Consent for treatment in mental handicap hospitals in Scotland

1992 ◽  
Vol 16 (5) ◽  
pp. 266-267
Author(s):  
Steven C. Young
Keyword(s):  
Handicapped Person ◽  
Mentally Handicapped ◽  
Consent Forms ◽  
Mental Handicap ◽  
The Past ◽  
Consent Procedure ◽  
Starting Point ◽  
Good Starting Point ◽  
Handicapped People ◽  
Do So

Consent for operation/treatment of a mentally handicapped person has been an issue stimulating much discussion. Generally, in the past, relatives or consultants responsible for their care have given ‘consent’ for treatment when mentally handicapped people were unable to do so. It was appreciated that legally this was not valid once the person was over the age of 16 and so we felt that the ‘consent’ procedure operating at our hospital should be reviewed. We were unsure of the practices in other areas, apart from Lothian Area where we knew new ‘consent’ forms had been devised, and felt that a good starting point would be to contact mental handicap hospitals in Scotland to gather information regarding the present ‘consent’ practices overall.

Mental Handicap: Why are There So Few Occupational Therapists?

1983 ◽  
Vol 46 (10) ◽  
pp. 282-283 ◽  
Author(s):  
Erica Candlish
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Physical Field ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
The Past ◽  
Part Time ◽  
The Subject ◽  
Do So

The author divides her time between St Loye's and the Langdon Hospital for the mentally handicapped at Dawlish. This article was written as a result of an attendance at a study day on the subject of mental handicap, held in London. The author met with a number of occupational therapists who were working single-handed or with only part-time support. She asked herself the following question: if, each year, hundreds of enthusiastic graduates flow out through the occupational therapy college gates, why do so many jostle for vacancies in the psychiatric or physical field and why do so few turn towards mental handicap? She investigated the subject, listening to a wide variety of suggestions put forward by numerous occupational therapists throughout the past year. She has included those which were a recurring theme.

In Search of the Face—An Approach to Mental Handicap

1987 ◽  
Vol 1 (1) ◽  
pp. 13-15 ◽  
Author(s):  
Stephanie Zallik
Keyword(s):  
Music Therapy ◽  
Mentally Ill ◽  
Therapy Session ◽  
Handicapped Person ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
The Face ◽  
Handicapped People ◽  
The Relationship

The article puts forward a case for using music therapy with handicapped people in a way which allows them to overcome the difficulties they have in expressing their needs. The idea of therapy with the mentally ill being more profound in nature than with the mentally handicapped, is discussed and argued against. The article pursues this theme by considering the relationship between what a handicapped person first presents in the therapy session and what is beneath. The aim of music therapy is therefore to reach those aspects lying beneath the surface. A brief case study is given in order to further illustrate these ideas.

scholarly journals Generic services for people with a mental handicap

1992 ◽  
Vol 16 (4) ◽  
pp. 212-213 ◽  
Author(s):  
Mary E. Nolan ◽  
G. Radakrishnan ◽  
John Lewis
Keyword(s):  
Mental Illness ◽  
Special Needs ◽  
Royal College ◽  
Behavioural Disorders ◽  
Mentally Handicapped ◽  
Policy Documents ◽  
Mental Handicap ◽  
Department Of Health ◽  
Comprehensive Service ◽  
Handicapped People

There has been much discussion on the most suitable services for mentally handicapped people with special needs such as additional mental illness or marked behavioural disorders. A number of policy documents have advocated the use of generic services as a matter of course, such as the All Wales Strategy (1983), while others have acknowledged a possible need for specialist input when such services are used e.g. Needs and Responses (Department of Health, 1989). In 1986 the Royal College of Psychiatrists stated that the psychiatric needs of this group required a specialised service and suggested that ideally this would be integrated with other psychiatric specialities as part of a comprehensive service.

Manic-Depressive Psychosis in a Mentally Handicapped Person: Diagnosis and Management

1986 ◽  
Vol 148 (5) ◽  
pp. 595-596 ◽  
Author(s):  
S. R. Kadambari
Keyword(s):  
Handicapped Person ◽  
Mentally Handicapped ◽  
Manic Depressive Psychosis ◽  
Normal Intelligence ◽  
Diagnosis And Management ◽  
Manic Depressive ◽  
Future Care ◽  
Handicapped People

The diagnosis of manic-depressive psychosis in mentally handicapped people can be easily overlooked, partly because its presentation differs from that in people with normal intelligence. This report illustrates some of the difficulties involved in making the diagnosis of manic-depressive psychosis in a mentally handicapped person and in planning for her future care.

Psychopathology of People with Mental Handicap and Epilepsy II: Psychiatric Illness

1991 ◽  
Vol 159 (6) ◽  
pp. 826-830 ◽  
Author(s):  
S. Deb ◽  
David Hunter
Keyword(s):  
Communication Skills ◽  
Psychiatric Diagnosis ◽  
Psychiatric Illness ◽  
Initial Screening ◽  
Mentally Handicapped ◽  
Interview Schedule ◽  
Good Communication ◽  
Matched Group ◽  
Mental Handicap ◽  
Handicapped People

The prevalence of psychiatric illness was studied in 150 epileptic mentally handicapped people (both hospital in-patients and living in the community) and a matched group of 150 non-epileptic controls. The Profile of Abilities and Adjustment (PAA) scale was used for the initial screening of psychiatric illness. Mildly to moderately handicapped individuals who had good communication skills and scored positively on the PAA schedule for psychiatric illness were interviewed using the PSE interview schedule. Severely mentally handicapped individuals who scored positively on the PAA's psychiatric illness subscale were observed and information was gathered from their medical notes and carers. A psychiatric diagnosis was made using DSM–III–R criteria. The non-epileptic group showed significantly more psychiatric illness than the epileptic group. Psychiatric illness was diagnosed in 25% of the cohort.

New Long-Stay Patients in a Hospital for Mental Handicap

1976 ◽  
Vol 128 (5) ◽  
pp. 467-470 ◽  
Author(s):  
Douglas A. Spencer
Keyword(s):  
Mental Retardation ◽  
Behaviour Problems ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Formidable Challenge ◽  
Handicapped People ◽  
Profound Mental Retardation

SummaryBetter Services for the Mentally Handicapped (1971) forecasts a diminution in the number of beds in hospitals for mental handicap. It can be achieved only by the admission of fewer new long-stay patients. This paper considers 50 new long-stay cases admitted to a hospital for mentally handicapped in the five years 1970 to 1974. Of these admissions 42 per cent were children, and of all the admissions 54 per cent had Wechsler intelligence quotients under 25. Further, 62 per cent of the admissions were for behaviour problems and 38 per cent were for physical infirmity and helplessness. It is concluded that there are some mentally handicapped people who have problems with which only a hospital can cope. The high nursing dependency and the profound mental retardation of a majority of the new long-stay patients present a formidable challenge.

Day Care of Mentally Handicapped People: Why is it an Issue?

1986 ◽  
Vol 49 (4) ◽  
pp. 126-129
Author(s):  
Ashutosh Pandit
Keyword(s):  
Social Organization ◽  
Day Care ◽  
Adult Life ◽  
Common Belief ◽  
Ordinary People ◽  
Handicapped Person ◽  
Mentally Handicapped ◽  
Early Adult Life ◽  
Handicapped People

Day care of mentally handicapped people fulfils the need of both the person and the community. The transmission of culture which occurs through nurturing, education and social integration in the case of ordinary people is also necessary in the case of a mentally handicapped person. This alone can eventually lead the mentally handicapped person to prepare himself for the role of an adult in the community. Day care plays an important part in facilitating this transmission because, contrary to common belief, mentally handicapped people can learn better during their early adult life. Yet factors within the community itself make this provision less effective. The aim of this article is to review day care in the context of its need and place in social organization and the problems in the community at present.

Manic–Depressive Psychosis in a Mentally Handicapped Person

1990 ◽  
Vol 156 (6) ◽  
pp. 886-889 ◽  
Author(s):  
M. Arumainayagam ◽  
A. Kumar
Keyword(s):  
Mental Illness ◽  
Seasonal Variation ◽  
Diagnostic Criteria ◽  
Atypical Presentation ◽  
Handicapped Person ◽  
Mentally Handicapped ◽  
Manic Depressive Psychosis ◽  
Manic Depressive ◽  
Handicapped People

Diagnosis of mental illness in mentally-handicapped people is often difficult and complex, because of atypical presentation and lack of clear diagnostic criteria. A patient in whom seasonal variation in behaviour and mood gave a clue to the diagnosis of manic–depressive psychosis is reported.

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