Use of Hospital Services by Chronic Schizophrenics in the Community

1979 ◽  
Vol 134 (4) ◽  
pp. 417-421 ◽  
Author(s):  
Hugh Freeman ◽  
A. J. Cheadle ◽  
J. R. Korer
Keyword(s):  
Social Services ◽  
Psychiatric Hospital ◽  
General Practitioners ◽  
Present State ◽  
Hospital Services ◽  
Chronic Schizophrenics ◽  
Heavy Medium ◽  
Schizophrenic Patients ◽  
One Year ◽  
State Examination

SummaryA sample of chronic schizophrenic patients from an urban community, living outside hospital, were reassessed on the Present State Examination one year after a first examination. During this time their use of psychiatric hospital services was recorded. One hundred and two patients had satisfactory interviews on both occasions. These could be divided into Heavy, Medium and Light users of services, the numbers being 8, 14 and 63 respectively, while 17 only saw their general practitioners or had no treatment. A ranking of the sample in terms of severity showed no correlation with use of these services; second PSE scores were not significantly different from the first. Heavy and Medium users of hospital services were in contact with Social Services to a significantly greater extent than other patients.

Clinical Change as a Function of Brief Admission to Hospital in a Controlled Study Using the Present State Examination

1980 ◽  
Vol 137 (2) ◽  
pp. 170-180 ◽  
Author(s):  
Angela Knights ◽  
S. R. Hirsch ◽  
S. D. Platt
Keyword(s):  
Present State ◽  
Psychiatric Patients ◽  
Controlled Trial ◽  
Clinical State ◽  
Controlled Study ◽  
Heterogenous Group ◽  
Measure Change ◽  
One Year ◽  
Clinical Measures ◽  
State Examination

SummaryA randomized controlled trial of brief hospital admission failed to show any difference on clinical measures when compared with standard admission for all psychiatric patients admitted from a catchment area over one year. Psychotic and neurotic symptoms were examined separately and together, using the Present State Examination (PSE) a week after admission and three months later. Clinical outcome was not related to length of stay in hospital or psychiatric diagnosis. This study shows how the PSE can be used to measure change in clinical state for a heterogenous group of psychiatric patients.

The Longitudinal Stability of Cognitive Impairment in Schizophrenia

1995 ◽  
Vol 166 (5) ◽  
pp. 630-633 ◽  
Author(s):  
Philip D. Harvey ◽  
Leonard White ◽  
Michael Parrella ◽  
Katherine M. Putnam ◽  
Margaret M. Kincaid ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mini Mental State Examination ◽  
Reliability Study ◽  
Cognitive Changes ◽  
Retest Reliability ◽  
Schizophrenic Patients ◽  
One Year ◽  
Test Retest Reliability ◽  
State Examination

BackgroundSevere cognitive impairment affects many patients with schizophrenia, especially geriatric in-patients. Little is known about the course of this impairment, however.MethodTwo hundred and twenty-four geriatric schizophrenic in-patients were examined for changes in cognitive functioning over a one-year follow-up period, and 45 of them were assessed over a two-year period. In addition, the subset of 45 patients participated in a one-week and one-month test-retest reliability study of the instrument used to assess cognitive impairment, the Mini-Mental State Examination (MMSE).ResultsThe average MMSE scores did not change over a one- or two-year follow-up period. The test-retest reliability of the scale was extremely good at both retest intervals.ConclusionAmong the implications of these data are that cognitive changes in geriatric schizophrenic patients are very slow and are more consistent with a neurodevelopmental process than a neurodegenerative course.

Schizophrenia with Depression: Causal or Coexistent?

1982 ◽  
Vol 141 (4) ◽  
pp. 354-356 ◽  
Author(s):  
David M. Ndetei ◽  
Amarjit Singh
Keyword(s):  
Depressive Symptoms ◽  
Present State ◽  
New Haven ◽  
Significant Difference ◽  
Schizophrenic Patients ◽  
State Examination

SummaryFifty-one schizophrenic patients diagnosed using the New Haven Schizophrenic Index and 29 other patients who did not score enough on this index for a diagnosis of schizophrenia were studied for depressive symptoms using the Present State Examination. There was no significant difference in the frequency of depressive symptoms in the two groups.

The Present State Examination: Experiences with Xhosa-speaking Psychiatric Patients

1982 ◽  
Vol 141 (2) ◽  
pp. 143-147 ◽  
Author(s):  
L. S. Gillis ◽  
O. Ben-Arie ◽  
R. Elk ◽  
A. Teggin
Keyword(s):  
Psychiatric Hospital ◽  
Present State ◽  
Psychiatric Patients ◽  
Cultural Factors ◽  
Psychiatric Disturbance ◽  
Valid Instrument ◽  
State Examination

SummaryLanguage, conceptual, and cultural factors are discussed in relation to a Xhosa translation of the Present State Examination which was administered to a series of 120 consecutive new admissions to a psychiatric hospital.The experiential events of psychiatric disturbance as defined by the PSE exist in Xhosa-speaking patients and it is a valid instrument.

Assessment of Outcome after Psychosurgery using The Present State Examination

1983 ◽  
Vol 143 (2) ◽  
pp. 118-123 ◽  
Author(s):  
D. A. Curson ◽  
T. Trauer ◽  
P. K. Bridges ◽  
P. K. Gillman
Keyword(s):  
Present State ◽  
Depressed Mood ◽  
Psychiatric Symptoms ◽  
Predictors Of Outcome ◽  
Somatic Anxiety ◽  
Preoperative Symptom ◽  
Symptom Profiles ◽  
Symptomatic Outcome ◽  
One Year ◽  
State Examination

SummaryThe aim of the study was to explore the way psychiatric symptoms might influence independent psychiatric assessment of outcome one year after stereotactic subcaudate tractotomy. In a sample of 34 patients consecutively accepted for psychosurgery the results showed that both ‘good’ and ‘poor’ outcome groups improved overall. No patients were significantly worse and the symptoms which improved most were nervous tension, depressed mood and somatic anxiety. It was not possible to identify symptomatic predictors of outcome because the preoperative symptom profiles of both groups were so similar. The reason why symptomatic outcome is so variable despite a basically identical psychosurgical technique is discussed.

A Jamaican psychiatrist evaluates diagnoses at a London psychiatric hospital

1999 ◽  
Vol 175 (3) ◽  
pp. 283-285 ◽  
Author(s):  
F. W. Hickling ◽  
K. McKenzie ◽  
R. Mullen ◽  
R. Murray
Keyword(s):  
Psychiatric Hospital ◽  
Present State ◽  
Clinical Assessment ◽  
Interrater Reliability ◽  
Case Note ◽  
High Rate ◽  
Black African ◽  
African Caribbean ◽  
The Uk ◽  
State Examination

BackgroundAuthors have suggested that the high rate of schizophrenia reported for African–Caribbeans living in the UK is due to misdiagnosis by British psychiatrists.AimsTo compare the diagnoses made by a Black Jamaican psychiatrist with those of White British psychiatrists.MethodAll in-patients on four wards at the Maudsley hospital were approached for the study; 66 participated: 24 White, 29 Black African–Caribbeans and 13 Blacks from other countries of origin. F. W. H., a Black Jamaican psychiatrist, conducted his standard clinical assessment and performed the Present State Examination (PSE) on these patients. His diagnoses were compared with the case note diagnoses made by British psychiatrists, and with the PSE CATEGO diagnoses.ResultsOf 29 African and African–Caribbean patients diagnosed with schizophrenia, the diagnoses of the British and the Jamaican psychiatrists agreed in 16 instances (55%) and disagreed in 13 (45%). Hence, interrater reliability was poor (κ=0.45). PSE CATEGO diagnosed a higher proportion of subjects as having schizophrenia than the Jamaican psychiatrist did (χ2=3.74, P=0.052)ConclusionsAgreement between the Jamaican psychiatrist and his UK counterparts about which patients had schizophrenia was poor. PSE CATEGO may overestimate rates of schizophrenia.

General practitioners and clinical pharmacology

1989 ◽  
Vol 4 (4) ◽  
pp. 241-244
Author(s):  
P. Lemoine
Keyword(s):  
Clinical Pharmacology ◽  
General Practitioners ◽  
Field Studies ◽  
Discussion Group ◽  
Group Method ◽  
Study Group ◽  
Test Drug ◽  
Monthly Basis ◽  
One Year ◽  
The One

SummaryIt is difficult to undertake field studies with non marketed psychotropic drugs because of two apparently contradictory conditions : on the one hand, the methodology has to be rigorously controlled, and on the other hand, such studies have to be carried out in their future environment by general practitioners (GPs). Bearing in mind the lack of training and experience regarding this kind of approach, the author adopted a discussion group method according to the techniques developed by M. Balint. The study group comprised five GPs, a clinical pharmacology expert and a doctor from the pharmaceutical laboratory which had developed the test drug. These persons met on a monthly basis over a one year period. In the present paper, the author indicates the benefits of such a methodology, based on six years’ experience and several trials, with special emphasis placed on the pedagogical aspects.

One year of health and social services for children 3?7 years old with Down syndrome

1986 ◽  
Vol 21 (3) ◽  
pp. 134-138 ◽  
Author(s):  
H. Goldstein ◽  
J. Philip ◽  
A. Dupont
Keyword(s):  
Down Syndrome ◽  
Social Services ◽  
Health And Social Services ◽  
One Year

Partnership in Post-Adoption Services Evaluating the First Year of a Complementary Contract

1997 ◽  
Vol 21 (3) ◽  
pp. 50-56 ◽  
Author(s):  
Alan Burnell ◽  
Adrian Briggs
Keyword(s):  
Social Services ◽  
Comprehensive Assessment ◽  
First Year ◽  
Service Users ◽  
Adoptive Families ◽  
Treatment Services ◽  
Assessment And Treatment ◽  
One Year ◽  
Families With Children ◽  
Consultation Services

In the autumn 1995 edition of Adoption & Fostering, Alan Burnell and Adrian Briggs described the origins and objectives of a novel complementary contract between East Sussex Social Services and the Post-Adoption Centre (PAC), aimed at providing post-adoption counselling and consultation services to all those involved in adoption in the county. The same authors now evaluate the operation of the contract, one year on. After filling in some background they assess its achievements so far, with particular regard to the extra support to service users and staff, and reducing the risk of disruption. The article concludes that the first year of the contract has demonstrated the need for comprehensive assessment and treatment services for adoptive families with children experiencing attachment difficulties.

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