A showers are stalls with only curtains, in a communal room that may be monitored by staff. The ward A patient lounge offers board and card games, and a television. The controls for the television are only used by staff. Smokers may use the smoking alcove at the back of the lounge. Smoking is monitored by staff, and patients never have their own lighters (they must get a light from the staff on duty). Ward A patients are not permitted out of their rooms after lights out unless accompanied by staff. Ward A patients may only move about the rest of the main hospital building during the daytime, and are barred from the poolhouse, the stables, and much of the farm unless accompanied by staff. Ward A is a locked ward, and patients need to be buzzed in or out by staff on duty, regardless of the time of day. Ward A patients are administered their medications on the ward, by the staff, to ensure med compliance. Only Ward A patients are allowed into Ward A. Ward A patients may not visit other patients in their rooms on other wards.

Ward B has full staff coverage around the clock, but not to the degree of ward A. Patients share a room with a room mate selected by staff, and may keep non-dangerous personal belongings in the storage provided in their rooms. Ward B restrooms have privacy stalls with non-locking doors, and may be patrolled by staff. Ward B showers have private cubicles in a communal room, with changing areas included. Staff have keys to these doors and may patrol the showers at any time.  Ward B's lounge may be monitored by staff, but patients may request control of the television. Games, books, and a stereo are also offered. Smokers may use the smoking alcove, but must still request a light from staff on duty and are not permitted to keep lighters. Ward B patients are not permitted out of their rooms after lights out unless accompanied by staff. Ward B is a locked ward during night time hours. Ward B patients eat their meals in the main building dining hall, and are permitted access to most patient areas unless otherwise noted on their file by a clinician. Ward B patients report to the main building dispensary at medication times, to receive their doses each day.

Ward C has basic staff coverage throughout the day, and two night shift orderlies on duty during overnight hours. Patients also share their room with a roommate, and may keep their personal belongings in their room, including items such as their own bedding, decorations, personal electronics, and musical instruments (if you have purchased the reward.) Ward C showers and restrooms are private, individual rooms with locking doors. Staff have keys but do not monitor use. Patients have control of the electronics in the patient lounge on this ward, and may hang out freely, or smoke in the smoking alcove, where books of matches are provided (but may not be removed from the room). Ward C patients can leave their rooms during lights out, without staff permission, but may not leave the ward (they can hang out in the lounge, for example). Ward C patients eat their meals in the dining hall and report to the dispensary for their medications. Ward C patients have full access to patient areas, and may visit the stables and farm without staff supervision. (They may not take horses out without staff permission however). Ward C is not a locked ward, but patients are expected not to leave the ward after lights out.

Ward D is comprised of private patient rooms, each with their own bathroom and living area. Support staff are on duty during the day to help teach life skills and reinforce coping skills. Ward D patients share a communal kitchen on the ward, where they can choose to make and eat breakfast and lunch if they do not want to go to the main dining hall. All dinners on Ward D are eaten family style (all patients expected to attend), in the communal dining room, and are cooked by one of the patients every night, on a rotating schedule.  Ward D offers living-room style lounges for the patients to hang out and socialise, as well as their own private, communal gardens with a covered smoking area, and a vegetable garden. Ward D patients may come and go from the ward as and when they like (day or night) and are permitted access to all patient areas, the stables, and the farm. Ward D patients are responsible for managing their own medications from MOT (Medication On Time) bubble packs given to them weekly. Ward D patients may receive day passes to leave the hospital and go into Berlin, from one of the clinicians, and are permitted to keep a single small pet in their room. (No cats or dogs, must be a small animal such as a rabbit, guinea pig, parakeet, hamster, fish, etc.) Patients from higher security wards are not permitted inside of Ward D communal areas or patient rooms.

Ward Transfers
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Patients can be transferred to and from different wards at any time, depending on their behaviour and their progress, but may only be transferred by a clinician or an administrative staff member. The ward you pick on a patient app may not be the ward they get put into when they arrive at the hospital (depending on how the forum staff assess their case.) Patients from any ward who show severely dangerous or disruptive behaviours may be transferred temporarily to "Ward H" at any time, which is a solitary ward next to the medical building. If a patient is transferred from a lower security ward to a higher security ward (going "backwards") they will lose all privileges from their previous ward. For example, a patient going from Ward D to Ward C will not be allowed to keep their pet, etc. Patient personal belongings may be confiscated by hospital staff if the staff deem them unsuitable for the patient, regardless of their ward placement. All patient belongings which are withheld during admission, or confiscated, will be kept in secure storage and may be returned to the patient as they progress in their recovery.