Changes in general hospital psychiatric care, 1980–1985.

1991 ◽  
Vol 46 (4) ◽  
pp. 416-421 ◽  
Author(s):  
Charles A. Kiesler
Keyword(s):  
General Hospital ◽  
Psychiatric Care

Psychogeriatric Care in the General Hospital*

1981 ◽  
Vol 26 (5) ◽  
pp. 334-336 ◽  
Author(s):  
Joel Sadavoy
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Treatment Approach ◽  
The Elderly ◽  
Term Therapy ◽  
Psychiatric Ward ◽  
Short Term ◽  
General Hospitals ◽  
Organic Brain

This study examines treatment outcome in 52 psychogeriatric patients to help determine the role of the general hospital in psychiatric care of the elderly. The author reviewed the charts of all patients 65 years of age and over admitted to the psychiatric ward from 1974 to 1978. Approximately 80% of this group showed symptom remission. Treatment failures correlated closely with the presence of major organic brain syndrome. Despite an average age of 73.4 years and a high proportion of widowed patients only 10 patients needed new placements on discharge. The author discusses the reluctance of general hospitals to treat the psychogeriatric patient despite the high success rate, the merits of such an active treatment approach and the effect of short-term therapy programs on the treatment of this group.

scholarly journals An analysis of referrals received by a psychiatric unit in a general hospital Part 1

2002 ◽  
Vol 7 (1) ◽  
pp. 93-102
Author(s):  
M Dor ◽  
VJ Ehlers ◽  
MM Van der Merwe
Keyword(s):  
Health Care ◽  
General Hospital ◽  
Full Text ◽  
Psychiatric Care ◽  
Holistic Health ◽  
Psychiatric Unit ◽  
Holistic Health Care ◽  
To Receive

In order to receive holistic health care, patients requiring psychiatric care, need to be referred to psychiatric services.OpsommingTen einde holistiese gesondheidsorg te ontvang, moot pasiente, wat psigiatriese sorg benodig, na psigiatriese dienste verwys word. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals The present state of consultation and liaison psychiatry

1990 ◽  
Vol 14 (6) ◽  
pp. 321-325 ◽  
Author(s):  
Richard Mayou ◽  
Helen Anderson ◽  
Charlotte Feinmann ◽  
Gail Hodgson ◽  
Peter L. Jenkins
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Morbidity ◽  
Liaison Psychiatry ◽  
Major Pathway ◽  
Lower Priority ◽  
Strategic Plans ◽  
Hospital Patients ◽  
Hospital Doctors

Although referral by general hospital doctors is a major pathway to specialist psychiatric care, and there is known to be much clinically unrecognised psychiatric morbidity among general hospital patients, consultation and liaison services have received much less emphasis than community care. A 1984 survey found that consultation liaison services were haphazard (Mayou & Lloyd, 1985). Despite recent evidence of increasing clinical and academic interest, few local strategic plans refer to consultation and liaison services; even when mentioned they are given a lower priority than community developments (Kingdon, 1989).

scholarly journals Coming in from the cold. From psychiatric to general hospital. The Irish experience

2006 ◽  
Vol 15 (2) ◽  
pp. 95-98
Author(s):  
Dermot Walsh
Keyword(s):  
Medical Care ◽  
General Hospital ◽  
Change Process ◽  
Mental Hospital ◽  
Psychiatric Care ◽  
System Of Care ◽  
Psychiatric Unit ◽  
General Hospitals ◽  
Hospital System ◽  
Self Sufficiency

AbstractThe metamorphosis from an extensive mental hospital system of care, rooted in a culture and tradition of self-sufficiency and isolation, to the concept and practise of delivery of psychiatric care in general hospitals is described. The obstacles, psychological and practical, to be overcome in this change process are outlined. The place of the general hospital psychiatric unit in psychiatric and general medical care is outlined. Relevant matters of design and management are briefly explored.

Management of violent behaviour and rapid tranquillisation during acute psychotic episode: discrepancy between routine practice and evidence. The SIEP-DIRECT's Project

2008 ◽  
Vol 17 (4) ◽  
pp. 349-357 ◽  
Author(s):  
Antonio Lora ◽  
Carla Morganti ◽  
Arcadio Erlicher ◽  
Lorenzo Burti ◽  
Giacinto Buscaglia ◽  
...  
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Psychiatric Care ◽  
Psychotic Episode ◽  
Routine Practice ◽  
Violent Behaviour ◽  
Critical Areas ◽  
Specific Care ◽  
Acute Psychiatric Care

SUMMARYAims– To evaluate the quality of acute psychiatric care concerning the management of violent behaviour and rapid tran-quilization.Methods– Data concerning 13 indicators, drawn from NICE recommendations, were collected in 19 Departments of Mental Health, in the frame of the SIEP-DIRECT's Project, to evaluate the implementation of NICE recommendations in Italian Mental Health Services.Results– In about two thirds of Departments of Mental Health (DMHs) professionals were trained in the management of violent behaviour, while written procedures existed only in one fourth of DMHs. About a half of the professionals working in Psychiatric Wards in General Hospital were trained in rapid tranquilization, while procedures on this topic are practically absent and specific care for monitoring intensively the heavily sedated patient was not frequent.Conclusions– Management of violent behaviour and rapid tranquilization are two critical areas in the care performed by Psychiatric Wards in General Hospital. Training on these topics is more frequent than implementation of procedures. NICE recommendations and SIEP indicators are useful tools for improving the quality of acute psychiatric care.Declaration of Interest: None.

Alcohol dependent inpatients who receive general hospital care vs. detoxification in psychiatric care and alcohol problem 1year later

2010 ◽  
Vol 35 (8) ◽  
pp. 756-763 ◽  
Author(s):  
Jennis Freyer-Adam ◽  
Beate Gaertner ◽  
Hans-Jürgen Rumpf ◽  
Ulrich John ◽  
Ulfert Hapke
Keyword(s):  
General Hospital ◽  
Hospital Care ◽  
Psychiatric Care ◽  
Alcohol Problem ◽  
Alcohol Dependent

The Psychiatrist in the Obstetric Unit

1989 ◽  
Vol 154 (4) ◽  
pp. 510-515 ◽  
Author(s):  
Louis Appleby ◽  
Helena Fox ◽  
Mike Shaw ◽  
R. Kumar
Keyword(s):  
At Risk ◽  
General Hospital ◽  
Postnatal Depression ◽  
Psychiatric Care ◽  
Postnatal Period

The establishment and first 18 months of a psychiatric liaison service to a general hospital obstetric unit are described. The service was initially intended to predict antenatally those at risk of postnatal depression and to offer follow-up throughout pregnancy and in the postnatal period. However, a large proportion of referrals were of women currently unwell. Furthermore, postnatal follow-up in the community proved difficult. Referrals, diagnoses and disposal are analysed, leading to conclusions about the effectiveness and problem of such a service. The components of a comprehensive obstetric liaison provision are proposed, emphasising the need for strong community links built around a CPN service, allowing adequate postnatal psychiatric care.

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