scholarly journals What I expect of my psychiatrist: the mental health review tribunal

1998 ◽  
Vol 4 (4) ◽  
pp. 197-201 ◽  
Author(s):  
Sir John Wood
Keyword(s):  
Mental Health ◽  
Medical Officer ◽  
The Other ◽  
Lively Debate ◽  
Health Review

The proceedings of a mental health review tribunal involve two psychiatrists – one to be found among its members and the other (having care of the patient) who appears before the tribunal as the responsible medical officer (RMO). Both have a very important role to play and the juxtaposition of two psychiatrists guarantees a lively debate at many tribunal hearings.

scholarly journals The Responsible Medical Officer and Mental Health Review Tribunals

1990 ◽  
Vol 14 (6) ◽  
pp. 336-337 ◽  
Author(s):  
G. E. Langley
Keyword(s):  
Mental Health ◽  
Adverse Effect ◽  
Medical Officer ◽  
Short Notice ◽  
The Law ◽  
Health Review

The RMO who is well informed about his patient, and conversant with the law in respect of the particular problems that the case presents, has little to fear from Tribunal proceedings. Nevertheless to have to write reports and insert, into a busy timetable, often at short notice, a sometimes lengthy Tribunal is an irritation which can have an adverse effect on both knowledge of the case and on objectivity.

Public Mental Health on the Other Side of the Atlantic

1992 ◽  
Vol 37 (4) ◽  
pp. 329-330
Author(s):  
Richard H. Price
Keyword(s):  
Mental Health ◽  
Public Mental Health ◽  
The Other

scholarly journals Coping with COVID-19: The Strategies Adapted by Pakistani Students to Overcome Implications

2021 ◽  
Vol 18 (4) ◽  
pp. 1799
Author(s):  
Gul Muhammad Baloch ◽  
Kamilah Kamaludin ◽  
Karuthan Chinna ◽  
Sheela Sundarasen ◽  
Mohammad Nurunnabi ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Coping Strategies ◽  
Living Arrangement ◽  
Female Students ◽  
The Other ◽  
Age Group ◽  
Cultural Contexts ◽  
University Policies ◽  
One Year

COVID-19 has speedily immersed the globe with 72+ million cases and 1.64 million deaths, in a span of around one year, disturbing and deteriorating almost every sphere of life. This study investigates how students in Pakistan have coped with the COVID-19. Zung’s self-rating anxiety scale (SAS) was used for measuring anxiety and the coping strategies were measured on four strategies i.e., seeking social support, humanitarian, acceptance, and mental disengagement. Among 494 respondents, 61% were females and 77.3% of the students were in the age group of 19–25 years. The study findings indicate that approximately 41 percent of students are experiencing some level of anxiety, including 16% with severe to extreme levels. Seeking social support seemed to be the least preferred coping strategy and that female students seek social support, humanitarian, and acceptance coping strategies more than males. Students used both emotion-based and problem-based coping strategies. The variables of gender, age, ethnicity, level and type of study, and living arrangement of the students were associated with usage of coping strategies. Findings showing that students do not prefer to seek social support. The study outcomes will provide basic data for university policies in Pakistan and the other countries with same cultural contexts to design and place better mental health provisions for students.

Five-year Psychosocial Impact of Living in Post-Disaster Prefabricated Temporary Housing

2021 ◽  
pp. 1-31
Author(s):  
Tetsuya Akaishi ◽  
Tomomi Suzuki ◽  
Harumi Nemoto ◽  
Yusuke Utsumi ◽  
Moe Seto ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Interaction ◽  
The Other ◽  
Temporary Housing ◽  
Psychiatric Status ◽  
History Of ◽  
Psychosocial Conditions ◽  
Long Term Impact ◽  
Post Disaster

Abstract Objective: This study aims to evaluate the long-term impact of living in post-disaster prefabricated temporary housing on social interaction activities and mental health status. Methods: A total of 917 adult residents in a coastal town, whose residences were destroyed by the tsunami caused by the Great East Japan Earthquake (GEJE), were enrolled for the assessment held five years after the disaster. They answered questions about their experience and consequence of living in prefabricated temporary housing after the disaster. Their present scores on five types of self-reported measures regarding the psychosocial or psychiatric status and their present and recalled social interaction activities were cross-sectionally collected. Results: A total of 587 (64.0%) participants had a history of living in prefabricated temporary housing, while the other 330 (36.0%) had not. The prevalence of social interaction activities significantly decreased after the GEJE. However, the experience of living in prefabricated temporary housing did not adversely affect the subsequent social interaction activities or mental conditions of the participants five years after the disaster. Conclusions: Living in post-disaster prefabricated temporary housing may not negatively impact subsequent psychosocial conditions or social interaction activities five years later.

“Not Worth Powder and Shot”

1990 ◽  
Vol 156 (2) ◽  
pp. 180-187 ◽  
Author(s):  
T.-W. Harding
Keyword(s):  
Mental Health ◽  
Health Reform ◽  
Public Support ◽  
Medical Officer ◽  
Ministry Of Health ◽  
Administrative Reforms ◽  
Mental Health Reform ◽  
Psychiatric Establishment

Dr Montagu Lomax worked as an assistant medical officer at Prestwich Asylum for two years from 1917. His book,The Experiences of an Asylum Doctor,was published in 1921. He was condemned by the psychiatric establishment for his description of inhuman, custodial, and antitherapeutic conditions. Access to previously confidential official papers, to the archives of Prestwich Hospital, and to Professor George Robertson's correspondence has permitted a reconstruction of the Lomax affair. Lomax was a dedicated and sincere clinician. Senior Ministry of Health officials regarded Lomax's book as “temperate”, “well founded”, and an opportunity to secure public support for long needed legal and administrative reforms. Through his book, Lomax made a lasting contribution to the cause of mental health reform.

scholarly journals Probability and loss: two sides of the risk assessment coin

2011 ◽  
Vol 35 (11) ◽  
pp. 413-418 ◽  
Author(s):  
Matthew M. Large ◽  
Olav B. Nielssen
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
The Other ◽  
Current Form ◽  
Mental Health Settings ◽  
Future Harm ◽  
Two Sides

SummaryRisk assessment has been widely adopted in mental health settings in the hope of preventing harms such as violence to others and suicide. However, risk assessment in its current form is mainly concerned with the probability of adverse events, and does not address the other component of risk – the extent of the resulting loss. Although assessments of the probability of future harm based on actuarial instruments are generally more accurate than the categorisations made by clinicians, actuarial instruments are of little assistance in clinical decision-making because there is no instrument that can estimate the probability of all the harms associated with mental illness, or estimate the extent of the resulting losses. The inability of instruments to distinguish between the risk of common but less serious harms and comparatively rare catastrophic events is a particular limitation of the value of risk categorisations. We should admit that our ability to assess risk is severely limited, and make clinical decisions in a similar way to those in other areas of medicine – by informed consideration of the potential consequences of treatment and non-treatment.

Detention of In-Patients under Section 5(2) of the Mental Health Act 1983

1998 ◽  
Vol 38 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Emad Salib ◽  
Boni Iparragirre
Keyword(s):  
Mental Health ◽  
Hospital Stay ◽  
Clinical Diagnosis ◽  
Length Of Hospital Stay ◽  
The Other ◽  
Short Term ◽  
Time Of Application ◽  
Mental Health Act ◽  
Equal Chance

All applications of s.5(2) of the Mental Health Act 1983, allowing the emergency detention of voluntary in-patients in North Cheshire between 1985 and 1995, were reviewed to examine general trends in its use and to assess variables likely to influence its outcome. Of the 877 applications implemented (4% of all admissions), 500 (57%) were converted to longer-term detention under the Act, 396 (45%) were converted to s.2 and 104 (12%) to s.3. The other 377 (43%) detained patients under s.5(2) regained informal status. The review found that time of application of section, length of hospital stay prior to application, medical officer's grade, use of s.5(4) and clinical diagnosis are best predictors of s.5(2) outcome. The results are similar to other published studies and seem to reflect a national pattern, possibly implying that patients detained under this short-term detention order have an almost equal chance of either regaining their voluntary status or being detained under another section by the end of the 72 hours. This may raise questions about the purpose of s.5(2) as expressed by the Mental Health Act Commission.

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