The Mental Hospital: A Pattern for the Future

1967 ◽  
Vol 113 (501) ◽  
pp. 857-864 ◽  
Author(s):  
A. Orwin
Keyword(s):  
Patient Population ◽  
Mental Hospital ◽  
Psychiatric Patients ◽  
Ministry Of Health ◽  
Psychiatric Illnesses ◽  
Mental Hospitals ◽  
The Future

The great changes that have occurred in mental hospitals over the last fifteen years due to improvements in treatment of both acute and chronic psychiatric illnesses are reflected in the dramatic running down of the long-stay patient population. The Ministry of Health (1961) and Tooth and Brooke (1961) envisaged a continuing fall in the number of beds for psychiatric patients, so that by the mid 1970s these would have been reduced by nearly 50 per cent. from their 1960 figure (3·4 to 1·8 per thousand population). This prediction has been criticized because it was considered too optimistic, while the implication that the mental hospital, as we know it today, might cease to exist has provoked controversy.

Recent Critical Trends in Mental Hospital Admissions in the Oxford Region

1962 ◽  
Vol 108 (452) ◽  
pp. 59-67 ◽  
Author(s):  
A. Barr ◽  
D. Golding ◽  
R. W. Parnell
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Mental Hospital ◽  
Hospital Admissions ◽  
Average Length ◽  
Time Study ◽  
Ministry Of Health ◽  
Mental Hospitals ◽  
Average Length Of Stay ◽  
One Year

The statistics on mental hospitals published by the Ministry of Health (1957) show that the average length of stay for admissions to mental hospitals decreased in the period 1952–1956. According to the Registrar-General's Mental Health Supplement (1961) there was an average saving, between 1951 and 1958, of sixteen days for men and thirteen days for women, among patients staying less than one year. But these figures for stay only relate to the patients discharged each year, irrespective of the year of their admission, and furthermore we do not know what happens to particular groups such, for example, as schizophrenics. Although remarkable changes are occurring at the present time, study of them is hampered by lack of appropriate and up-to-date information.

A Review of Seven Years' Malarial Therapy in General Paralysis

1932 ◽  
Vol 78 (323) ◽  
pp. 843-866 ◽  
Author(s):  
W. D. Nicol
Keyword(s):  
Great Britain ◽  
Mental Hospital ◽  
County Council ◽  
Ministry Of Health ◽  
General Paralysis ◽  
Mental Hospitals

Shortly after the introduction of therapeutic malaria into this country, the Ministry of Health and the Board of Control, in consultation with the London County Council Mental Hospitals Department, established a special centre for this treatment at Horton Mental Hospital. A separate villa in the hospital grounds was set apart for the work, and, through the interest, advice and help of Col. S. P. James, M.D., F.R.S., of the Ministry of Health, a laboratory was equipped and arrangements were made for the supply of malarial infective material to all parts of Great Britain. The work was begun in April, 1925, and during the seven years that have elapsed since then, 200 cases have been treated. These cases are all women, drawn from the various London County Mental Hospitals; recently, however, an annexe has been added to the centre, and facilities are now available for treating men also.

Community Psychiatry in London. A Three-Year Analysis

1969 ◽  
Vol 115 (521) ◽  
pp. 465-474 ◽  
Author(s):  
A. J. Oldham
Keyword(s):  
World War Ii ◽  
General Hospital ◽  
Mental Hospital ◽  
Psychiatric Patients ◽  
Full Range ◽  
Admission Rate ◽  
Mental Hospitals ◽  
Hospital Units ◽  
Psychiatric Units ◽  
Hospital Patients

The decade following the end of World War II saw a progressive rise in the admission rate to mental hospitals in this country. The population of mental hospitals rose to a peak of 152,000 in England and Wales in 1954, since when there has been a steady decline. These fluctuations have been analysed by such authors as Norton (1961) and Tooth and Brooke (1961). The latter attributed the more recent decline to increased efficiency of treatment and rehabilitation, and predicted a continued fall so reducing the mental hospital patients by about 1970 that they would be covered by an allocation of 1 · 8 beds per thousand population. Maclay (1963) believed this prediction to err if anything on the conservative side and the Ministry of Health (1962) based its plans for psychiatric beds upon this ratio. In these plans the Ministry accepted the thesis that short-stay psychiatric patients should preferably be treated in general hospital units near to their homes whilst patients needing a longer hospital stay should be catered for in specialized hospitals for that purpose. The prediction in the Ministry of Health's Hospital Plan (1962) that there would be a steadily declining mental hospital population has been severely criticized by Gore and Jones (1961) but supported by Orwin and Sim (1965) in their analysis of the effects of the provision of acute general hospital psychiatric units in the Birmingham area. The importance of accurately assessing the psychiatric hospital bed needs over the next twenty years, given a full range medical and ancillary services, is vital to future planning and has been much in the author's mind when writing this paper.

Long-term Psychiatric Patients in the Community

1986 ◽  
Vol 149 (5) ◽  
pp. 537-540 ◽  
Author(s):  
K. Jones ◽  
M. Robinson ◽  
M. Goughtlev
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Hospital ◽  
Psychiatric Patients ◽  
The United States ◽  
Review Of The Literature ◽  
Mental Hospitals ◽  
Health Review

The reduction of mental hospital populations in Britain and the United States has generated a considerable amount of literature on policy, but detailed studies of the effects on patients and the conditions under which they live after discharge are rare. In the United States, a National Institute of Mental Health review of the literature commented that “the question of what actually happens to patients who leave mental hospitals and re-enter the community is largely unanswered” (Bachrach, 1976).

Behavioral Disturbances of Dementia in the Nursing Home

1997 ◽  
Vol 8 (S3) ◽  
pp. 435-437 ◽  
Author(s):  
Barry W. Rovner
Keyword(s):  
Mental Illness ◽  
Nursing Home ◽  
Nursing Homes ◽  
Patient Population ◽  
Mental Hospital ◽  
Nursing Home Residents ◽  
Behavioral Disturbances ◽  
Mental Hospitals ◽  
Type Of Behavior

In the early part of this century, Alzheimer described a 51-year-old woman who experienced a rapidly increasing loss of memory. She could no longer find her way around her home. She carried objects back and forth, and hid them. At times, she thought someone wanted to kill her and began shrieking loudly. This type of behavior certainly would have been a strain for the woman's husband. If he could no longer care for his wife, his principal option was to place her in a mental hospital. Today, patients with Alzheimer's disease who require institutionalization are more likely to be admitted to a nursing home. However, because most patients in nursing homes have some type of mental illness, nursing homes, by default, serve as mental hospitals. The increasing number of nursing home residents with dementia prompted the author and colleagues to examine behavioral disturbances in this patient population.

A Special Mental Hospital Unit for the Treatment of Psychosis and Neurosis in Juveniles

1953 ◽  
Vol 99 (414) ◽  
pp. 123-129 ◽  
Author(s):  
Dalton E. Sands
Keyword(s):  
Mental Hospital ◽  
Psychiatric Illness ◽  
Adult Patients ◽  
Hospital Unit ◽  
Hospital Practice ◽  
Special Unit ◽  
The Past ◽  
Mental Hospitals ◽  
End Results

Since the treatment of juveniles as in-patients in a special unit is somewhat unusual in mental hospital practice, a brief introduction may not be out of place. These units might be considered as another development in a trend which has been progressing for the past 25 years. Until 1930 certification of all admissions to mental hospitals and a mainly custodial régime ensured the majority of patients being largely the end-results of psychiatric illness. Since 1930 the steadily increasing use of the voluntary system has brought many patients to hospital at a stage when their illness can be favourably influenced by modern therapeutic methods. An associated development was the increased provision of wards or units separate from the chronically disturbed cases, or even, as at this hospital, a complete villa system of detached and semi-detached wards for mainly voluntary adult patients.

A tribute to Johann Gottlieb Burckhardt-Heussler (1836–1907), the pioneer of psychosurgery

2016 ◽  
Vol 33 (S1) ◽  
pp. S553-S553 ◽  
Author(s):  
M. Arts ◽  
P. Michielsen ◽  
S. Petrykiv ◽  
L. de Jonge
Keyword(s):  
Significant Contribution ◽  
Psychiatric Patients ◽  
Brain Regions ◽  
Medical Community ◽  
Psychiatric Illnesses ◽  
Scientific Papers ◽  
Show Evidence ◽  
Competing Interest ◽  
Chronic Psychiatric Patients ◽  
Deep Brain

IntroductionJohann Gottlieb Burckhardt-Heussler was a Swiss psychiatrist, who pioneered controversial psychosurgical procedures. Burckhardt-Heussler extirpated various brain regions from six chronic psychiatric patients under his care. By removing cortical tissue he aimed to relieve the patients of symptoms, including agitation, rather than effect a cure.ObjectivesTo present the scientific papers of Johann Gottlieb Burckhardt-Heussler on psychosurgery.AimsTo review available literature and to show evidence that Burckhardt-Heussler made a significant contribution to the development of psychosurgery.MethodsA biography and private papers are presented and discussed, followed by a literature review.ResultsThe theoretical basis of Burckhardt-Heussler's psychosurgical procedure was influenced by the zeitgeist and based on his belief that psychiatric illnesses were the result of specific brain lesions. His findings were ignored by scientists to make them disappear into the mists of time, while the details of his experiments became murky. Decades later, it was the American neurologist Walter Freeman II, performing prefrontal lobotomies since 1936, who found it inconceivable that the medical community had forgotten Burckhardt-Heussler and who conceded that he was familiar with, and probably even influenced by, Burckhardt's work.ConclusionIt is partly thanks to Burckhardt-Heussler's pioneering work that modern psychosurgery has gradually evolved from irreversible ablation to reversible stimulation techniques, including deep brain stimulation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Validity and Clinical Scale Comparisons between the MMPI and MMPI-2 with Psychiatric Inpatients

1992 ◽  
Vol 70 (1) ◽  
pp. 323-332 ◽  
Author(s):  
Dudley David Blake ◽  
Phillip M. Kleespies ◽  
Walter E. Penk ◽  
Suellen S. Walsh ◽  
DeAnna L. Mori ◽  
...  
Keyword(s):  
Discriminant Function ◽  
Relative Stability ◽  
Patient Population ◽  
Psychiatric Patients ◽  
Special Populations ◽  
Clinical Scale ◽  
Acute Psychiatry ◽  
Highly Correlated ◽  
Discriminant Function Analyses

This study was designed to investigate the comparability of the original MMPI (1950) and the MMPI-2 (1989) with a psychiatric patient population. 34 male and 3 female patients, shortly after admission to one of two acute psychiatry units, completed the old and revised versions of the MMPI. Paired t tests indicated but scant differences for raw scores, while many more differences were found among T scores for validity, clinical, and supplemental scales. Analyses, however, showed all scales on the two forms to be highly correlated. Analysis of the high-point and two-point codes across the two administrations also showed relative stability, although the proportion of Scales 2 (Depression) and 8 (Schizophrenia) decreased, while those for Scales 6 (Paranoia) and 7 (Psychasthenia) increased markedly in the MMPI-2 protocols. Examination of each version's discriminability among mood- and thought-disordered subsamples suggested that the MMPI provides slightly better delineation between diagnostic classes. Discriminant function analyses showed that there were essentially no differences between the two forms in the accurate classification of clinical and nonclinical groups. The findings reported here provide support for the MMPI-2; despite modification, the newer form retains the advantages of the original MMPI. Differences found here may be unique to psychiatric patients and their patterns of MMPI/MMPI-2 equivalence and may not generalize to other special populations.

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