Changes in Duration of Stay of Mental Hospital Patients Suffering from Functional Psychoses During the Past 20 Years

1954 ◽  
Vol 100 (418) ◽  
pp. 241-249 ◽  
Author(s):  
Arthur Harris ◽  
Vera Norris
Keyword(s):  
Mental Hospital ◽  
County Council ◽  
The Past ◽  
Mental Hospitals ◽  
Functional Psychoses ◽  
Hospital Patients ◽  
Mental Treatment ◽  
Mental Defectives ◽  
Methods Of Treatment

We have reported a follow-up study of patients first admitted to London County Council Mental Hospitals in 1930 (Harris and Lubin, 1952, Harris and Norris, in press). The present paper deals with a group of similar patients, i.e., psychotics from whom epileptics, known organic cases, ascertained mental defectives, those over the age of 40 and those who had been admitted to a mental hospital previously were excluded, who were transferred to mental hospitals from St. Francis Observation Ward during the period May 1940 to May 1942. The main differences between this group and the 1930 one were: (a) The Mental Treatment Act of 1930 had come into operation and many were admitted to mental hospitals as voluntary patients; (b) modern physical methods of treatment were in use; (c) in most cases the history was known.

Institutional Treatment of Mental Defectives, with Special Reference to Occupation

1925 ◽  
Vol 71 (295) ◽  
pp. 694-703 ◽  
Author(s):  
A. M. McCutcheon
Keyword(s):  
Special Reference ◽  
Mental Hospital ◽  
Lower Grade ◽  
Mental Hospitals ◽  
Social Traits ◽  
Institutional Treatment ◽  
The World ◽  
Hospital Patients ◽  
Mental Defectives

The problem of the treatment of defectives is somewhat different from that met with in regard to the patients in mental hospitals. In the case of mental hospital patients most of them have filled useful positions in the world, and also the percentage of possible recoveries is hopeful, and many of them are able to resume their former occupations. But mental defectives are social misfits, many with anti-social traits, others neglected and ill-treated, and again others of a much lower grade, many of whom are helpless and even cot-cases.

A Special Mental Hospital Unit for the Treatment of Psychosis and Neurosis in Juveniles

1953 ◽  
Vol 99 (414) ◽  
pp. 123-129 ◽  
Author(s):  
Dalton E. Sands
Keyword(s):  
Mental Hospital ◽  
Psychiatric Illness ◽  
Adult Patients ◽  
Hospital Unit ◽  
Hospital Practice ◽  
Special Unit ◽  
The Past ◽  
Mental Hospitals ◽  
End Results

Since the treatment of juveniles as in-patients in a special unit is somewhat unusual in mental hospital practice, a brief introduction may not be out of place. These units might be considered as another development in a trend which has been progressing for the past 25 years. Until 1930 certification of all admissions to mental hospitals and a mainly custodial régime ensured the majority of patients being largely the end-results of psychiatric illness. Since 1930 the steadily increasing use of the voluntary system has brought many patients to hospital at a stage when their illness can be favourably influenced by modern therapeutic methods. An associated development was the increased provision of wards or units separate from the chronically disturbed cases, or even, as at this hospital, a complete villa system of detached and semi-detached wards for mainly voluntary adult patients.

Preliminary Tuberculosis Survey in a Mental Hospital

1946 ◽  
Vol 92 (386) ◽  
pp. 96-109 ◽  
Author(s):  
Donal F. Early
Keyword(s):  
Public Health ◽  
Mental Hospital ◽  
Psychiatric Treatment ◽  
Hospital Staff ◽  
Point Of View ◽  
The Public ◽  
Mental Hospitals ◽  
Number Of Patients ◽  
Hospital Patients ◽  
Disproportionate Number

The problem of tuberculosis amongst mental hospital patients is of importance from both the psychiatric and public health point of view. Most of the active methods of psychiatric treatment must be abandoned or discontinued when physical illness intervenes. The problem is even more far-reaching from the standpoint of public health. Wingfield, Trail, Banks and McDougall (1942) have estimated that there is probably a reservoir of 250,000 infectious cases recognized and unrecognized in England, Scotland and Wales, and several authors have pointed out that mental hospitals contribute a disproportionate number to this reservoir. Modern methods of mental hospital administration with parole and leave privileges applied to the maximum number of patients lend importance to the public health aspect, not only the patients themselves and hospital staff being menaced, but also patients' visitors and relatives and other contacts outside hospital. The incidence of tuberculosis in mental hospitals has been variously estimated at 5 to 10 times and the mortality in peace-time 8 or 9 times that of the general population. These figures are sufficient to justify all efforts to bring the problem under control.

A Review of Seven Years' Malarial Therapy in General Paralysis

1932 ◽  
Vol 78 (323) ◽  
pp. 843-866 ◽  
Author(s):  
W. D. Nicol
Keyword(s):  
Great Britain ◽  
Mental Hospital ◽  
County Council ◽  
Ministry Of Health ◽  
General Paralysis ◽  
Mental Hospitals

Shortly after the introduction of therapeutic malaria into this country, the Ministry of Health and the Board of Control, in consultation with the London County Council Mental Hospitals Department, established a special centre for this treatment at Horton Mental Hospital. A separate villa in the hospital grounds was set apart for the work, and, through the interest, advice and help of Col. S. P. James, M.D., F.R.S., of the Ministry of Health, a laboratory was equipped and arrangements were made for the supply of malarial infective material to all parts of Great Britain. The work was begun in April, 1925, and during the seven years that have elapsed since then, 200 cases have been treated. These cases are all women, drawn from the various London County Mental Hospitals; recently, however, an annexe has been added to the centre, and facilities are now available for treating men also.

A Note on the use of the 1937 Revision of the Stanford Binet Vocabulary List in Mental Hospital Patients

1940 ◽  
Vol 86 (362) ◽  
pp. 532-533 ◽  
Author(s):  
M. B. Brody
Keyword(s):  
Mental Hospital ◽  
Vocabulary Test ◽  
Single Test ◽  
Mental Hospitals ◽  
Hospital Patients ◽  
Vocabulary List

The Terman vocabulary test is probably used in mental hospitals more often than any other single test for measuring intelligence. The 1937 Stanford Binet Vocabulary List contains only 45 words selected from the original hundred. There is therefore a temptation to use it in place of the old one on account of its brevity. But this may cause serious errors.

A follow-up study of chronic mental hospital patients 1959?1969

1971 ◽  
Vol 6 (4) ◽  
pp. 167-171 ◽  
Author(s):  
P. W. Burvill ◽  
M. Mittelman
Keyword(s):  
Mental Hospital ◽  
Follow Up Study ◽  
Hospital Patients

Community Psychiatry in London. A Three-Year Analysis

1969 ◽  
Vol 115 (521) ◽  
pp. 465-474 ◽  
Author(s):  
A. J. Oldham
Keyword(s):  
World War Ii ◽  
General Hospital ◽  
Mental Hospital ◽  
Psychiatric Patients ◽  
Full Range ◽  
Admission Rate ◽  
Mental Hospitals ◽  
Hospital Units ◽  
Psychiatric Units ◽  
Hospital Patients

The decade following the end of World War II saw a progressive rise in the admission rate to mental hospitals in this country. The population of mental hospitals rose to a peak of 152,000 in England and Wales in 1954, since when there has been a steady decline. These fluctuations have been analysed by such authors as Norton (1961) and Tooth and Brooke (1961). The latter attributed the more recent decline to increased efficiency of treatment and rehabilitation, and predicted a continued fall so reducing the mental hospital patients by about 1970 that they would be covered by an allocation of 1 · 8 beds per thousand population. Maclay (1963) believed this prediction to err if anything on the conservative side and the Ministry of Health (1962) based its plans for psychiatric beds upon this ratio. In these plans the Ministry accepted the thesis that short-stay psychiatric patients should preferably be treated in general hospital units near to their homes whilst patients needing a longer hospital stay should be catered for in specialized hospitals for that purpose. The prediction in the Ministry of Health's Hospital Plan (1962) that there would be a steadily declining mental hospital population has been severely criticized by Gore and Jones (1961) but supported by Orwin and Sim (1965) in their analysis of the effects of the provision of acute general hospital psychiatric units in the Birmingham area. The importance of accurately assessing the psychiatric hospital bed needs over the next twenty years, given a full range medical and ancillary services, is vital to future planning and has been much in the author's mind when writing this paper.

Learning Clinical Psychiatry in a Provincial Mental Hospital

1974 ◽  
Vol 125 (586) ◽  
pp. 303-309 ◽  
Author(s):  
Brian Barraclough ◽  
Godfrey Wace
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Clinical Psychiatry ◽  
National Health ◽  
Mental Hospital ◽  
Clinical Skills ◽  
Educational Experience ◽  
Postgraduate Teaching ◽  
The Past ◽  
Mental Hospitals

Postgraduate teaching in psychiatry has always been a function of the provincial mental hospitals, but nothing before has equalled the expansion of theoretical teaching which has taken place over the past ten years. At the heart of the training of a psychiatrist, however, there is the National Health Service job with its own demands, where the practical clinical skills are acquired. The job has not changed much, even though the arrangements for theoretical instruction have improved. Yet changes may be possible which will make the registrar's job more efficient as an educational experience by removing the unsystematic and random elements.

The Treatment of the Voluntary Boarder

1933 ◽  
Vol 79 (324) ◽  
pp. 102-136
Author(s):  
Henry L. Wilson
Keyword(s):  
Mental Hospital ◽  
Public Attention ◽  
Mental Hospitals ◽  
Mental Treatment

The following paper is the result of experience gained during two and a half years' work at The Retreat, York.It was prepared at the time that public attention was being focused upon the Mental Treatment Act, 1930. One of the most striking features of that Act was the provision that any person—pauper or otherwise—could be received into any mental hospital by applying for admission voluntarily. The removal of the bar of certification was widely welcomed; this welcome was believed by the writer to be partly a sentimental one. So little was known of any of the legal and medical difficulties which the voluntary boarder system had produced during the forty years it had been in fairly constant use in the registered mental hospitals, that these problems were seldom referred to when the Mental Treatment Act was under consideration.

A Note on the Potential use of Temporary Treatment

1936 ◽  
Vol 82 (336) ◽  
pp. 43-46
Author(s):  
J. K. Marshall
Keyword(s):  
Mental Hospital ◽  
The Public ◽  
Mental Hospitals ◽  
Temporary Treatment ◽  
Mental Treatment ◽  
Potential Use

Since the passing of the Mental Treatment Act of 1930 the use made of Section 5, dealing with temporary treatment without certification, has varied considerably in different areas, and has, in general, been much less than had been hoped for. In a discussion of this section of the Act held at a quarterly meeting of the Royal Medico-Psychological Association on November 20, 1934, Sir Hubert Bond stated that, while in the opinion of the Board of Control temporary patients should form 15% of the admissions to a mental hospital, in 1933 the proportion of such patients to total admissions was 6·5% in registered hospitals and licensed houses, and only 1·8% in the public mental hospitals.

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