Is it Time for a Formal Disciplinary Code for Psychiatric In-Patients in England and Wales?

1996 ◽  
Vol 36 (1) ◽  
pp. 65-68 ◽  
Author(s):  
John H. M. Crichton
Keyword(s):  
Psychiatric Hospitals ◽  
England And Wales ◽  
Psychiatric Staff

Within psychiatric hospitals it is not legal for staff to formally punish a patient for any misdemeanour. The staff response to such an incident is cloaked in therapeutic terms even if it is in effect a disciplinary punishment. To avoid injustice and introduce safeguards into this process Professor Genevra Richardson (1993, 1995) suggests the need for the introduction of a disciplinary code for psychiatric in-patients. This paper discusses the need for better guidance for psychiatric staff and the problems of punitive sanctions on patients.

scholarly journals Your supported lodgings

1991 ◽  
Vol 15 (5) ◽  
pp. 270-271 ◽  
Author(s):  
C. E. Robson
Keyword(s):  
Social Services ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
Mentally Handicapped ◽  
England And Wales ◽  
Chronically Mentally Ill ◽  
Important Means ◽  
Successful Rehabilitation

Supported lodgings are an important means of achieving the successful rehabilitation and resettlement of the chronically mentally ill into the community (Anstee, 1978, 1985). In a survey of 15 psychiatric hospitals in England and Wales, it was estimated that 9.3% of the long-stay patients (i.e. in-patients from one to five years) under 65 years of age were ideally suited to less supervised accommodation outside the hospital. In Gloucestershire the Supported Lodging Scheme is provided by the Psychiatric Social Services Department. It was started to enable ‘new’ and ‘old’ long-stay patients at Coney Hill and Horton Road hospitals to be settled in the community. Now any psychiatric or mentally handicapped patient can also enter the scheme if appropriate.

scholarly journals How Law 180 in Italy has reshaped psychiatry after 30 years: past attitudes, current trends and unmet needs

2010 ◽  
Vol 197 (4) ◽  
pp. 261-262 ◽  
Author(s):  
A. Carlo Altamura ◽  
Guy M. Goodwin
Keyword(s):  
Unmet Needs ◽  
Psychiatric Hospitals ◽  
Clinical Leadership ◽  
England And Wales ◽  
Current Trends ◽  
Chronic Psychosis

SummaryLaw 180 eliminated psychiatric hospitals for the care of people with chronic psychosis in Italy. After 30 years, we review the consequences for the practice of psychiatry in Italy and parallels for England and Wales. We argue that the substitution of legal/political direction for clinical leadership means psychiatrists may cease to merit the privileges and responsibilities of being doctors.

scholarly journals Resources and Workforce in Top-Tier Psychiatric Hospitals in China: A Nationwide Survey

2021 ◽  
Vol 12 ◽  
Author(s):  
Lei Xia ◽  
Feng Jiang ◽  
Jeffrey Rakofsky ◽  
Yulong Zhang ◽  
Yudong Shi ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Lower Limit ◽  
Mental Health Professionals ◽  
Health Resources ◽  
Psychiatric Hospitals ◽  
Outpatient Services ◽  
The Past ◽  
Psychiatric Staff ◽  
Psychiatric Beds

Objectives: Mental healthcare has gained momentum and significant attention in China over the past three decades. However, many challenges still exist. This survey aimed to investigate mental health resources and the psychiatric workforce in representative top-tier psychiatric hospitals in China.Methods: A total of 41 top-tier psychiatric hospitals from 29 provinces participated, providing data about numbers and types of psychiatric beds, numbers of mental health professionals, outpatient services and hospitalization information covering the past 3 years, as well as teaching and training program affiliation.Results: Significant variations were found among participating hospitals and across different regions. Most of these hospitals were large, with a median number of psychiatric beds of 660 (range, 169-2,141). Child and geriatric beds accounted for 3.3 and 12.6% of all beds, respectively, and many hospitals had no specialized child or geriatric units. The overall ratios of psychiatrists, psychiatric nurses, and psychologists per bed were 0.16, 0.34, and 0.03, respectively. More than 40% of the hospitals had no clinical social workers. Based on the government's staffing guidelines, less than one third (31.7%) of the hospitals reached the lower limit of the psychiatric staff per bed ratio, and 43.9% of them reached the lower limit of the nurse per bed ratio.Conclusion: Although some progress has been made, mental health resources and the psychiatric workforce in China are still relatively insufficient with uneven geographical distribution and an acute shortage of psychiatric beds for children and elderly patients. In the meantime, the staffing composition needs to be optimized and more psychologists and social workers are needed. While addressing these shortages of mental health resources and the workforce is important, diversifying the psychiatric workforce, promoting community mental health care, and decentralizing mental health services may be equally important.

Trends in the number of restricted patients in England and Wales 2003–2016: Implications for forensic psychiatry services

2019 ◽  
Vol 59 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Simon A Hill ◽  
Elliott Riordan-Eva ◽  
Alexandra Hosking
Keyword(s):  
Mental Health ◽  
Forensic Psychiatry ◽  
Psychiatric Hospitals ◽  
England And Wales ◽  
Mental Health Act ◽  
Psychiatric Beds

This paper uses data produced by the Ministry of Justice to look for trends in the numbers of various categories of patients detained under the Mental Health Act in England and Wales between 2003 and 2016. Specifically, we have focussed on patients detained with Ministry of Justice restrictions in place. The number of ‘restricted’ patients, who are largely detained in secure psychiatric hospitals, has risen substantially during this period. If this trend continues, there will be the need for further expansion of secure psychiatric beds in the years ahead. Factors driving the increased number of restricted patients are discussed in this paper.

scholarly journals В. Stewart: The Increase of general Paralysis in England and Wales: its Causation and Significance. (The journal of mental science. 1896, № 143)

2020 ◽  
Vol V (3) ◽  
pp. 162
Keyword(s):  
Psychiatric Hospitals ◽  
England And Wales ◽  
General Paralysis ◽  
Number Of Patients

In England and Wallis for 1881-1891. the number of population increased by 11, 7%, while cases of mental insanity - by 15, 24%. The share of general progressive paralysis accounts for 9% of the total number of patients admitted to psychiatric hospitals in England and Wallis. For 15 years (1878-1892) the number of paralytics was 18438, accounting for 8% of the total number of patients in 1878-1882. 8.6% in 1883-1887 and 8, 9% in 1888-1892.

Psychiatric Diagnosis in New South Wales Compared to England and Wales

1975 ◽  
Vol 127 (6) ◽  
pp. 556-558 ◽  
Author(s):  
Gordon Parker
Keyword(s):  
United States ◽  
New South ◽  
New South Wales ◽  
Psychiatric Hospitals ◽  
The United States ◽  
Psychotic Depression ◽  
England And Wales ◽  
Admission Rates ◽  
The United Kingdom ◽  
South Wales

SummaryComparative studies of first admission rates to psychiatric hospitals have revealed significant differences in the rates of diagnoses of functional psychoses between the United Kingdom and the United States of America.The present study examined the diagnoses of indigenous patients born between 1921 and 1955 and first admitted to hospitals in New South Wales, Australia, and England and Wales. Admission rates for mania were in striking agreement. The rate in New South Wales for schizophrenia was slighdy higher and for psychotic depression considerably less than in England and Wales.A similar trend in diagnostic dissonance would appear to exist between England and Wales and New South Wales as between England and Wales and the United States for schizophrenia and psychotic depression, but this is considerably less in degree.

Patients in Irish Psychiatric Hospitals in 1963—A Comparison with England and Wales

1971 ◽  
Vol 118 (547) ◽  
pp. 617-620 ◽  
Author(s):  
Dermot Walsh
Keyword(s):  
Psychiatric Hospital ◽  
Patient Population ◽  
Local Authority ◽  
Psychiatric Hospitals ◽  
England And Wales ◽  
Republic Of Ireland ◽  
Department Of Health ◽  
The Republic

The Department of Health carried out a complete census of the resident patient population of local authority and private psychiatric hospitals in the Republic of Ireland on 31 March, 1963. This paper analyses the Irish census returns and compares them with those of the similar psychiatric hospital census carried out in England and Wales on 31 December, 1963 (Brooke, 1967).

Sign in / Sign up

Export Citation Format

Share Document