Hospital Work and Family: A Four Year Study of Young Mental Hospital Patients

1966 ◽  
Vol 112 (483) ◽  
pp. 177-196 ◽  
Author(s):  
E. M. Goldberg
Keyword(s):  
Length Of Stay ◽  
Mental Hospital ◽  
Work Performance ◽  
Community Care ◽  
Young Male ◽  
Work And Family ◽  
Hospital Work ◽  
Before And After ◽  
Hospital Patients

While a study of schizophrenia and social class (Goldberg and Morrison, 1963) was in progress, it became obvious that some problems of hospital and community care among young male mental hospital patients should be pursued. Accordingly, it was decided to extend the project to a systematic follow up of the patients admitted to one of the two hospitals included in the study. This paper reports the findings in two parts; Part I relates length of stay in hospital to the severity of a patient's illness and to his circumstances before and after leaving hospital; Part II relates the patient's post-hospital work performance to certain other factors.

Psychiatric Out-Patients in Plymouth—An Area Service Analysed

1965 ◽  
Vol 111 (470) ◽  
pp. 10-17 ◽  
Author(s):  
Neil Kessel ◽  
Christine Hassall ◽  
Robert Blair ◽  
John M. Gilroy ◽  
Francis Pilkington ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mental Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Patient Department

Out-patient services in Britain for psychiatric patients have expanded enormously under the National Health Service. Well over half a million patients are seen at clinics annually. Concomitant with this increase the out-patient department has changed in function. No longer is it principally concerned with providing follow up and support for discharged mental hospital in-patients; instead, because of the greatly increased demand for psychiatric care for less severe disorders and under the influence of the movement for community care it now should play a part not at all subservient to the in-patient department. The clinic, properly run, should be an arena of treatment in its own right.

A follow-up study of chronic mental hospital patients 1959?1969

1971 ◽  
Vol 6 (4) ◽  
pp. 167-171 ◽  
Author(s):  
P. W. Burvill ◽  
M. Mittelman
Keyword(s):  
Mental Hospital ◽  
Follow Up Study ◽  
Hospital Patients

Improved Subjective Health in Patients in a Post Coronary Rehabilitation Programme

1989 ◽  
Vol 6 (1) ◽  
pp. 30-34
Author(s):  
Ronan M Conroy ◽  
Elizabeth Mc Gowan ◽  
Risteard Mulcahy
Keyword(s):  
Work Performance ◽  
Subjective Health ◽  
Emotional Symptoms ◽  
Before And After ◽  
Coronary Patients ◽  
Prevention Programmes ◽  
General Competence ◽  
The Impact

AbstractWe studied the impact of a first myocardial infarction or episode of unstable angina on four areas of subjective health: wellbeing, perceived functional status, body confidence and emotional symptoms. A questionnaire in which the patient was asked to compare status before and after hospital admission was given to 61 cardiac patients attending follow-up rehabilitation clinics.Worries about health and fears of straining oneself were common in the 24 patients surveyed less than 3 months from discharge. But in patients over 3 months from discharge, sense of wellbeing was significantly improved post-infarction compared with pre-infarction: 86% of patients noting a change reported an improvement. Perceived family role performance was significantly improved, while confidence in work performance and general competence remained unchanged. The prevalences of depression, anxiety and worry were unchanged from pre to post attack, patients in whom these symptoms developed being off-set by patients who lost symptoms.Previously-reported adverse sequelae of acute coronary disease may exaggerate the extent of the problem. Restriction of studies to neurotic symptoms and failure to compare pre and post attack periods may fail to elicit improvements in quality of life associated with rehabilitation and secondary prevention programmes.Running Title: Subjective health in post-coronary patients

Orientation and Job Success of Mental Hospital Patients

1966 ◽  
Vol 19 (1) ◽  
pp. 113-114 ◽  
Author(s):  
M. K. Distefano ◽  
Margaret W. Pryer ◽  
David P. Rice
Keyword(s):  
Vocational Rehabilitation ◽  
Significant Relationship ◽  
Mental Hospital ◽  
Rehabilitation Program ◽  
Job Placement ◽  
Task Orientation ◽  
Follow Up Study ◽  
Job Success ◽  
Hospital Patients

A follow-up study of 43 mental hospital patients in a Vocational Rehabilitation program indicated a significant relationship between successful job placement and orientation toward work. Successfully placed patients were higher in Task-Orientation and lower in Self-Orientation than unsuccessful placements.

Service Utilization and Cost of Community Care for Discharged State Hospital Patients: A 3-Year Follow-Up Study

1999 ◽  
Vol 156 (6) ◽  
pp. 920-927 ◽  
Author(s):  
Aileen B. Rothbard ◽  
Eri Kuno ◽  
Arie P. Schinnar ◽  
Trevor R. Hadley ◽  
Roland Turk
Keyword(s):  
Service Utilization ◽  
State Hospital ◽  
Community Care ◽  
Follow Up Study ◽  
Hospital Patients

Recurrent Affective Syndromes in Bipolar and Unipolar Mood Disorders at Follow-Up

1995 ◽  
Vol 166 (3) ◽  
pp. 382-385 ◽  
Author(s):  
Joseph F. Goldberg ◽  
Martin Harrow ◽  
Linda S. Grossman
Keyword(s):  
Psychosocial Functioning ◽  
Work Performance ◽  
Bipolar Disorders ◽  
Unipolar Depression ◽  
Work Impairment ◽  
Hospital Work ◽  
Bipolar Patients ◽  
Manic Patients ◽  
Overall Functioning

BackgroundIt is in dispute whether affective relapse disrupts psychosocial functioning to the same extent in depressed and manic patients.MethodA prospective, naturalistic, longitudinal follow-up of 84 unipolar and bipolar affectively disordered in-patients was conducted to examine the extent of recurrent affective syndromes and their relationship to overall outcome. Global adjustment relative to relapse was assessed at 2- and 4.5-year follow-ups.ResultsNearly half of the bipolar patients had subsequent syndromes, which were often associated with uniformly poor psychosocial functioning. Fewer than one-quarter of those with recurrences had steady work performance. Bipolar patients taking lithium alone had fewer recurrences than those taking lithium as well as neuroleptics (P<0.05). Bipolar and unipolar patients relapsed with equal frequency, but unipolar relapse was less often associated with readmission to hospital, work impairment, or uniformly poor functioning.ConclusionAffective relapse in bipolar disorders was more detrimental to overall functioning than was recurrence in unipolar depression.

Prognosis of Schizophrenia Before and After Pharmacotherapy: II. Three-Year Follow-Up

1967 ◽  
Vol 113 (505) ◽  
pp. 1353-1359 ◽  
Author(s):  
Michael Pritchard
Keyword(s):  
Length Of Stay ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Before And After ◽  
Schizophrenic Patients ◽  
Group A ◽  
Group B

In the previous paper a comparison was made between short-term outcome of two groups of 50 schizophrenic patients each, admitted to the Professorial Unit of the Maudsley Hospital before and after the introduction of reserpine and phenothiazines into treatment. It was shown that patients admitted in 1956/57 (Group B) had a better prognosis in terms of condition on discharge and length of stay in hospital than those admitted in 1952/53 (Group A).

Changes in Duration of Stay of Mental Hospital Patients Suffering from Functional Psychoses During the Past 20 Years

1954 ◽  
Vol 100 (418) ◽  
pp. 241-249 ◽  
Author(s):  
Arthur Harris ◽  
Vera Norris
Keyword(s):  
Mental Hospital ◽  
County Council ◽  
The Past ◽  
Mental Hospitals ◽  
Functional Psychoses ◽  
Hospital Patients ◽  
Mental Treatment ◽  
Mental Defectives ◽  
Methods Of Treatment

We have reported a follow-up study of patients first admitted to London County Council Mental Hospitals in 1930 (Harris and Lubin, 1952, Harris and Norris, in press). The present paper deals with a group of similar patients, i.e., psychotics from whom epileptics, known organic cases, ascertained mental defectives, those over the age of 40 and those who had been admitted to a mental hospital previously were excluded, who were transferred to mental hospitals from St. Francis Observation Ward during the period May 1940 to May 1942. The main differences between this group and the 1930 one were: (a) The Mental Treatment Act of 1930 had come into operation and many were admitted to mental hospitals as voluntary patients; (b) modern physical methods of treatment were in use; (c) in most cases the history was known.

The Introduction of a Crisis Unit in a Mental Hospital

1974 ◽  
Vol 19 (5) ◽  
pp. 445-452 ◽  
Author(s):  
George Voineskos ◽  
M. F. Morrison ◽  
R. C. Jain
Keyword(s):  
Mental Hospital ◽  
Clinical Service ◽  
Treatment Programs ◽  
Open Door Policy ◽  
Number Of Patients ◽  
Before And After ◽  
Long Term Follow Up ◽  
The Impact

A community oriented Crisis Unit was introduced in a mental hospital as an integral part of a comprehensive Clinical Service. The unit is doing crisis assessment and intervention for patients referred to this Clinical Service and a 72-hour inpatient or day-care crisis oriented therapy. The locale, the organization of the team and the work of the unit are described. Data are given regarding the number of patients seen during the first six months, of those admitted and of those discharged within 72 hours or transferred to another unit of the service. Additional data referring to the patients admitted to the Crisis Unit and during a corresponding six-month period of the previous year when the Unit was not operating are also given. The reduction of the inpatient population of the service and the associated financial savings are outlined. The management of the Unit on an open-door policy is described. The impact of the Unit on the treatment programs of the other units of the service is discussed. It is suggested that crisis therapy oriented units should be considered an essential and integral component of the psychiatric services offered by mental or general hospitals. Comparative studies of patient populations before and after the introduction of such units and long-term follow-up evaluative studies are required.

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