Costing Psychiatric Hospitals and Psychiatric Wards in General Hospitals

2017 ◽  
pp. 225-237 ◽  
Author(s):  
Alessandra Brisola Siomi ◽  
Denise Razzouk
Keyword(s):  
Psychiatric Hospitals ◽  
General Hospitals

scholarly journals A survey of general hospital in-patients detained under Section 5(2) of the 1983 Mental Health Act

1996 ◽  
Vol 20 (12) ◽  
pp. 733-735 ◽  
Author(s):  
Christopher Buller ◽  
David Storer ◽  
Rachel Bennett
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Conversion Rate ◽  
Psychiatric Hospitals ◽  
Patient Characteristics ◽  
Rare Occurrence ◽  
General Hospitals ◽  
Code Of Practice ◽  
Mental Health Act

Detention of general hospital in-patients under Section 5(2) is a rare occurrence. This study of the use of Section 5(2) in general hospitals uncovered a frequent neglect in following the guidelines of The Mental Health Act and The Code of Practice. Surprisingly the conversion rate of Section 5(2) to Section 2 or 3 was similar to that seen in a number of other studies conducted in the quite different setting of large psychiatric hospitals. A number of patient characteristics were identified that appeared to influence whether 5(2)s were converted to an admission Section. Each general hospital needs to develop guidelines to be followed when staff feel that a patient should be detained under Section 5(2) – an example of such a policy is included.

scholarly journals The Effect of Religion on Psychological Resilience in Healthcare Workers During the Coronavirus Disease 2019 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Mei-Chung Chang ◽  
Po-Fei Chen ◽  
Ting-Hsuan Lee ◽  
Chao-Chin Lin ◽  
Kwo-Tsao Chiang ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Mental Distress ◽  
Psychiatric Hospitals ◽  
Well Being ◽  
Social Adaptation ◽  
General Hospitals ◽  
Psychological Well Being ◽  
Catholic Religion

Background: Healthcare workers in the front line of diagnosis, treatment, and care of patients with coronavirus disease 2019 (COVID-19) are at great risk of both infection and developing mental health symptoms. This study aimed to investigate the following: (1) whether healthcare workers in general hospitals experience higher mental distress than those in psychiatric hospitals; (2) the role played by religion and alexithymic trait in influencing the mental health condition and perceived level of happiness of healthcare workers amidst the stress of the COVID-19 pandemic; and (3) factors that influence the resilience of healthcare workers at 6 weeks' follow-up.Methods: Four-hundred and fifty-eight healthcare workers were recruited from general and psychiatric hospitals, and 419 were followed-up after 6 weeks. All participants filled out the 20-item Toronto Alexithymia Scale, five-item Brief-Symptom Rating Scale, and the Chinese Oxford Happiness Questionnaire.Results: Under the stress of the COVID-19 pandemic, 12.3% of frontline healthcare workers in general hospitals reported having mental distress and perceived lower social adaptation status compared with those working in psychiatric hospitals. Christians/Catholics perceived better psychological well-being, and Buddhists/Taoists were less likely to experience mental distress. The results at 6 weeks of follow-up showed that the perceived lower social adaptation status of general hospital healthcare workers was temporary and improved with time. Christian/Catholic religion and time had independent positive effects on psychological well-being; however, the interaction of Christian/Catholic religion and time had a negative effect.Conclusions: Collectivism and individualism in the cultural context are discussed with regard to alexithymic trait and Buddhist/Taoist and Christian/Catholic religious faiths. Early identification of mental distress and interventions should be implemented to ensure a healthy and robust clinical workforce for the treatment and control of the COVID-19 pandemic.

Psychiatric Audits: The Ontario Scene

1980 ◽  
Vol 25 (2) ◽  
pp. 155-162 ◽  
Author(s):  
A.G. Awad ◽  
H.B. Durost ◽  
J. Gray ◽  
M. Kugelmass ◽  
Christine Smith
Keyword(s):  
Psychiatric Care ◽  
Positive Impact ◽  
Psychiatric Hospitals ◽  
The State ◽  
Staff Education ◽  
General Hospitals ◽  
Audit System ◽  
Factors Influencing ◽  
Psychiatric Units ◽  
System Factors

Results of a survey conducted early in 1978, about the state of psychiatric audits in Ontario, are presented and discussed. Of the facilities that responded 66% reported the existence of an audit system for psychiatric care. The picture that evolves from the survey shows that audits are comprehensive in only 52% of Ontario facilities, more so in the provincial psychiatric hospitals than in psychiatric units in general hospitals. The audits are multidisciplinary in 64% of all facilities. While only 50% of facilities involved in audits felt that audits have a positive impact on improvement of psychiatric care, 71% were positive that audits have contributed to continuing staff education. The authors report their experience in introducing a criteria audit system. Factors influencing the selection, as well as advantages and criticisms of this model are discussed.

Psychiatric units in general hospitals — the Irish experience

1992 ◽  
Vol 9 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Aidan McGennis
Keyword(s):  
Full Range ◽  
National Policy ◽  
Psychiatric Hospitals ◽  
Health Board ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Hospital Units ◽  
Department Of Health ◽  
Psychiatric Units ◽  
Medical Directors

AbstractObjective: Psychiatric units in general hospitals are becoming a key feature of Irish psychiatric practice. This is in accordance with national policy as laid down in “Planning for the Future” in 1984. To date these units have not been the subject of much research. This paper presents baseline data, gives some clinical impressions of how these units are operating, and discusses the implications of these findings. Method: Questionnaires were sent to the medical directors of all 12 psychiatric units in general hospitals in Ireland. In addition, statistical data was collected from the Health Research Board and from the Mental Health Services Section of the Department of Health. Results: All the questionnaires were returned and the results showed that these units were operating in a largely self sufficient way with little usage of local psychiatric hospitals. Outside Dublin 35% of all Health Board admissions are now going to such units, a figure comparable to England and Wales. There was little evidence of patient selectivity as units seemed to be treating the full range of psychiatric disorders. Conclusion: The picture given of general hospital units in Ireland is, in the main, very encouraging. The main problems encountered were the management of disturbed patients and the heavy demands of liaison psychiatry and these two areas would need to be further researched.

scholarly journals Relationship between Occupational Stress, Coping Strategies and Job Satisfaction among Nurses working in General Hospitals and Psychiatric Hospitals

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Shridhar. C Kulakarni ◽  
Srimathi N. L
Keyword(s):  
Job Satisfaction ◽  
Coping Strategies ◽  
Occupational Stress ◽  
General Hospital ◽  
Psychiatric Hospitals ◽  
Stress Coping ◽  
General Hospitals ◽  
District Hospitals ◽  
Stress Coping Strategies ◽  
The Relationship

The purpose of this research was to study the relationship between occupational stress, coping strategies and job satisfaction among nurses working in general hospital and psychiatric hospital. The sample consisted of 300 nurses (150 nurses from general hospital and 150 from psychiatric hospital) drawn from Hubli and Dharawad district hospitals, Chitradurga, Shimoga district hospitals of Karnataka. The primary objective of the study is to study the relationship between occupational stress, coping strategies and level of job satisfaction among nurses working in general hospitals and psychiatric hospitals. The participants were administered the occupational stress index developed by Prof. S. K. Srivastava and Prof. A. P. Singh, ways of coping questionnaire developed by Lazarus and Folkman (1989) and Job satisfaction questionnaire developed by C.N. Daftuar. The data were analyzed by using Pearson Product Moment Method of correlation to find out the relationship between these variables. The results of the study have shown that there is a significant positive relationship exists between the occupational stress, coping strategies and job satisfaction among nurses working in general and psychiatric hospitals.

scholarly journals Do psychiatric units at general hospitals attract less stigmatizing attitudes compared with psychiatric hospitals?

2012 ◽  
Vol 22 (2) ◽  
pp. 163-168 ◽  
Author(s):  
G. Schomerus ◽  
H. Matschinger ◽  
M.C. Angermeyer
Keyword(s):  
Patient Care ◽  
Population Survey ◽  
Psychiatric Care ◽  
Psychiatric Hospitals ◽  
Multinomial Logit ◽  
General Hospitals ◽  
Psychiatric Units ◽  
Stigmatizing Attitudes

Aims.It is often assumed that psychiatric units at general hospitals attract less stigma than do specialized psychiatric hospitals, but so far this has not been examined empirically.Methods.We conducted a representative population survey in Germany (n = 2410) in order to compare attitudes towards psychiatric units and attitudes towards psychiatric hospitals. Two subsamples were presented with identical items concerning either psychiatric units or hospitals. We conducted multinomial logit analyses of answer categories to detect any differences in attitudes.Results.A majority of respondents held favourable opinions of psychiatric in-patient care at both psychiatric units and psychiatric hospitals. Attitudes towards units and hospitals did not differ meaningfully.Conclusions.The influence of location on the image of psychiatric care has been over-estimated. We discuss other implications of locating psychiatric care at general hospitals.

scholarly journals The reform of psychiatric care in Greece: 1983-1989

1992 ◽  
Vol 7 (6) ◽  
pp. 251-257 ◽  
Author(s):  
D Sarantidis ◽  
V Kladouchos ◽  
J Tripodianakis ◽  
R Giel ◽  
P Munk-Jorgensen
Keyword(s):  
Mental Health ◽  
Catchment Area ◽  
Psychiatric Care ◽  
Psychiatric Hospitals ◽  
General Hospitals ◽  
Health Delivery ◽  
Psychiatric Units ◽  
Health Delivery System ◽  
Quantitative Changes

SummaryWe have attempted to evaluate quantitative changes in the mental health delivery system in Greece, dictated by a fiveyear program to reform psychiatric care. By the end of the program, a number of psychiatric units in general hospitals, as well as community mental health centres, had been created, while the number of beds in psychiatric hospitals have been significantly reduced. Mental health services have become more accessible to the population, and served more patients. However, not all the objectives of the program have been met. Only about half of the initially proposed number of beds in the psychiatric units in general hospitals have been actually developed. The catchment area, a basic pre-requisite of the program, has not been put into effect. Finally, the noticeable trend towards a restriction of the role of psychiatric hospitals did not coincide with the development of adequate new services.

Involuntary Hospitalization in Canadian Psychiatric Inpatient Facilities, 1970–1978

1983 ◽  
Vol 28 (7) ◽  
pp. 536-541 ◽  
Author(s):  
Rodney Riley ◽  
Alex Richman
Keyword(s):  
Psychiatric Inpatient ◽  
Historical Review ◽  
Psychiatric Hospitals ◽  
Quantitative Information ◽  
Involuntary Admission ◽  
Involuntary Hospitalization ◽  
General Hospitals ◽  
Admission Rates ◽  
Psychiatric Units ◽  
Statistics Canada

This study is concerned with providing quantitative information on involuntary hospitalization of the mentally ill in Canada. It presents national statistical data on involuntary hospitalization to provincial mental and psychiatric hospitals, and psychiatric units of general hospitals for the period 1970–1978. The data used are based on the statistical information on psychiatric in-patients collected by the Mental Health Program of Statistics Canada for the period 1970–1978. The data indicate a moderate decline in involuntary admission rates. Men had consistently higher involuntary admission rates and women had consistently higher voluntary admission rates for the same period. Of the total commitments 22% were to psychiatric units of general hospitals. A high commitment rate was found for the elderly. As this is the first national quantitative analysis, both in Canada and in the international literature, the information presented should provide a useful objective perspective for a historical review of involuntary admissions to mental and psychiatric hospitals and psychiatric units of general hospitals.

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