scholarly journals One Flew out of the Cuckoo's Nest?

1978 ◽  
Vol 2 (06) ◽  
pp. 106-109
Author(s):  
Kenneth Davison
Keyword(s):  
General Hospital ◽  
Child Psychiatry ◽  
Clinical Psychologists ◽  
Hospital Unit ◽  
Mental Handicap ◽  
The Road ◽  
Mental Hospitals ◽  
Highly Efficient ◽  
Adult Psychiatry ◽  
Teaching Area

My brief is to discuss the present and future relationships between clinical psychologists and psychiatrists. I shall be speaking from the, no doubt restricted, viewpoint of a Consultant in Adult Psychiatry working in a general hospital unit in a Teaching Area. My comments will not, therefore, apply to child psychiatry or mental handicap, and may well be received less than enthusiastically within mental hospitals. The highly efficient organizers of this conference, in their letter of invitation said, ‘We want a sensible, middle of the road view’. Did they realize, I wondered, that the middle of the road can be a rather dangerous position to occupy? I shall try very hard to avoid a head-on collision.

scholarly journals Providing a District Service for General Psychiatry, its Special Interests and Related Specialties: Medical Manpower Priorities

1977 ◽  
Vol 1 (6) ◽  
pp. 5-7 ◽  
Keyword(s):  
Social Security ◽  
Old Age ◽  
Child Psychiatry ◽  
Forensic Psychiatry ◽  
Special Interests ◽  
Mental Handicap ◽  
General Psychiatry ◽  
Department Of Health ◽  
Adult Psychiatry ◽  
Medical Manpower

This paper considers the possible longer-term consultant manpower requirements in England and Wales for general or ‘mainstream’ psychiatry, its special interests, the psychiatry of old age and the dependencies, as well as for the specialties of psychotherapy and forensic psychiatry. It is based on papers prepared by the College (see References) and discussions with the Department of Health and Social Security. Consideration is also given to the training implications of these consultant manpower requirements. It discusses the possibility for growth in the special interests and specialties in the context of the number of consultants in adult psychiatry likely to be available. The psychiatric specialties of child psychiatry and mental handicap are not considered.

scholarly journals Providing a District Service for General Psychiatry, its Special Interests and Related Specialties: Medical Manpower Priorities

1977 ◽  
Vol 1 (06) ◽  
pp. 5-7
Keyword(s):  
Social Security ◽  
Old Age ◽  
Child Psychiatry ◽  
Forensic Psychiatry ◽  
Special Interests ◽  
Mental Handicap ◽  
General Psychiatry ◽  
Department Of Health ◽  
Adult Psychiatry ◽  
Medical Manpower

This paper considers the possible longer-term consultant manpower requirements in England and Wales for general or ‘mainstream’ psychiatry, its special interests, the psychiatry of old age and the dependencies, as well as for the specialties of psychotherapy and forensic psychiatry. It is based on papers prepared by the College (see References) and discussions with the Department of Health and Social Security. Consideration is also given to the training implications of these consultant manpower requirements. It discusses the possibility for growth in the special interests and specialties in the context of the number of consultants in adult psychiatry likely to be available. The psychiatric specialties of child psychiatry and mental handicap are not considered.

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.

scholarly journals A new opportunity: three tales of training in liaison psychiatry of old age

2002 ◽  
Vol 26 (11) ◽  
pp. 433-435 ◽  
Author(s):  
John Holmes ◽  
Jon Millard ◽  
Susie Waddingham
Keyword(s):  
General Hospital ◽  
Old Age ◽  
Psychiatric Comorbidity ◽  
Psychiatric Symptoms ◽  
Specialist Training ◽  
Liaison Psychiatry ◽  
Adult Psychiatry ◽  
Old Age Psychiatry ◽  
Hospital Wards ◽  
And Training

Liaison psychiatry has emerged as a sub-speciality within general adult psychiatry, with specific experience and training being required to develop the skills and knowledge to address comorbid physical and psychiatric symptoms and illness (House & Creed, 1993; Lloyd, 2001). Older people often present with significant physical and psychiatric comorbidity (Ames et al, 1994; Holmes & House, 2000) and most old age psychiatry services receive one-quarter to one-third of referrals from general hospital wards (Anderson & Philpott, 1991). Despite this, there are no specific requirements for training in liaison psychiatry for old age psychiatrists at any level. The experience gained in assessing and treating general hospital referrals during basic and higher specialist training is felt to be adequate (Royal College of Psychiatrists, 1998).

Diagnosis on the way out – personality on the way in? Priorities in treatment in child and adolescent psychiatry

2021 ◽  
pp. 135910452110481
Author(s):  
Simon R. Wilkinson
Keyword(s):  
Precision Medicine ◽  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Good Practice ◽  
Child And Adolescent ◽  
Scientific Basis ◽  
Child And Adolescent Psychiatry ◽  
Adult Psychiatry ◽  
The Way

The scientific basis for practice in child psychiatry has developed apace. And has thrown up several quandries for an accepted paradigm for good practice anchored to the diagnostic schema developed in adult psychiatry. This paper hopes to stimulate discussion about where alternative paradigms might lead us on a path to precision medicine as applied to child psychiatry.

scholarly journals 0618 What are the Benefits of Remote Monitoring Polysomnography

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A236-A237
Author(s):  
T Yagi ◽  
S Chiba ◽  
H Ito
Keyword(s):  
General Hospital ◽  
Remote Monitoring ◽  
Measurement Accuracy ◽  
Safety Management ◽  
Abnormal Behavior ◽  
Type I ◽  
Type Ii ◽  
Nursing Management ◽  
Hospital Unit ◽  
Information And Communication

Abstract Introduction The use of information and communication technology (ICT) for sleep testing is mainly aimed at improving the accuracy of out-of-center sleep testing (OCST) by remote monitoring. In this study, as the first achievement in Japan, we report the results of our sleep medical clinic and hospital unit. For the diagnosis of sleep disorders, monitoring polysomnography (PSG) attending sleep technologist is the gold standard and is positioned as Type I. On the other hand, diagnosis using OCST has become acceptable because many patients can be diagnosed quickly and cost can be reduced.When using Type II devices that measure electroencephalogram at home, the measurement accuracy is inevitable, including poor recording, because it is performed in a non-monitoring situation. As an attempt to improve this situation, our clinic and hospital unit have established a remote monitoring PSG system that can be upgraded from Type II to Type I level by remote monitoring by a sleep technologist to ensure recording accuracy. Methods During the period from April 2004 to December 2017, a total of 286 remote monitoring PSGs were performed by dedicated sleep technologists at the Ota Memorial Sleep Center for patients admitted to a private room at Ota General Hospital. Results The breakdown of the reasons for requesting remote monitoring tests is about 30% of patients scheduled to undergo surgerysuch as palatine tonsillectomy or soft palate plastic surgery the next day, and 24% of hospitalized patients with risky complications %, 17% of patients expected to have a high probability of nighttime seizures and abnormal behavior, and 15% were physically disabled or paralyzed. Conclusion Our remote monitoring PSG system is effectively used in the clinic for the general hospital for patients who need nighttime safety management and nursing management. Support non

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