Nembutal in Mental Hospital Practice

1932 ◽  
Vol 78 (323) ◽  
pp. 892-900 ◽  
Author(s):  
Duncan MacMillan

Nembutal (sodium ethyl [1-methyl-butyl] barbiturate) has recently come into use in general hospitals in this country as a preliminary to and partial substitute for general anæsthesia.

1953 ◽  
Vol 99 (414) ◽  
pp. 123-129 ◽  
Author(s):  
Dalton E. Sands

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.


2006 ◽  
Vol 15 (2) ◽  
pp. 95-98
Author(s):  
Dermot Walsh

AbstractThe metamorphosis from an extensive mental hospital system of care, rooted in a culture and tradition of self-sufficiency and isolation, to the concept and practise of delivery of psychiatric care in general hospitals is described. The obstacles, psychological and practical, to be overcome in this change process are outlined. The place of the general hospital psychiatric unit in psychiatric and general medical care is outlined. Relevant matters of design and management are briefly explored.


1933 ◽  
Vol 79 (324) ◽  
pp. 52-88 ◽  
Author(s):  
J. Ernest Nicole ◽  
E. J. Fitzgerald

During the last nine months of 1931 a series of 175 cases were tested for syphilis by means of several reactions, and the results were reported in this journal in January, 1932. During the next nine months the work was continued and considerably extended, and we shall here give the further results thus obtained, together with a statistical expression of the findings of both periods combined.


1964 ◽  
Vol 9 (5) ◽  
pp. 411-416
Author(s):  
C. H. Cahn

This follow-up report of 100 patients admitted to a mental hospital in Montreal showed that 73 patients were discharged, 16 patients died, and 11 patients were still in hospital 15 months after admission. The average duration of stay (first or only) of those who were discharged was 3.6 months; 36 patients who, prior to admission had been last treated at general hospitals with psychiatric in-patient services, stayed an average of only five days longer. Treatments in order of frequency employed were psycho-active drugs, occupational and work therapy, social service referral, psychotherapy, and E.C.T., (usually a combination of treatments was used). Post-discharge follow-up in the hospital After-Care Clinic usually was successful in preventing re-admission of co-operative schizophrenics, but not of manic-depressives and unco-operative schizophrenics. It is concluded that regardless of what treatment patients receive prior to admission, the great majority do not require prolonged in-patient treatment, and that a modern mental hospital can provide effective treatment and rehabilitation services, not always fully available in general hospitals, even for short-term patients. Further comparative studies are indicated.


1934 ◽  
Vol 80 (328) ◽  
pp. 87-93
Author(s):  
S. W. Hardwick

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.


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.


BMJ ◽  
1936 ◽  
Vol 1 (3931) ◽  
pp. 938-939 ◽  
Author(s):  
J. S. Horsley

1939 ◽  
Vol 85 (354) ◽  
pp. 29-44 ◽  
Author(s):  
W. J. T. Kimber

The opportunity I have of speaking to you is for me both a pleasure and a privilege, but it is also, I fully appreciate, a responsibility.The field of psychiatry to-day is not unfruitful and not a few discoveries of lasting worth appear to have been made, while certainly claims to progress of more doubtful value, both as regards letiology and even more with regard to treatment, are so numerous as to be rather bewildering, particularly when they become the subject of articles in the popular press, whereby relatives are enabled to make a diagnosis and decide on a line of treatment without any reference to the medical man.


1984 ◽  
Vol 14 (4) ◽  
pp. 913-921 ◽  
Author(s):  
Ross M. G. Norman ◽  
Ashok K. Malla

SynopsisData collected from 6043 psychiatric in-patient records were analysed to assess the impact of a strike at a mental hospital on in-patient services in general hospital psychiatric units in St John's, Newfoundland, Canada. As a whole, during the strike general hospital units showed an increase in the number of involuntary admissions, the number of prior mental hospital admissions of patients, and indications of violent or suicidal behaviour; and a decrease in the occupational status of patients admitted and the prescription of minor tranquillizers. There was also evidence of considerable variation between general hospitals in the extent to which their admission pattern changed during the strike and the permanence of some of the strike effects. The data indicate that all patients showing violent or suicidal behaviour who would normally have been admitted to the mental hospital were treated in the general hospital units during the strike. On the other hand, a large number of patients diagnosed with schizophrenia, personality disorder or mental retardation, who normally would have been admitted to the mental hospital, apparently went without hospitalization during the strike. A substantial proportion of this latter group would usually have been admitted involuntarily.


BMJ ◽  
1937 ◽  
Vol 1 (3972) ◽  
pp. 418-418
Author(s):  
I. Skottowe

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