Community Care of the Acutely Mentally Ill

1986 ◽  
Vol 149 (2) ◽  
pp. 137-144 ◽  
Author(s):  
John Hoult

Deinstitutionalisation is a two-part process: the first involves discharging patients from hospital to the community, which has been done in many countries. The second part—the provision of adequate resources for good community care—has still to materialise almost everywhere. In New South Wales, the inpatient mental hospital population dropped by two-thirds in 20 years, yet the total number of hospital staff increased considerably during this time; on the other hand, in the community, where most of the patients are, there are relatively few staff. This has important consequences: it means that for many patients, their episode of illness has to progress unchecked until it is of sufficient severity for them to be admitted to hospital. When that happens, there will then be enough staff to give them good quality care, so that their symptoms can subside, but afterwards there will again be hardly anyone available to help maintain them and to prevent relapse.

2005 ◽  
Vol 29 (8) ◽  
pp. 309-311 ◽  
Author(s):  
Peter Kennedy

On a recent visit to Japan, I saw some good quality care of patients with chronic schizophrenia in a rural mental hospital. The Japanese staff were keen to hear about community care alternatives being developed in Britain. However, being a strong protagonist of community care, who has managed the closure of three English mental hospitals, I found myself recommending caution. There are lessons for Japan from the mistakes we have made; and there may be lessons for us in the ways Japan manages delivery of its mental health services.


1997 ◽  
Vol 20 (1) ◽  
pp. 129 ◽  
Author(s):  
John Daly ◽  
Lynne Adamson ◽  
Esther Chang

The aim of this pilot research project was to identify the research and educationalpriorities of occupational therapists practising in rural New South Wales. Eightparticipants were recruited in the south-western region of the State. The Delphitechnique was used to obtain the most reliable consensus of the research participants.Priorities emerged in four designated areas: (1) research that would be of value toclients; (2) research that would be of value in providing community care for clients;(3) research that would be of value in facilitating health promotion and diseaseprevention; and (4) research that would be of value to professional and educationalneeds. In the final phase of the study, 23 high priorities were identified. The findingsof the study suggest directions for research and continuing education in occupationaltherapy which may benefit rural practitioners and their clients.


1995 ◽  
Vol 19 (1) ◽  
pp. 45-47 ◽  
Author(s):  
John Hambridge ◽  
Nicola Watt

The New South Wales Mental Health Act (1990) heralded a number of important changes to mental health legislation in the state. One of these was the option to give compulsory treatment to mentally ill clients living in the community. This article briefly explains community treatment under the Act, and the perceived benefits and the limitations of such legislation. A case example is used to illustrate some of these points. Involuntary community treatment is seen as a less restrictive alternative to hospitalisation for a number of mentally ill clients, but the use of such provisions demands significant resources from the supervising agency.


2001 ◽  
Vol 14 (2) ◽  
pp. 175 ◽  
Author(s):  
Andrew C. Rozefelds ◽  
Richard W. Barnes ◽  
Belinda Pellow

The vegetative and reproductive morphology of Vesselowskya Pampanini, southern marara, is described and illustrated in detail. The variation within V. rubifolia (F.Muell.) Pampanini sens. lat. is shown to be greater than has previously been recognised, with the differences identified supporting the recognition of a new segregate species, V. venusta Rozefelds, R.W.Barnes and Pellow sp. nov. Vesselowskya venusta occurs in the Barrington Tops Plateau of New South Wales and differs from V. rubifolia in possessing hairs on the abaxial surface of the sepals and lacking both a prominent distal connective protrusion on the anthers and colleters at the base of the stipules. The two Vesselowskya species are dioecious with a vestigial ovary in staminate flowers and reduced stamens in pistillate flowers. Dioecy is more pronounced in Vesselowskya, than in some Weinmannia species, and in both genera is expressed through reduction in the size of the ovaries in staminate flowers, and stamens in pistillate flowers. Vesselowskya shares with the other genera in the tribe Cunonieae (Pancheria, Weinmannia and Cunonia), a central column in the fruits, and Cunonia-type stipules, but differs from these genera in having valvate aestivation, digitate leaves, craspedodromous secondary venation with secondary veins terminating at a tooth, tuft domatia along the midrib, adaxial epidermal cells with strongly sinuous cell walls and the absence of hydathodes.


1969 ◽  
Vol 9 (40) ◽  
pp. 541 ◽  
Author(s):  
PW Grogan ◽  
DS Teakle

Seven out of eight maize inbred lines developed at Lawes in Queensland from open-pollinated varieties were resistant to maize dwarf mosaic disease when exposed to natural infection in the field. Five of the seven resistant inbred lines failed to become systemically infected when inoculated with infectious sap in the glasshouse. By contrast, only three out of twenty lines introduced from the U.S.A., and two out of eight lines developed at the Grafton and Glen Innes Breeding Stations in New South Wales, were resistant in the field. All three resistant lines from the U.S.A. were systemically infected when inoculated in the glasshouse, but the two resistant lines from Grafton in New South Wales were not. The resistant Lawes and Grafton maize inbred lines would appear to be better sources of genes conferring resistance to maize dwarf mosaic disease than the other lines tested.


1967 ◽  
Vol 7 (24) ◽  
pp. 7 ◽  
Author(s):  
P McInnes ◽  
TJ Grainger ◽  
MD Smith

Data are presented on the recovery and reproductive performance of 2 1/2-year-old maiden Merino ewes after a prolonged period of undernutrition. The 217 sheep had been hand-fed on a submaintenance ration in pen feeding trials at Glenfield, New South Wales. During the seven months of the trials they had lost 6 kg (28 to 22 kg) body weight. They were transported to Condobolin in south-western New South Wales, divided into two treatment groups and run on good quality pastures. One group was joined immediately (May 1959) and again ten months later, and the other group was mated after six months at Condobolin (in October 1959) and again 12 months later. The ewes recovered rapidly. The mean weight of both groups had reached 30 kg within six weeks and 40 kg within six months. In the first year 73 of the 100 May-mated ewes bore lambs, but only 38 of these lambs were weaned. Ewes bearing lambs had a higher body weight at the start of joining and gained more during joining than the barren ewes. At the other three joinings (October 1959, May 1960, October 1960) lambing percentage was from 86-89 and weaning percentage from 62-69-both normal for the district. The proportion of twin lambs (3-6 per cent) was low. Wool weight in 1959 was not affected by time of mating or by pregnancy.


Soil Research ◽  
1976 ◽  
Vol 14 (3) ◽  
pp. 381 ◽  
Author(s):  
GJ Osborne

Six surface and subsoils known to contain native intercalary ammonium were examined to assess the importance of ammonium fixation when nitrogen fertilizers were applied, the availability of native and recently fixed intercalary ammonium to plants, and the effect of potassium on fixation. Only one soil, a grey soil of heavy texture (Ug 5.4), fixed significant amounts of added ammonium sulphate, the level of intercalary ammonium being increased by 55 % in the surface and 100% in the subsoil. The native level of intercalary ammonium was reduced by 8 and 17% by the growth of plants in the red-brown earth (Dr 2.23) and the grey soil of heavy texture, respectively, but was unchanged in the other soils. The addition of small amounts of potassium prior to the ammonium did not affect fixation; however, additions of 500 ppm reduced the fixation of a 200 ppm solution of ammonium by 80 %. Intercalary ammonium is not considered to be important in the nitrogen economy of five of the six major farming soils of the slopes and plains area of southern New South Wales. The sixth, the grey soil of heavy texture, is an alluvium associated with the Murrumbidgee River and its tributaries, and as such is used extensively for irrigated agriculture. Because this soil can fix large amounts of ammonium, the use of ammonium or ammonium forming fertilizers is not recommended.


1998 ◽  
Vol 25 (4) ◽  
pp. 409 ◽  
Author(s):  
Damon L. Oliver

The dietary items fed to regent honeyeater, Xanthomyza phrygia, nestlings and fledglings by adults were recorded in two consecutive breeding seasons in the Bundarra–Barraba region west of Armidale, New South Wales. Insects were the most common dietary items fed to juveniles (53% of identified items), followed by lerp (26.5%) and nectar (20.5%). Nestlings were fed mostly insects (58% of feeds), and carbohydrates (nectar and lerp) made up the rest of their diet. Fledglings, however, were fed mainly carbohydrates (nectar and lerp comprised 61.2% of all items) while protein from insects was the other major component of their diet. Males tended to feed juveniles more insects than did females, although there were no significant divisions of labour between parents in selecting dietary items for nestlings or fledglings. This study highlights the importance of insects and lerp in the diet of juvenile regent honeyeaters, and the diversity of plant species on which their parents foraged. The species shows a broader resource selection than was found in previous studies which considered the species to be highly nectarivorous and selective for a few key eucalypt species. The importance of insects and carbohydrates other than nectar in the diet of the regent honeyeater needs to be recognised in the development of conservation strategies for the species.


Zootaxa ◽  
2007 ◽  
Vol 1441 (1) ◽  
pp. 1-19
Author(s):  
DAVID T. DRUMM

Two new species of kalliapseudid tanaidacea from Australia, Kalliapseudes longisetosus and Kalliapseudes messingi, are described from marine waters off Sydney, New South Wales and the Northwest continental shelf, respectively. Kalliapseudes longisetosus is distinguished from the other congeners by the presence of a single, very long simple seta on the anterior corners of the pereonites (about as long as the first pereonite) and several very long simple setae on the basis of the second and third pereopods (about as long as the basis). This new species is the second member of the genus to be reported from New South Wales. Kalliapseudes messingi is distinguished by having two small setae medially on the dactylus of pereopods 4 and 5, by the female having a tuft of sensory setae subterminally on the dactylus of pereopod 6, and by having three plumose setae on both the cheliped and pereopod 1 exopodite and is the first member of the genus to be reported from the Northwest continental shelf of Australia. Both species have a needle-like tip on the dactylus of the second and third pereopods. A table giving the distribution data for the species of Kalliapseudes and a key to the genera and species of Kalliapseudidae now known from Australia are presented.


Two specimens of this curious animal, lately brought from New South Wales, the one male and the other female, and both full grown and perfect, having been submitted to the inspection and close examination of Mr. Home, by Sir Joseph Banks, this gentle­man has availed himself of the favourable opportunity to draw up the full account of all that is hitherto known concerning its habits, of its external appearance, and internal structure now before us. The animal has hitherto been only found in the fresh-water lakes, in the interior parts of the above-mentioned country. It does not swim upon the surface of the water, but comes up occasionally to breathe. It chiefly inhabits the banks of these lakes, and is supposed to feed in the muddy places which surround them; but the particular kind of food on which it subsists is not known.


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