scholarly journals Rehabilitation in a district general hospital

1992 ◽  
Vol 16 (7) ◽  
pp. 431-432
Author(s):  
W. T. Astrid Maddocks ◽  
Peter D. Maddocks
Keyword(s):  
Mental Illness ◽  
General Hospital ◽  
Group Home ◽  
District General Hospital ◽  
Group Homes ◽  
Psychiatric Unit ◽  
Halfway Houses ◽  
Disabled Patients ◽  
Park Hospital

The Psychiatric Unit at Wexham Park Hospital has served a population of 230,000 with no entry to long-stay beds since 1972. There have been between 45 and 60 available beds for all types of mental illness except dementia. Various group homes and unstaffed halfway houses have been started, but the accumulation of more disabled patients showed the need for both a staffed group home, and rehabilitation to fit them for it. There was no separate ward or building in the hospital which could be used, and so rehabilitation had to be arranged on an acute ward. The staffed group home has a lower staff-patient ratio than a hospital hostel.

Audit of new long-stay patients in a district general hospital

1994 ◽  
Vol 11 (1) ◽  
pp. 42-43 ◽  
Author(s):  
Mathew Kurian ◽  
Shobha George ◽  
Clive G Ballard ◽  
Ramalingam NC Mohan ◽  
Stuart Cumella
Keyword(s):  
General Hospital ◽  
Antisocial Behaviour ◽  
District General Hospital ◽  
Primary Diagnosis ◽  
Psychiatric Ward ◽  
Psychiatric Unit ◽  
Prolonged Stay ◽  
Diagnosis Of Dementia ◽  
Rehabilitation Facilities ◽  
Discharge From Hospital

AbstractObjective: To describe the characteristics of “new” long-stay patients in a district general hospital psychiatric unit. Method: A “new” long-stay patient was defined as a patient aged 18 or more who on the census date had been in a district general hospital psychiatric ward for longer than six months but less than six years. There was no upper age limit but patients with a primary diagnosis of dementia were excluded from the study. Information about each patient was obtained from medical and nursing cases notes. Patients were interviewed by one interviewer to determine their views on discharge from hospital. All the members of the multi-disciplinary team were interviewed by one interviewer to obtain their judgements about future accommodation needs of the patients. Results: “New” long-stay patients are typically single in their mid-forties with no supportive relatives. Most have a primary diagnosis of schizophrenia. They have a long psychiatric history and the majority had been in hospital between 6 months and three years. The principle reasons for prolonged stay were persistence of active psychotic symptomatology, schizophrenic defect state, poor social skills and antisocial behaviour. Conclusion: A group of “new” long-stay patients have accumulated in Wolverhampton district general hospital psychiatric unit, despite modern methods of treatment and the availability of a good range of rehabilitation facilities. They are a diverse group including patients with a severe schizophrenic disorders, affective disorders, personality disorders and organic disorders. Ideally, if these patients are to be placed in the community, rather than remaining as inpatients, then placement would need to be in specialised facilities like hospital hostels.

scholarly journals A psychiatrist with beds: evolution and evaluation of socio-therapy on an acute admission ward

1991 ◽  
Vol 15 (11) ◽  
pp. 684-686 ◽  
Author(s):  
John L. Cox
Keyword(s):  
Mental Illness ◽  
General Hospital ◽  
Clinical Experience ◽  
Mentally Ill ◽  
Community Psychiatry ◽  
Psychiatric Service ◽  
District General Hospital ◽  
Admission Ward ◽  
Current Thinking ◽  
Hospital Psychiatry

There is a serious flaw in much current thinking about the development of ‘community’ psychiatry because of the failure to consider the function of admission wards and to resource them adequately. Excessive emphasis is placed on the value of non-hospital psychiatry with an implication that psychiatrists can manage patients adequately without beds (see Dean & Gadd, 1990). Although I have not met a consultant who literally believes this to be true, the managerial consequences of this attitude leads to in-patient units being yet further under-resourced, and so becoming more disturbed and having lowered morale. Yet in Better Services for the Mentally Ill (HMSO, 1975) the District General Hospital In-patient Unit was regarded as a main component of a comprehensive psychiatric service. Clinical experience does suggest that without an effective admission ward the management of patients in the community, including those with intractable mental illness, is unsatisfactory and sometimes totally impossible.

Psychiatric intensive care after two years

1989 ◽  
Vol 13 (8) ◽  
pp. 421-422 ◽  
Author(s):  
J. M. O'Dwyer ◽  
B. S. Mann
Keyword(s):  
Mental Health ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
General Hospital ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
District General Hospital ◽  
Descriptive Study ◽  
Psychiatric Unit ◽  
Health Authorities

The following is a descriptive study of Willoughby Ward, a psychiatric intensive care unit, opened in Parkside Hospital, Macclesfield, in July 1986. It provides a moderately secure facility for the treatment of psychiatric patients within both Crewe and Macclesfield Health Authorities. The unit has 15 beds, of which two are funded and used by Crewe area, where, unlike Macclesfield, the psychiatric unit is located in the district general hospital. Managed as a locked ward, the patients are admitted under the provisions of the Mental Health Act 1983. As well as being mentally ill as defined in the Act, the patients were disturbed to a degree as to be unmanageable in open conditions.

The Chronically Mentally Ill in Community Facilities

1989 ◽  
Vol 154 (1) ◽  
pp. 77-82 ◽  
Author(s):  
C. J. Simpson ◽  
C. E. Hyde ◽  
E. B. Faragher
Keyword(s):  
Quality Of Life ◽  
General Hospital ◽  
Mentally Ill ◽  
District General Hospital ◽  
Group Homes ◽  
Chronically Mentally Ill ◽  
Community Facilities ◽  
Acute Wards

The quality of life of chronically mentally ill patients in acute wards in a district general hospital, a hostel ward and group homes was compared. Within the spectrum of care of these patients, the severity of psychopathology corresponded to their placement. Analysis, including adjustments for the influence of psychopathology, showed differences between the three types of facility. Although differences existed between all types of care, residents in group homes and the hostel ward shared more similarities in quality of life than those in the district general hospital. Problems of caring for the chronically mentally ill on acute wards are highlighted.

Towards Chronic Mental Illness

1968 ◽  
Vol 114 (516) ◽  
pp. 1399-1405 ◽  
Author(s):  
Alex G. Mezey ◽  
Eileen Evans
Keyword(s):  
Mental Illness ◽  
Mental Disorder ◽  
General Hospital ◽  
Psychiatric Hospital ◽  
Chronic Mental Illness ◽  
Psychiatric Unit ◽  
Prolonged Stay

The aim of this study was to examine the factors leading to prolonged stay in hospital of patients admitted with mental disorder. It is part of a larger investigation on the interaction between the services provided for the same area by the psychiatric hospital and the psychiatric unit in the general hospital.

The patterns of mental disorder in Jewish and non-Jewish admissions to a district general hospital psychiatric unit: is manic-depressive illness a typically Jewish disorder?

1983 ◽  
Vol 13 (1) ◽  
pp. 209-212 ◽  
Author(s):  
Ruth S. Cooklin ◽  
A. Ravindran ◽  
M. W. P. Carney
Keyword(s):  
Mental Disorder ◽  
General Hospital ◽  
Preliminary Investigation ◽  
District General Hospital ◽  
Depressive Illness ◽  
Psychiatric Diagnoses ◽  
Manic Depressive Illness ◽  
Psychiatric Unit ◽  
Manic Depressive ◽  
Methodological Problems

SynopsisThis is a preliminary investigation of admissions to a district general hospital psychiatric unit over a two-year period, in which patterns of psychiatric diagnoses in Jewish and non-Jewish patients were compared. Among the Jews there were significantly more patients with affective psychoses and fewer with schizophrenia than among the non-Jews. The methodological problems arising in such a study and some possible aetiological factors are discussed.

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