Suicide Prevention

1992 ◽  
Vol 160 (2) ◽  
pp. 149-153 ◽  
Author(s):  
H. G. Morgan
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Suicide Prevention ◽  
Mental Hospital ◽  
Community Care ◽  
District General Hospital ◽  
Residential Area ◽  
Psychiatric Services ◽  
Local District ◽  
Health Centres

In 1989 a crisis occurred in a West Country seaside town. Its psychiatric services had been regarded as a vanguard of community care, having been fully established some three years previously when the in-patient facilities which had been based in a mental hospital some 15 miles away were closed. The framework of the new-style service consisted of five mental health centres scattered throughout the residential area and a 60-bed in-patient unit, based in the grounds of the local district general hospital.

Psychiatric Units in District General Hospitals and Traditional Mental Hospitals: Some Recent Evidence

1982 ◽  
Vol 140 (2) ◽  
pp. 160-165 ◽  
Author(s):  
S. Mahadevan ◽  
D. P. Forster
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Mental Hospital ◽  
Routine Data ◽  
District General Hospital ◽  
Organizational Structures ◽  
General Hospitals ◽  
Psychiatric Units ◽  
Patient Service ◽  
The Way

SummaryUsing routine data from the Mental Health Enquiry, the work of two district general hospital (DGH) units and a mental hospital was examined. There was a marked difference in the way the two DGH units operated and between the way the mental hospital worked as support hospital or as independent complete in-patient service. The operational policy practised by psychiatrists is more important than the structure of the system. It is important to establish sensitive policies for a wide variety of organizational structures.

Use of Psychiatric Services by the Elderly in Canada

1985 ◽  
Vol 30 (2) ◽  
pp. 89-97 ◽  
Author(s):  
Alex Richman
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
New Brunswick ◽  
General Hospital ◽  
Mental Hospital ◽  
Service Use ◽  
The Elderly ◽  
Psychiatric Services ◽  
Level Of Care

There is increasing emphasis on identifying mental disorders in the elderly and developing appropriate mental health services. However, there are few quantitative studies on service use by the elderly. This paper gives a national perspective on the use of psychiatric services by the aged in Canada, and details two of the health care studies used to assess their mental health needs in southern New Brunswick. The elderly now make up a higher proportion of the long-term mental hospital population than they did 20 years ago. Despite the increase in number of short-stay general hospital psychiatric units, there are still marked differences in their use by the elderly. There is a marked decrease in short-term psychiatric in-patient care after the sixth decade. As well there are marked regional variations. The results of a Level of Care Survey in a New Brunswick mental hospital shows the discrepancies between the needs for care and the level of care actually received. In comparison with other patient sub-groups, elderly long-stay mental hospital patients had the highest proportion (79%) deemed suitable for care in alternative settings outside the hosptial. The anonymized merged statistical file revealed that the elderly mentally ill were more likely to be identified and cared for within non-specialized wards of general hospitals, and least likely to have contact with mental health clinics. Instead of adding new services to the existing system, reallocation and redirection of existing resources are crucial strategies in improving the mental health services for the elderly. The general hospital is an important area for psychiatric consultation and back-up to primary care services.

scholarly journals Impact of COVID ‐19 on glycaemic control: a retrospective cohort study in a local district general hospital

2020 ◽  
Vol 37 (5) ◽  
pp. 164-167
Author(s):  
Aaisha Saqib ◽  
Pratik Solanki ◽  
Matthew Carroll ◽  
Andrew Gough ◽  
Victor Oguntolu
Keyword(s):  
Cohort Study ◽  
Glycaemic Control ◽  
General Hospital ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
District General Hospital ◽  
Local District

scholarly journals Closure of Large Mental Hospitals—Practicable or Desirable?

1985 ◽  
Vol 9 (7) ◽  
pp. 130-134 ◽  
Author(s):  
Rosalind C. S. Furlong
Keyword(s):  
Psychiatric Hospital ◽  
Mental Hospital ◽  
Community Care ◽  
Psychiatric Service ◽  
Psychiatric Services ◽  
View Point ◽  
Mental Hospitals ◽  
Objective Research ◽  
Made In

The move towards community care essentially aims at the provision of a comprehensive psychiatric service in each District with facilities for the chronically disabled based outside the hospital for the greater part. Parallel with this move runs the aim to close all large mental hospitals. The present debate centres around the extent to which we can move towards a system of comprehensive District psychiatric services alone at this stage in time and the question of whether it is desirable to abandon totally the large psychiatric hospital style of care. The brief of this paper is to summarize the reasons for concern about a wholesale move towards District-based services from the large mental hospital from the psychiatrists' view-point. Unfortunately, much of the debate is based on speculation because of the experimental nature of this move and the fact that objective research is lacking on any changes already made in this country.

Psychiatric intensive care after two years

1989 ◽  
Vol 13 (8) ◽  
pp. 421-422 ◽  
Author(s):  
J. M. O'Dwyer ◽  
B. S. Mann
Keyword(s):  
Mental Health ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
General Hospital ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
District General Hospital ◽  
Descriptive Study ◽  
Psychiatric Unit ◽  
Health Authorities

The following is a descriptive study of Willoughby Ward, a psychiatric intensive care unit, opened in Parkside Hospital, Macclesfield, in July 1986. It provides a moderately secure facility for the treatment of psychiatric patients within both Crewe and Macclesfield Health Authorities. The unit has 15 beds, of which two are funded and used by Crewe area, where, unlike Macclesfield, the psychiatric unit is located in the district general hospital. Managed as a locked ward, the patients are admitted under the provisions of the Mental Health Act 1983. As well as being mentally ill as defined in the Act, the patients were disturbed to a degree as to be unmanageable in open conditions.

scholarly journals Developing case management for the long-term mentally ill

1993 ◽  
Vol 17 (7) ◽  
pp. 409-411 ◽  
Author(s):  
Richard Ford ◽  
Alan Beadsmoore ◽  
Paul Norton ◽  
Anna Cooke ◽  
Julie Repper
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Community Care ◽  
Chronically Ill ◽  
Integrated Services ◽  
Psychiatric Services ◽  
Health Policies ◽  
Mental Health Policies ◽  
Bed Numbers

Mental health policies and the focus of psychiatric services have shifted over the last three decades from hospital to community care. Greater care in the community and reduced psychiatric bed numbers have contributed to the discharge or non-admission of many patients with severe and persistent disorders who formerly would have been cared for in hospital. Increasing numbers of the chronically ill in the community will necessitate the development of systems to provide continuous and integrated services for such people.

scholarly journals 860 Distal Radius Fracture Management in A DGH Do the Guidelines Fit?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Thumbadoo ◽  
B Patel ◽  
J Fennelly ◽  
S Kitaoka ◽  
F Adamu-Biu ◽  
...  
Keyword(s):  
General Hospital ◽  
Distal Radius ◽  
Regional Anaesthesia ◽  
District General Hospital ◽  
Smartphone Application ◽  
Great Difficulty ◽  
Distal Radial Fractures ◽  
Local District ◽  
Retrospective Audit ◽  
Fracture Management

Abstract Aim Distal radial fractures are common injuries within adults at a variety of ages. The best treatment option remains a debated subject. The BOAST guidelines aim to guide the initial management of these fractures in the emergency department we audited against these guidelines in a local district general hospital. Method A retrospective audit was performed of adult patients with distal radius fractures who attended in December 2019, at a local district General Hospital. Patients were identified by using the Orthopaedic Take lists. Notes were reviewed for patient demographics, quality of documentation of neurovascular status, documentation of fracture information, including further management. Results There were 16 cases identified, 87.5% were female with mean age of 63 with over 56 % in the over 65s category. Only 19% of cases had appropriately documented neurovascular status. 57% were lacking specific documentation of each nerve as per BOAST guidelines, as well as 57% had no documentation of radial pulse. With regards to reductions undertaken in ED only 44% were documented if reduction took place. Of the reductions that were documented 66% documented type of analgesia used. 17% used regional anaesthesia as preferred in BOAST guidelines. Conclusions Overall compliance with BOAST guidelines was poor. Several areas to improve were seen, for which the recent launch of a new in-house smartphone application is aimed to improve access to BOAST guidelines. There was great difficulty in achieving the BOAST guidance with regards to the use of regional anaesthesia, nationally most A&E departments reduce these fractures under a haematoma block.

scholarly journals Meeting the Need—from Institutional to Community Care

1987 ◽  
Vol 11 (11) ◽  
pp. 373-374
Author(s):  
Rhinedd Toms
Keyword(s):  
Mental Health ◽  
Psychiatric Hospital ◽  
Community Care ◽  
Psychiatric Services

Severalls Hospital is a large psychiatric hospital, established in 1913 and originally designed for about 2000 patients. With the changes in attitudes to mental health over the last 70 years the hospital's aims and objectives have altered several times. Now, with the number of in-patients already reduced to approximately 650 and the movement to run down large hospitals such as this, preparation needs to be made for the shift to the community as the main future base for psychiatric services. Over the years the hospital has recognised the importance of preserving close links with the patient's home and has always maintained that regular activity and work is vital in the process of re-establishing patients in the community and in employment.

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