Mental Out-Patient Clinics

1931 ◽  
Vol 77 (316) ◽  
pp. 22-52
Author(s):  
George M. Robertson

I have been asked by the President to open a discussion on out-patient clinics for mental disorders. Although these have existed for many years in some places, it is believed that they ought to be more general, and that one or more should be connected with every mental hospital. Their establishment has now become an urgent duty in view of the passing of the Mental Treatment Act.

Jurnal NERS ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. 230
Author(s):  
Ah Yusuf

Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies.This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two  Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD). Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi .            The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient. The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction Keyword: Nurse, Competencies, Mental Disorder


2018 ◽  
Vol 9 (1) ◽  
pp. 10 ◽  
Author(s):  
Freyti Mariyani Emanuela Tumanduk ◽  
Sanfia Tesabela Messakh ◽  
H Sukardi

Abstrak Latar belakang. Gangguan jiwa merupakan pola perilaku yang secara klinis berkaitan dengan gejala penderitaan atau disability di dalam satu atau lebih fungsi kehidupan manusia. Depresi merupakan salah satu gangguan jiwa yang memiliki prevalensi tertinggi hampir 17% dibandingkan gangguan jiwa yang lain. Gangguan yang timbul membuat kemampuan dalam melakukan aktivitas menurun, contohnya kemampuan dalam melakukan perawatan diri: mandi, berpakaian, makan, dan eliminasi. Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kemampuan perawatan diri dengan tingkat depresi pada pasien depresi di ruang rawat inap Rumah Sakit Jiwa Daerah Dr. Arif Zainudin Surakarta Jawa Tengah. Metode. Penelitian ini menggunakan metode kuantitatif dengan deskriptif korelasi dan teknik pengambilan sampel dengan purposive sampling. Teknik pengumpulan data dilakukan dengan kuisioner, wawancara dan observasi yang kemudian di analisa menggunakan uji Pearson. Hasil. Hasil yang diperoleh nilai koefisien korelasi pearson sebesar 0,617 yang artinya menunjukan bahwa arah korelasi positif dengan kekuatan kuat, kemudian nilai sig 0.000 maka yang H0 ditolak dan H1 diterima yang artinya bahwa ada hubungan yang signifikan antara tingkat kemampuan perawatan diri dengan tingkat depresi pada pasien depresi di bangsal Rumah Sakit Jiwa Daerah Surakarta. Kesimpulan. Terdapat hubungan yang signifikan antara tingkat kemampuan perawatan diri dengan tingkat depresi pada pasien depresi di bangsal Rumah Sakit Jiwa Daerah dimana semakin tinggi tingkat depresi yang dialami maka semakin tinggi tingkat ketergantungan dalam melakukan perawatan diri.Kata kunci : Depresi, perawatan diri, kemandirian Abstract Background. Mental disorder is a pattern of behavior clinically associated with distress or disability which may interfere with one or more functions of human life. Mental health is one of the most serious health issues. Depression is one of the mental disorders that have the highest prevalence of almost 17% compared to other mental disorders. Disorders that arise make the ability to perform activities decreased, one of which is the ability to perform self-care: bathing, dressing, eating, and elimination. Purpose. This study aims to determine the relationship level of self-care capabilities with depression levels of depressed patients in the inpatient room of Mental Hospital Surakarta Region. Method. The methodology used is quantitative with descriptive correlation and sampling technique is purposive sampling. Data is collected through questioner, interview and observation which then analyzed using pearson test. Results. Results obtained Pearson correlation coefficient value of 0.617 which show the direction of positive correlation with strong power, then sig value. (2-tailed) 0.000 (due to sig <0.05) therefore H0 is rejected and H1 is accepted which means that there is a significant relationship between the level of self-care ability with depression levels in depressed patients in the Surakarta Area Mental Hospital. Conclusion. There is a significant relationship between the level of self-care ability with depression levels in depressed patients in the Surakarta Area Mental Hospital which means that the higher level of depression experienced the higher the level of dependence in self-care. Title : Depression, self-care, independence


1939 ◽  
Vol 2 (7) ◽  
pp. 519-521

On 31 January 1938, Sir James Crichton-Browne died a few months after his 97th birthday. In him the Royal Society lost its oldest Fellow, both in age and in membership, for he was elected Fellow in 1883, Charles Darwin being one of his proposers. His father, Dr W. A. F. Browne, who was the first Medical Superintendent of the Crichton Royal Mental Hospital at Dumfries, was largely responsible for the high standard of care and treatment of the insane for which this institution has since been famous ; later he became Commissioner in Lunacy in Scotland. It was therefore not surprising that after qualifying in medicine in Edinburgh University at the age of 22, his son decided to devote himself to the study of mental disorders. After serving in junior posts in various county Mental Hospitals he was appointed in 1866 Medical Superintendent of the West Riding Asylum, at Wakefield, a post he held until 1875. It was here his most valuable researches and pioneering work was done.


2011 ◽  
Vol 26 (S2) ◽  
pp. 749-749
Author(s):  
P.P. Pyrkov

ObjectivesWe have studied the treatment modes and therapies of patients with acute psychotic disorders, in a general hospital for 1600 bedsMethodsClinicopshycopathologic, clinicotherapeutic, and statistical.Results1982 patients, 18–92 years of age, 64% of them males, have been examined.All the patients have been primary admitted with acute somatic disorders:insult - 18%,skull injury - 21%,myocardial infarction - 23%,exogenic poisoning - 31%,parasuicides -4%,operations on the thoracic organs - 3%.The mental disorders diagnosed were following:amnesic syndrome, organic - F04 - 29%,depression - F43.20 - 5%,organic hallucinosis - F06.0 - 12%,organic delirium - F05 - 33%,psychotic disorder - or drug induced - F1 - 21%.ConclusionAfter psychiatric examination by an attending psychiatrist, the patients have been moved to the resuscitation department where they have been treated up to their recovery. No one patient has been moved to the mental hospital.


2013 ◽  
Vol 1 (4) ◽  
pp. 40-44
Author(s):  
Yanping Ren ◽  
Hui Yang ◽  
Colette Browning ◽  
Shane Thomas

Author(s):  
Bambang Dharwiyanto Putro ◽  
AA Ngurah Anom Kumbara ◽  
A.A. Bagus Wirawan

The matters pertaining to mental disorders are complex as they are not only related to the medical professionalism, patients, their families and society but they are also related to the stigma they have and the protection of their dignity and status. Stigma is like a prison in the social relation constructed by the apparatuses that contribute to development, the regime of knowledge, and modernism on behalf of normalization. By applying the point of view of cultural studies, namely siding with those who are suppressed, this present study is intended to identify the form of the stigma which the psychiatric patients have resulting from the practice of power of the medical authority implemented by the Mental Hospital. Observation and in-depth interview methods were employed in the present study. The data were collected through life story and library research. The collected data were analyzed descriptively, qualitatively and interpretatively using the relevant critical theories such as the theory of discourse, the theory of deconstruction, and the theory of hegemony. The result of the study shows that there are two forms of the stigma which the psychiatric patients suffer from; they are the public stigma (the stigma brought about by society) and the self-stigma (the stigma brought about the patients and their families). The factors which contribute to the stigma of mental disorders can be classified into two; they are the external and internal factors as the translation of the hegemony of power and the domination of the authority of social and medical apparatus over the psychiatric patients leading to the social and identity gap. This shows the form of the struggle involving power in order to strengthen the domination of the apparatus in different aspects of life. The psychiatric patients cannot speak and are so marginalized that they have almost never been heard. The society’s social control through the saving mission of the Mental Hospital is implemented through the nursing practice and the controlling mechanism it performs in which the authority of the medical doctors is dominant enough to show that they have power in the Mental Hospital.


1933 ◽  
Vol 79 (324) ◽  
pp. 102-136
Author(s):  
Henry L. Wilson

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.


1936 ◽  
Vol 82 (336) ◽  
pp. 43-46
Author(s):  
J. K. Marshall

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.


1937 ◽  
Vol 83 (344) ◽  
pp. 316-329 ◽  
Author(s):  
C. L. Copeland ◽  
E. Howard Kitching

The Mental Treatment Act of 1930 has brought within the purview of the mental hospital that large class of psychoneurotic and “early psychotic” patients who formerly drifted despairingly in the wilderness between orthodox medicine and the quack. The purpose of this paper is to show how an attempt is being made in this hospital to deal with this heterogeneous class of patients by means of psychotherapy, carried out by the ordinary medical staff of the hospital, without interference with their routine duties.


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