A Welsh Forensic Psychiatric Service for Doctors

1974 ◽  
Vol 124 (582) ◽  
pp. 494-495 ◽  
Author(s):  
Michael J. Craft
Keyword(s):  
Small Group ◽  
Brain Damage ◽  
Psychiatric Service ◽  
Sexual Offences ◽  
Average Ability ◽  
North Wales ◽  
Violent Acts ◽  
Forensic Psychiatric

The results of treating psychopaths and other mentally abnormal offenders at Balderton Hospital, Nottinghamshire, and in North Wales (Tables I, II and III), have shown that there is a small intractable group who react explosively when in the company of less disturbed patients, and who are best treated in a long-term unit specially designed for their needs. The small group surveyed here are mentally abnormal offenders of dull-normal or average ability whose aggression or inadequacy, sometimes combined with schizophrenia or resulting from brain damage, makes them prone to repeated convictions for violent acts, arson, sexual offences or drunkenness.

scholarly journals Clinical governance

2000 ◽  
Vol 24 (12) ◽  
pp. 444-447 ◽  
Author(s):  
Ernest Gralton ◽  
Adrian James ◽  
Sue Oxborrow
Keyword(s):  
Psychiatric Service ◽  
Continuing Professional Development ◽  
Clinical Governance ◽  
Service Development ◽  
Clinical Implications ◽  
Long Term Changes ◽  
Additional Funding ◽  
Forensic Psychiatric ◽  
Development Assessment

Aims and MethodTo describe the introduction of a clinical governance programme within a regional forensic psychiatric service.ResultsThe established programme meets the objectives of clinical governance. It affords regular appraisal of model practice and dissemination of information among staff. It provides a forum for continuing professional development, assessment of users' views and input of its staff to service development.Clinical ImplicationsA functional clinical governance programme is possible, and likely to produce considerable benefits, but requires substantial commitment from clinical, secretarial and managerial staff. To be sustainable in the long term it may require additional funding. It is still too early to seek to evaluate any long term changes produced in patient care by the process.

ESTIMATION OF SEVERITY OF THE NEPHROTIC SYNDROME IN CHILDHOOD AS A GUIDE TO THERAPY AND PROGNOSIS

PEDIATRICS ◽  
1959 ◽  
Vol 23 (5) ◽  
pp. 861-873
Author(s):  
W. W. McCrory ◽  
M. Rapoport ◽  
D. S. Fleisher
Keyword(s):  
Nephrotic Syndrome ◽  
Hormone Therapy ◽  
Small Group ◽  
Clinical Response ◽  
Steroid Therapy ◽  
Prognostic Value ◽  
Therapeutic Benefits ◽  
Adrenocortical Hormone ◽  
Glomerular Damage

The degree of clinical and biochemical improvement observed in 20 children with the nephrotic syndrome who received a similar course of adrenocortical steroid therapy has been correlated with the severity of the existing renal glomerular damage. It appears that the clinical response of children with nephrosis to hormone therapy and their behavior shortly thereafter can provide the physician with information of prognostic value at an earlier period in the course of the disease than has been possible heretofore. This was especially true in the case of patients destined to have a favorable outcome. The immediate and long-term therapeutic benefits obtained in a small group of patients with nephrosis, who received sufficient adrenocortical hormone therapy to induce and maintain maximal improvement in all measurable abnormalities, are superior to the results obtained by therapy aimed only at control of edema.

Towards an EU research framework on forensic psychiatric care: Introduction, structure, activities and results of cost action Is1302

2017 ◽  
Vol 41 (S1) ◽  
pp. S584-S584
Author(s):  
L. Castelletti ◽  
F. Scarpa
Keyword(s):  
Best Practice ◽  
Psychiatric Care ◽  
Service Providers ◽  
Psychiatric Symptoms ◽  
Legal Framework ◽  
Mentally Ill Offenders ◽  
Mentally Disordered Offenders ◽  
Cost Action ◽  
Forensic Psychiatric

IntroductionForensic psychiatric care is aimed at improving mental health and reducing the risk of recidivism of mentally ill offenders. For some mentally disordered offenders long forensic psychiatric care is required. Due to different legal framework, policies and resources in member countries, treatment programs and care provided for these subjects may vary substantially across Europe.ObjectivesCOST Action IS1302, a EU project aimed at establishing a European network of researchers, clinicians and service providers about long-term forensic psychiatric care, has involved nineteen European countries for 2013 to set the basis for comparative evaluation and research on effective treatment and the development of best practice in long-term forensic psychiatry in Europe.MethodIt is constituted by three main areas of interest and research. One group works on determination of patient characteristics, looking into prevalence, duration of stay and the most determinant characteristics of long term patients. The second area of research aims at obtaining better understanding of complex external factors that influence the poor progress of patients residing for an above average time in forensic services. Third group of research focuses on knowledge about specific needs brought about by psychiatric symptoms and how these specific needs might optimize the quality of life of patients in long term forensic psychiatric care.Results/conclusionsLaunched four years ago, the action is at its last of activities. We display features, activities and data emerging from the research conducted so far.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Long-Term Outcomes of an Abstinence-Based, Small-Group Pregnancy Prevention Program in New York City Schools

2000 ◽  
Vol 32 (5) ◽  
pp. 237 ◽  
Author(s):  
Lisa D. Lieberman ◽  
Heather Gray ◽  
Megan Wier ◽  
Renee Fiorentino ◽  
Patricia Maloney
Keyword(s):  
New York ◽  
New York City ◽  
Small Group ◽  
York City ◽  
Prevention Program ◽  
Pregnancy Prevention ◽  
Long Term Outcomes ◽  
Pregnancy Prevention Program ◽  
City Schools

Deinstitutionalisation for Long-Term Mental Illness: A 2-Year Clinical Evaluation

2000 ◽  
Vol 34 (3) ◽  
pp. 476-483 ◽  
Author(s):  
Coletta Hobbs ◽  
Christopher Tennant ◽  
Alan Rosen ◽  
Lesley Newton ◽  
Helen M. Lapsley ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Social Behaviour ◽  
Rating Scale ◽  
Longitudinal Design ◽  
Psychiatric Service ◽  
Clinical Effectiveness ◽  
Psychotic Symptoms ◽  
Service Support ◽  
Community Psychiatric Service

Objective: The closure of a long-stay psychiatric hospital in Sydney caused the transfer of an initial 40 very long-term patients to four community residences, each with 10 beds, for a continuing process of deinstitutionalisation. Community psychiatric service support and 24-h supervision were provided. This paper describes the residents' clinical progress which was assessed over a 2-year period. Method: This study employed a quasi-experimental longitudinal design. Evaluation commenced prior to discharge and continued for 2 years following community relocation using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Readmission, demographic, case history and medication data were also collected. Results: Of the 40 patients initially transferred to the community, seven required long-term readmission to hospital (either prior to or after amalgamation) and one patient died of medical causes. Additional patients transferred from the hospital to the community following the readmissions. Three of these additional patients had achieved a 2-year community tenure during the study period and were included in the clinical evaluation. The 35 residents in total who remained in the community for 2 years, demonstrated a significant improvement in psychotic symptoms, without significant change in the level of neuroleptic medication. Importantly, the 2 years of community living resulted in a significant increase in the residents' life satisfaction. There were no statistically significant changes in residents' living skills, depressive symptoms or social behaviour problems over the 2 years, indicative of the need for supervision and community service support following deinstitutionalisation. Over the 2-year period, some 37% of the residents required temporary readmission. Conclusion: This study demonstrates the clinical effectiveness of deinstitutionalisation, when planned within a mental health system with adequate community resources.

Neuroprotective Effect of Long-term MgSO4 Administration After Cerebral Hypoxia-Ischemia in Newborn Rats Is Related to the Severity of Brain Damage

2007 ◽  
Vol 14 (7) ◽  
pp. 667-677 ◽  
Author(s):  
Evangelia Spandou ◽  
Vassiliki Soubasi ◽  
Stamatia Papoutsopoulou ◽  
Persefoni Augoustides-Savvopoulou ◽  
Theodoros Loizidis ◽  
...  
Keyword(s):  
Brain Damage ◽  
Neuroprotective Effect ◽  
Cerebral Hypoxia ◽  
Newborn Rats ◽  
Hypoxia Ischemia

The Effect of Long Term Caffeine Treatment on Hypoxic-Ischemic Brain Damage in the Neonate

1995 ◽  
Vol 38 (3) ◽  
pp. 312-318 ◽  
Author(s):  
Elsa Bona ◽  
Ulrika Ådén ◽  
Bertil B Fredholm ◽  
Henrik Hagberg
Keyword(s):  
Brain Damage ◽  
Ischemic Brain Damage ◽  
Ischemic Brain ◽  
Caffeine Treatment

scholarly journals Understanding Others Requires Right Temporoparietal and Inferior Frontal Regions

2021 ◽  
Author(s):  
Tatiana Schnur ◽  
Junhua Ding ◽  
Margaret Blake
Keyword(s):  
Theory Of Mind ◽  
Brain Damage ◽  
Right Hemisphere ◽  
Knowledge And Beliefs ◽  
Human Ability ◽  
Lesion Symptom Mapping ◽  
Right Hemisphere Brain Damage ◽  
Acute Patients ◽  
Long Term Studies

The human ability to infer other people's knowledge and beliefs, known as 'theory of mind', is an essential component of social interactions. Theory of mind tasks activate frontal and temporoparietal regions of cortex in fMRI studies. However, it is unknown whether these regions are critical. We examined this question using multivariate voxel-based lesion symptom mapping in 22 patients with acute right hemisphere brain damage. Studies of acute patients eliminate questions of recovery and reorganization that plague long-term studies of lesioned patients. Damage to temporoparietal and inferior frontal regions impaired thinking about others' perspectives. This impairment held even after adjustment for overall extent of brain damage and language comprehension, memory, comprehension, and attention abilities. These results provide evidence that right temporoparietal and inferior frontal regions are necessary for the human ability to reason about the knowledge and beliefs of others.

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