Psychiatric patients' behavior and adjustment as appraised in the community and hospital setting

1967 ◽  
Author(s):  
Robert Ellsworth ◽  
Gilbert Arthur ◽  
Duane Kroeker ◽  
Barry Childers
Keyword(s):  
Psychiatric Patients ◽  
Hospital Setting

A National Audit of New Long-Stay Psychiatric Patients

1994 ◽  
Vol 165 (2) ◽  
pp. 170-178 ◽  
Author(s):  
Paul Lelliott ◽  
John Wing
Keyword(s):  
Northern Ireland ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Residential Setting ◽  
National Audit ◽  
Community Based ◽  
Community Placement ◽  
Lengths Of Stay ◽  
Psychiatric Beds ◽  
Rate Of Accumulation

Background.This second report of a national audit of new long-stay (NLS) psychiatric patients describes the services caring for the patients and the reasons why patients were still in hospital.Method.Data analyses addressed the prevalence of NLS patients, the residential resources available to services, the distributions of patients within services, clinicians' views as to the appropriateness of current placement and the reasons for any inappropriate placements.Results.The average point prevalence was 6.1 per 100 000 population; it was significantly lower in England and Wales (5.6, s.d. = 3.2) than in Scotland and Northern Ireland (10.7, s.d. = 6.4, ANOVA F ratio = 10.9, P < 0.01). The estimated rate of accumulation was 1.3 per 100 000 population per year. Many English services had very few non-acute psychiatric beds and 31 % of English NLS patients, despite their protracted lengths of stay, were housed on acute wards. Assessors thought that 61 % of patients would be better placed in a non-hospital setting; 47% were thought to require a community-based residential setting, and of these over one-half were still in hospital because no suitable community placement was available.Conclusions.Many NLS patients remain in hospital because their residential needs are not met by existing community provision.

Intensive Psychotherapy for Acute Psychiatric Patients in a Day Hospital Setting in Israel

1972 ◽  
Vol 121 (565) ◽  
pp. 635-639 ◽  
Author(s):  
Y. Fried ◽  
F. Brüll
Keyword(s):  
Psychiatric Patients ◽  
Hospital Setting ◽  
Health Clinic ◽  
Day Hospital ◽  
Professional Literature ◽  
Sick Fund ◽  
Day Hospitals ◽  
Type Of Institution ◽  
Autonomous Service ◽  
Intensive Psychotherapy

The psychiatric services in the field of community psychiatry in Israel have developed in a number of directions over the past decade. Following the establishment by the Workers' Sick Fund (Kupat Holim) of a Rehabilitation Unit for chronic psychiatric patients (Wijsenbeek and Lindner (53)) and the opening of a Day Hospital for acute cases in conjunction with a psychiatric hospital (Ramot and Jaffe (45)), a Day Hospital was established in October 1968, at the Out-Patient Mental Health Clinic (Ramat Chen), to serve acute psychiatric patients. This represented the first attempt of its kind in Israel. The professional literature on Day Hospitals, which in the main describes a ‘half-way out’ type of hospital (Farndale (16); Epps and Hanes (14); Kramer (32)), also reports the existence of a ‘half-way in’ type of institution, operating as an autonomous service catering to a particular geographical region, without being attached directly to a mental hospital. This kind of Day Hospital, specifically designed for acute cases, has not yet been tried in Israel.

Exposure, Relaxation, and Rescripting Therapy for Trauma-Related Nightmares With Psychiatric Inpatients: A Case Series

2020 ◽  
Vol 20 (1) ◽  
pp. 3-21
Author(s):  
Helen Reiter ◽  
Leanne Humphreys
Keyword(s):  
Acute Care ◽  
Psychiatric Hospital ◽  
Psychological Symptoms ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Case Series ◽  
Psychiatric Inpatients ◽  
Empirically Supported ◽  
Individualized Care

Research has shown that posttraumatic stress disorder (PTSD) is a highly prevalent diagnosis for psychiatric patients, yet individualized care and treatment is limited in the inpatient acute care sector. Two case studies are presented which examine the use of Exposure, Relaxation, and Rescripting Therapy (ERRT) for chronic trauma-related nightmares, within a private acute care inpatient psychiatric hospital setting. ERRT is empirically supported with efficacy for veteran and civilian populations, however no research to date has been conducted with psychiatric inpatients. Two participants diagnosed with PTSD, suffering distressing trauma-related nightmares, completed ERRT over three sessions during their psychiatric hospital admission, with the aim of reducing the frequency and severity of nightmares and related psychological symptoms. PTSD, depression, sleep quality and quantity, and nightmare frequency and related distress, were measured pre-treatment, during treatment, and follow-up at one, 3 and 6 months. Only one participant reported ongoing nightmares by the third week of the intervention, with both participants reporting an absence of nightmares at the one and 3-month follow-ups, but mixed results by the 6-month follow-up. One participant also reported a reduction in PTSD symptoms and a mild improvement in depression. The results offer some preliminary support for the provision of ERRT for the treatment of trauma-related nightmares for psychiatric inpatients.

Social Skills Training with Chronic Psychiatric Patients

1981 ◽  
Vol 44 (9) ◽  
pp. 284-285 ◽  
Author(s):  
Kevin Hewitt ◽  
Clare Wishart ◽  
Rod Lambert
Keyword(s):  
Social Skills ◽  
Occupational Therapy ◽  
Social Skills Training ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Skills Training ◽  
Training Groups ◽  
Training Package ◽  
Chronic Psychiatric Patients

The article presents a social skills package for use by occupational therapy staff working with chronic psychiatric patients, The training package is evaluated and results indicate its effectiveness. Difficulties encountered in running social skills training groups in a hospital setting are discussed. The importance of generalization training for social skills is stressed.

scholarly journals First line in psychiatric emergency: Pre-hospital emergency protocol for mental disorders in Iran

2019 ◽  
Author(s):  
Fatemeh Shirzad ◽  
Fateme Hadi ◽  
Seyede Salehe Mortazavi ◽  
Maryam Biglari ◽  
Hassan Noori Sari ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Relevant Literature ◽  
Hospital Setting ◽  
Access To Medicines ◽  
Rapid Review ◽  
Treatment Center ◽  
Security Issues ◽  
Patient Status ◽  
Status Assessment ◽  
Implementation Problems

Abstract Introduction: This article is a report of designing a rapid and effective guide for paramedics who take care of patients in a pre-hospital setting to answer developing demands. Methods: The relevant literature was reviewed, and the topics were extracted. Then, the extracted items were discussed in an expert panel. Finally, items were discussed in a meeting including emergency technicians and emergency technical assistants to identify implementation problems. Result s : Important topics for managing psychiatric patients were categorized at three levels: 1) Patient safety and security issues, 2) Patient status assessment and diagnosis, and 3) Patient management (medical, behavioral management, and referral to a treatment center). Discussion: This protocol can be a solution to improve emergency technician training. Such summarized protocols can be used for rapid review immediately before exposing a patient with an acute psychiatric condition. Due to specific cultural and different access to medicines in Iran, some issues are different.

scholarly journals First line in psychiatric emergency: Pre-hospital emergency protocol for mental disorders in Iran

2020 ◽  
Author(s):  
Fatemeh Shirzad ◽  
Fateme Hadi ◽  
Seyede Salehe Mortazavi ◽  
Maryam Biglari ◽  
Hassan Noori Sari ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Relevant Literature ◽  
Hospital Setting ◽  
Access To Medicines ◽  
Rapid Review ◽  
Treatment Center ◽  
Security Issues ◽  
Patient Status ◽  
Status Assessment ◽  
Implementation Problems

Abstract Introduction: This article is a report of designing a rapid and effective guide for paramedics who take care of patients in a pre-hospital setting to answer developing demands.Methods: The relevant literature was reviewed, and the topics were extracted. Then, the extracted items were discussed in an expert panel. Finally, items were discussed in a meeting including emergency technicians and emergency technical assistants to identify implementation problems. Results: Important topics for managing psychiatric patients were categorized at three levels: 1) Patient safety and security issues, 2) Patient status assessment and diagnosis, and 3) Patient management (medical, behavioral management, and referral to a treatment center). Discussion: This protocol can be a solution to improve emergency technician training. Such summarized protocols can be used for rapid review immediately before exposing a patient with an acute psychiatric condition. Due to specific cultural and different access to medicines in Iran, some issues are different.

Stress management for psychiatric patients in a state hospital setting.

1995 ◽  
Vol 65 (3) ◽  
pp. 446-450 ◽  
Author(s):  
David Starkey ◽  
Heidi Deleone ◽  
Raymond B. Flannery
Keyword(s):  
Stress Management ◽  
State Hospital ◽  
Psychiatric Patients ◽  
Hospital Setting

scholarly journals A Comprehensive Emergency Psychiatric Service in a General Hospital

1971 ◽  
Vol 16 (2) ◽  
pp. 137-139 ◽  
Author(s):  
M. Straker ◽  
C. Yung ◽  
L. Weiss
Keyword(s):  
Intensive Care Unit ◽  
General Hospital ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Hospital Setting ◽  
Short Stay ◽  
Clinical Experiences ◽  
Outpatient Psychiatry ◽  
Suicidal Patients ◽  
Teaching Setting

Rapid developments in general hospital outpatient psychiatry reflect increasing demands from the community for such setvices. Combining the outpatient caseload and Emergency Room psychiatric patients, nearly 2,500 patients per year were under care. To provide better care a new emergency intake service has been established, with a 72-hour limit of stay. This is a valuable therapeutic resource, and has made it possible to better study and treat selected acutely-ill patients. It is also a dynamic teaching setting. The establishment of this intensive-care unit has relieved pressure on the existing services. Suicidal patients, those with transient deliria and acutely disturbed patients have been accommodated. About 20 per cent of the casualty caseload has been admitted to the Short Stay Service, and nearly 50 per cent of such patients were able to return to their homes and community living within three days. These clinical experiences confirm the description of this unit as a ‘comprehensive emergency psychiatric service’ in a general hospital setting. The survival of the service is assured and encourages the establishment of similar units in other centres.

scholarly journals Health professionals' familiarity and attributions to mental illness

2010 ◽  
Vol 2 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Aghukwa Nkereuwem Chikaodiri
Keyword(s):  
Mental Illness ◽  
Health Workers ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Psychiatric Facility ◽  
Cross Sectional ◽  
Attribution Questionnaire ◽  
High Level ◽  
Almost All ◽  
Level Of Experience

A few months from the time of this survey, the nearly completed inpatient psychiatric facility within the Aminu Kano Teaching Hospital's complex would be ready for admissions. Understanding the health workers' level of experience of mental illness and their likely behavioural responses towards people with psychiatric illness, therefore, should be a good baseline to understanding their likely reactions towards admitting such patients within a general hospital setting. The study, which used a pre-tested and adapted attribution questionnaire, was pro -spective and cross-sectional. Randomly selected health workers in Aminu Kano Teaching Hospital had their level of familiarity and attributions towards psychiatric patients assessed. The respondents showed a high level of experience with mental illness, with more than 3 in 5 of them having watched movies on mental illness before. More than half of them held positive (favorable) attributions towards persons with mental illness on nine of the ten assessed attribution factors. Almost all held negative (unfavourable) opinion towards intimate relationships with such persons. Attribution factors, “Responsibility, “Anger”, “Dangerousness”, “Fear” and “Segregation” were significantly related to the respondents' level of education (P<0.05). Marital status of the respondents related significantly to “Pity” and “Avoidance” factors (P<0.05). Having watched movies on mental illness significantly related to “Responsibility” and “Fear” factors (P<0.05). Programs designed to improve the health workers mental health literacy, and increased positive professional contacts with mentally ill persons on treatment, would further enhance their perceived positive attributions towards them.

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