scholarly journals Study of effects of constant observation of psychiatric in-patients

1997 ◽  
Vol 21 (3) ◽  
pp. 145-147 ◽  
Author(s):  
Olakunle Ashaye ◽  
George Ikkos ◽  
Elizabeth Rigby
Keyword(s):  
General Hospital ◽  
Psychiatric Hospital ◽  
Psychiatric Practice ◽  
Information Sheet ◽  
Psychiatric Unit ◽  
Self Harm ◽  
Constant Observation

Constant observation is used in psychiatric practice mainly to prevent acutely III in-patients from self-harm. All in-patients in a psychiatric hospital and a general hospital psychiatric unit who had been on constant observation over a 6 month period were identified (13 patients). These patients and their primary nurses were interviewed using different questionnaires. Most patients felt they had benefited from being on constant observation, but disliked the intrusion on their privacy. The nurses agreed that it had helped most patients, but a significant number of nurses found it frustrating and stressful. Our results suggest a need for an information sheet to be given to patients placed on constant observation; that the period on constant observation should be reduced where possible, and that support should be provided for the nurses involved.

Treatment Settings in Psychiatry

1977 ◽  
Vol 130 (4) ◽  
pp. 365-369 ◽  
Author(s):  
John B. Copas ◽  
Dorothy L. Freeman-Browne ◽  
Ashley A. Robin
Keyword(s):  
General Hospital ◽  
Psychiatric Hospital ◽  
Family Doctor ◽  
Reverse Direction ◽  
Matched Pairs ◽  
Psychiatric Unit ◽  
Hospital Unit ◽  
First Admission ◽  
Treatment Settings

SummaryNinety-eight matched pairs of patients treated respectively on first admission in a general hospital psychiatric unit or a psychiatric hospital have been followed-up for from five to eight years. The periods of treatment received in either setting remained comparable, and only 3 per cent of patients were in-patients or day patients at five years, while 14 per cent were out-patients and 20 per cent attended their family doctor. There was no evidence in these patients of a transfer of chronicity to the psychiatric hospital, but patients with longer periods of treatment were noted to change hospital from both the general hospital unit to the psychiatric hospital, and in the reverse direction.

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 Scottish Survey of Chronic Day-Patients

1984 ◽  
Vol 145 (6) ◽  
pp. 626-630 ◽  
Author(s):  
Robin G. McCreadie ◽  
Andrew D. Robinson ◽  
A. Oliver A. Wilson
Keyword(s):  
General Population ◽  
General Hospital ◽  
Psychiatric Hospital ◽  
Local Authority ◽  
Occupational Activity ◽  
Psychiatric Unit ◽  
Sheltered Workshop ◽  
Scottish Population ◽  
Typical Day ◽  
Ageing Parents

SummaryAll chronic day-patients (n = 422), defined as patients aged 18–64 years attending a day facility of a psychiatric hospital or general hospital psychiatric unit continuously for more than a year, were identified in hospitals and units serving 56% of the Scottish population. The number of day patients was 14.8 per 100,000 of the general population, but the range between hospitals was very great—0 to 37.7 per 100,000—indicating the patchy development of such care. A typical day patient was a rather chronic middle-aged male schizophrenic, who lived on his own or with ageing parents. Most patients' accommodation was satisfactory, but the occupational activity of more than a third was inappropriate; 18% could have attended a local authority sheltered workshop if one had been available.

The Royal Medico-Psychological Association Reports on Psychiatric Education

1968 ◽  
Vol 114 (516) ◽  
pp. 1441-1454 ◽  
Keyword(s):  
United Kingdom ◽  
Psychiatric Hospital ◽  
Teaching Hospital ◽  
Research Centre ◽  
Psychiatric Education ◽  
Psychiatric Unit ◽  
Republic Of Ireland ◽  
Postgraduate Teaching ◽  
The United Kingdom ◽  
The Republic

In 1965 the Education Committee drew up a questionnaire on postgraduate teaching (prepared in a form suitable for I.B.M. punching) which was then circulated to every psychiatric hospital, psychiatric unit and teaching hospital in the United Kingdom and the Republic of Ireland, and to those hospitals abroad recognized by the Conjoint Board as providing training for the D.P.M. The questionnaires were sent out late in 1965, and after two sets of reminders the returned results were processed by the Tabulating Research Centre at Hampstead. Regrettably, the Centre, although providing a great deal of information very quickly, delayed for almost a year completing the processing of the data.

scholarly journals Analysis of referrals received by a psychiatric unit in a general hospital Part 2

2002 ◽  
Vol 7 (1) ◽  
pp. 103-112
Author(s):  
M Dor ◽  
VJ Ehlers ◽  
MM Van der Merwe
Keyword(s):  
General Hospital ◽  
Full Text ◽  
Western Cape ◽  
Psychiatric Unit ◽  
Referral Letters

The study sought to analyse the referrals received by a psychiatric unit in a general hospital in the Western Cape by studying the referral letters and the referral responses. Opsomming Hierdie navorsing het gepoog om verwysings te ontleed wat deur 'n psigiatriese eenheid in 'n algemene hospitaal in die Wes Kaap ontvang is. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

2013 ◽  
Vol 35 (3) ◽  
pp. 229-233 ◽  
Author(s):  
Amilton dos Santos Jr. ◽  
Maitê Cruvinel Oliveira ◽  
Tiago dos Santos Andrade ◽  
Rosana Ramos de Freitas ◽  
Cláudio Eduardo Muller Banzato ◽  
...  
Keyword(s):  
General Hospital ◽  
Electroconvulsive Therapy ◽  
Psychiatric Hospitalization ◽  
Psychiatric Unit ◽  
Telephone Contact ◽  
Persistent Memory ◽  
History Of ◽  
Telephone Calls ◽  
Psychiatric Outcome

Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT) at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP) were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02). Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5%) reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

scholarly journals The Relationships between Measures of General Depression and the Endogenous versus Reactive Classification

1974 ◽  
Vol 19 (3) ◽  
pp. 259-265 ◽  
Author(s):  
C. G. Costello ◽  
S. J. Christensen ◽  
T. B. Rogers
Keyword(s):  
General Hospital ◽  
Self Report ◽  
Psychiatric Unit ◽  
Binary Nature ◽  
Classification Score

The Pilowsky Questionnaire and a number of self-report measures of general depression were administered to 95 patients, mostly consecutive admissions to the psychiatric unit of a general hospital. There were high correlations (mean = .72) between the scores on the measures of general depression and the scores on the reactive and endogenous scales of the Pilowsky Questionnaire. The correlations between the scores on the measures of general depression and the classification score from the Pilowsky Questionnaire were generally low (mean = .33). The implications of these findings for the issue concerning the unitary or binary nature of depression are discussed .

scholarly journals Discriminating levels of alcohol use associated with self-harm in individuals presenting to a district general hospital

2010 ◽  
Vol 34 (6) ◽  
pp. 226-230 ◽  
Author(s):  
Nicholas Holdsworth ◽  
Hugh Griffiths ◽  
David Crawford
Keyword(s):  
Alcohol Use ◽  
General Hospital ◽  
Screening Tool ◽  
District General Hospital ◽  
Alcohol Screening ◽  
Screening Tools ◽  
Psychosocial Assessment ◽  
Different Types ◽  
Self Harm ◽  
Problematic Alcohol Use

Aims and methodAlthough alcohol is reported as commonly associated with self-harm, there is nothing in the literature that bases the association on validated screening tools. We sought to discern the different types of alcohol use as discriminated by the Alcohol Use Disorders Identification Test (AUDIT). Completed AUDITs from a 2-year period were analysed, all relating to people who had presented to a district general hospital in Northumberland following self-harm.ResultsThe proportion of dependent, harmful and hazardous drinkers identified using AUDIT was many times higher than previously estimated in similar studies that had not used a validated alcohol screening tool.Clinical implicationsThe routine use of an alcohol screening tool should be part of any standard psychosocial assessment of self-harm, to guide appropriate interventions for problematic alcohol use that might otherwise be overlooked.

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