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.

Recent Critical Trends in Mental Hospital Admissions in the Oxford Region

1962 ◽  
Vol 108 (452) ◽  
pp. 59-67 ◽  
Author(s):  
A. Barr ◽  
D. Golding ◽  
R. W. Parnell
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Mental Hospital ◽  
Hospital Admissions ◽  
Average Length ◽  
Time Study ◽  
Ministry Of Health ◽  
Mental Hospitals ◽  
Average Length Of Stay ◽  
One Year

The statistics on mental hospitals published by the Ministry of Health (1957) show that the average length of stay for admissions to mental hospitals decreased in the period 1952–1956. According to the Registrar-General's Mental Health Supplement (1961) there was an average saving, between 1951 and 1958, of sixteen days for men and thirteen days for women, among patients staying less than one year. But these figures for stay only relate to the patients discharged each year, irrespective of the year of their admission, and furthermore we do not know what happens to particular groups such, for example, as schizophrenics. Although remarkable changes are occurring at the present time, study of them is hampered by lack of appropriate and up-to-date information.

The Bi-Coloured Guaiac Reaction in Mental Hospital Practice

1934 ◽  
Vol 80 (328) ◽  
pp. 87-93
Author(s):  
S. W. Hardwick
Keyword(s):  
Mental Hospital ◽  
Present Report ◽  
Laboratory Diagnosis ◽  
The Other ◽  
Colloidal System ◽  
Supernatant Fluid ◽  
Hospital Practice ◽  
General Paralysis ◽  
Mental Hospitals ◽  
Gold Sol

The object of this investigation was to ascertain the value of the bicoloured guaiac reaction on the cerebro-spinal fluid in mental hospital practice. The reaction, which was first described by de Thurzo (i), is similar in principle to the Lange gold sol test, in that under certain conditions precipitation occurs from a colloidal system. Its originality depends on the fact that two dyes, naphthol green and brilliant fuchsin are contained in the system, one of which attaches itself to the precipitating colloid (brilliant fuchsin), whilst the other (naphthol green) remains in the supernatant fluid. It is claimed that it is not so susceptible to possible fallacies as the gold sol test (such as chemical uncleanliness), that it is possibly more selective in its action, and that it has the same practical value in the laboratory diagnosis of neuro-syphilis. Results have been reported on hospital cases (2) showing fair agreement with the Lange and Wassermann tests, but so far no records are available showing the value of this test in a series of neuro-syphilitic cases from mental hospitals, with the exception of a brief report on 10 cases (3). The present report deals with 325 fluids obtained from cases in L.C.C. mental hospitals, and these included 125 cases of general paralysis treated by malaria and other pyrexial therapies.

The Mental Hospital: A Pattern for the Future

1967 ◽  
Vol 113 (501) ◽  
pp. 857-864 ◽  
Author(s):  
A. Orwin
Keyword(s):  
Patient Population ◽  
Mental Hospital ◽  
Psychiatric Patients ◽  
Ministry Of Health ◽  
Psychiatric Illnesses ◽  
Mental Hospitals ◽  
The Future

The great changes that have occurred in mental hospitals over the last fifteen years due to improvements in treatment of both acute and chronic psychiatric illnesses are reflected in the dramatic running down of the long-stay patient population. The Ministry of Health (1961) and Tooth and Brooke (1961) envisaged a continuing fall in the number of beds for psychiatric patients, so that by the mid 1970s these would have been reduced by nearly 50 per cent. from their 1960 figure (3·4 to 1·8 per thousand population). This prediction has been criticized because it was considered too optimistic, while the implication that the mental hospital, as we know it today, might cease to exist has provoked controversy.

The Care and Management of Induced Malaria

1927 ◽  
Vol 73 (301) ◽  
pp. 209-217 ◽  
Author(s):  
W. D. Nicol
Keyword(s):  
Mental Hospital ◽  
Malaria Parasite ◽  
Clinical Care ◽  
County Council ◽  
Routine Laboratory ◽  
Ministry Of Health ◽  
Pure Strain ◽  
Medical Superintendent ◽  
Scientific Equipment ◽  
Selection Of

For the treatment of general paralysis of the insane by induced malaria, the Board of Control, in consultation with the Ministry of Health, decided, at the end of 1924, to make an official arrange ment by which a pure strain of the benign tertian malaria parasite would be cultivated in mosquitoes, and would be made available for inoculation by mosquito-bites instead of by the direct inocula tion of blood from other patients. In consultation with the Mental Hospitals Department of the London County Council, the Horton Mental Hospital was selected for the work of pre paring and maintaining the strain of malaria in mosquitpes, and Col. J. R. Lord, C.B.E., Medical Superintendent of the Hospital, undertook the necessary arrangements in collaboration with Col. S. P. James, of the Medical Staff of the Ministry of Health. An isolated villa in the hospital grounds was selected as a treatment-block and laboratory; the Horton Mental Hospital authorities caused it to be mosquito-proofed and furnished, and the Ministry of Health supplied the scientific equipment of the laboratory. The Ministry also arranged that the routine laboratory work should be done by one of their laboratory assistants, Mr. P. G. Shute, under Col. James's supervision. I undertook the selection of cases suitable for treatment and their clinical care and management. The arrange ments were completed in April, 1925, and since that month 33 batches of infected mosquitoes have been prepared and utilized for the inoculation of more than 300 patients in 69 hospitals in England, Wales and Scotland.

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.

The London County Council and Sir Frederick Mott, K.B.E., F.R.S.

1923 ◽  
Vol 69 (285) ◽  
pp. 220-224
Keyword(s):  
Medical Association ◽  
Mental Hospital ◽  
County Council ◽  
British Medical Association ◽  
Hospital Service ◽  
Mental Hospitals ◽  
The World ◽  
Psychological Medicine ◽  
To Come ◽  
Psychology And Medicine

The relinquishing by Sir Frederick Mott of the offices of Pathologist to the London County Mental Hospitals and Director of the Laboratory is happily not the occasion for a funeral oration, nor does it connote a cessation of those wide activities in the world of neurology and psycho-pathology which have distinguished his career, of which his 18 years' mental hospital service forms only a part, howbeit an important one. On the contrary, as we announced in our last issue, he has accepted the appointment of Honorary Director of the Pathological Laboratory of the Birmingham City Mental Hospitals and Lecturer on Morbid Psychology at Birmingham's University. It thus happens that London's loss is Birmingham's gain, but what is more important, Sir Frederick Mott's services to scientific psychiatry are retained, and, we hope, for many years to come. In his case, as with many illustrious men who have adorned the learned professions, age has only served to broaden the outlook, to give insight, and to ripen wisdom, all of which psychological medicine sorely needs if it is to be a fruitful branch of the healing profession. His British Medical Association Lecture on Psychology and Medicine, delivered in November last (1), is illustrative of this fact, and that his pronouncements now are of more value than at any period of his career.

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.

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