Admitting Mentally Ill Mothers with their Babies into Psychiatric Hospitals

1986 ◽  
Vol 10 (7) ◽  
pp. 169-172 ◽  
Author(s):  
R. Kumar ◽  
E. S. Meltzer ◽  
R. Hepplewhite ◽  
A. D. Stevenson
Keyword(s):  
Mentally Ill ◽  
Psychiatric Hospitals

scholarly journals Variables Associated with the Use of Coercive Measures on Psychiatric Patients in Spanish Penitentiary Centers

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
E. Girela ◽  
A. López ◽  
L. Ortega ◽  
J. De-Juan ◽  
F. Ruiz ◽  
...  
Keyword(s):  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychiatric Inpatient ◽  
Psychiatric Hospitals ◽  
Coercive Measure ◽  
Coercive Measures ◽  
External Assessment ◽  
Mechanical Restraint ◽  
The Family ◽  
Inpatient Units

We have studied the use of coercive medical measures (forced medication, isolation, and mechanical restraint) in mentally ill inmates within two secure psychiatric hospitals (SPH) and three regular prisons (RP) in Spain. Variables related to adopted coercive measures were analyzed, such as type of measure, causes of indication, opinion of patient inmate, opinion of medical staff, and more frequent morbidity. A total of 209 patients (108 from SPH and 101 from RP) were studied. Isolation (41.35%) was the most frequent coercive measure, followed by mechanical restraint (33.17%) and forced medication (25.48%). The type of center has some influence; specifically in RP there is less risk of isolation and restraint than in SPH. Not having had any previous imprisonment reduces isolation and restraint risk while increases the risk of forced medication, as well as previous admissions to psychiatric inpatient units does. Finally, the fact of having lived with a partner before imprisonment reduces the risk of forced medication and communication with the family decreases the risk of isolation. Patients subjected to a coercive measure exhibited a pronounced psychopathology and most of them had been subjected to such measures on previous occasions. The mere fact of external assessment of compliance with human rights slows down the incidence of coercive measures.

scholarly journals Your supported lodgings

1991 ◽  
Vol 15 (5) ◽  
pp. 270-271 ◽  
Author(s):  
C. E. Robson
Keyword(s):  
Social Services ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
Mentally Handicapped ◽  
England And Wales ◽  
Chronically Mentally Ill ◽  
Important Means ◽  
Successful Rehabilitation

Supported lodgings are an important means of achieving the successful rehabilitation and resettlement of the chronically mentally ill into the community (Anstee, 1978, 1985). In a survey of 15 psychiatric hospitals in England and Wales, it was estimated that 9.3% of the long-stay patients (i.e. in-patients from one to five years) under 65 years of age were ideally suited to less supervised accommodation outside the hospital. In Gloucestershire the Supported Lodging Scheme is provided by the Psychiatric Social Services Department. It was started to enable ‘new’ and ‘old’ long-stay patients at Coney Hill and Horton Road hospitals to be settled in the community. Now any psychiatric or mentally handicapped patient can also enter the scheme if appropriate.

scholarly journals The tasks of forensic psychopathology and its modern meaning for a doctor and a lawyer

2020 ◽  
Vol VI (2) ◽  
pp. a1-a42
Author(s):  
B. I. Vorotynsky
Keyword(s):  
Mentally Ill ◽  
Gradual Increase ◽  
Psychiatric Hospitals ◽  
Past Time ◽  
The Past ◽  
Statistical Studies

Over the past time, both in the general and in the special medical press, alarming voices have been heard louder and louder about the gradual increase in the number of mentally ill people among the population. This fact with constancy is also confirmed by the corresponding statistical studies and reports of psychiatric hospitals.

scholarly journals Current Epidemiological Features of Viral Hepatitis B and C, Tuberculosis and HIV Infection In Psychiatric Hospitals

2020 ◽  
pp. 32-39
Author(s):  
A. A. Asratyan ◽  
T. A. Semenenko ◽  
I. B. Kal’nin ◽  
O. A. Orlova ◽  
D. V. Soloviev ◽  
...  
Keyword(s):  
Drug Use ◽  
Hepatitis B ◽  
Pulmonary Tuberculosis ◽  
Hiv Infection ◽  
Viral Hepatitis ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
Medical Personnel ◽  
Intravenous Drug Use ◽  
Epidemiological Features

Background. Psychiatric hospitals, where patients with immunodeficiency often do not comply with basic preventive measures, as well as receiving a wide range of medical procedures, including parenteral ones, are the institutions of high risk of socially significant infections spreading.The aim was to study the current epidemiological features of parenteral hepatitis among various categories of mentally ill patients (with pulmonary tuberculosis and HIV infection) and medical personnel in a large psychiatric hospital.Materials and methods. Serological markers of hepatitis B (HB) and hepatitis C (HC) were determined in 8352 patients and 542 employees of a large psychiatric hospital using domestic diagnostic test systems.Results. Markers of HB and HC among patients were revealed in 7.2% of persons (HB — 2.8%, HC — 3.1%, and HB+HC — 1.4%). The analysis of sex, age and social characteristics of HBVand HCV-patients was conducted. Markers of HC were significantly more common in HIV-infected patients (44.4% of individuals); the main routes of transmission of HB and HC were intravenous drug use and sexual intercourse. Among patients with pulmonary tuberculosis, the maximum number of persons was found with markers of HB (44.3%) and HB+HC (38.2%); the main clinical form of pulmonary tuberculosis was represented by the infiltrative form (60.4%); in 53,7% of cases the bacillary forms were identified that pose a serious epidemiological risk in the spread of tuberculosis in the hospital. Analysis of the social structure showed that HBV+HC+HIV and pulmonary tuberculosis are characteristics of persons with aggravated social status. The most frequent factors of infection with HBV and HCV were longterm parenteral loading and intravenous drug use. The greatest factor of parenteral load was observed in mentally ill patients diagnosed with HB+HC accompanying tuberculosis. It was shown that the frequency of HBV and HCV markers detection among medical personnel depends on the department profile, work duration, frequency and risk of contact with blood during professional activity.Conclusion. A high level of comorbidity of mental disorders and socially significant infectious diseases (HIV infection, tuberculosis and HB and HC) has been established, which has a significant impact on the epidemic process of these infections. Preventive programmes established in hospitals and in the territories they serve should take into account their comorbidity. The necessity of specific and non-specific prevention of viral hepatitis in patients and medical staff of psychiatric hospitals is shown.

scholarly journals A psychiatric clinic for the single homeless in a primary care setting in Inner London

1990 ◽  
Vol 14 (5) ◽  
pp. 270-271 ◽  
Author(s):  
P. L. A. Joseph ◽  
J. A. Bridgewater ◽  
S. S. Ramsden ◽  
D. J. El Kabir
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Care Setting ◽  
Direct Evidence ◽  
Primary Care Setting ◽  
Psychiatric Morbidity ◽  
Psychiatric Hospitals ◽  
Psychiatric Clinic ◽  
The Uk ◽  
Reception Centre

It is well recognised that there is an increased psychiatric morbidity, in particular psychosis, personality disorder and substance abuse, among the single homeless (Lodge Patch et al, 1971). The reasons for this are complex. There is evidence that these people are mentally ill before becoming homeless and that their illness may be a cause of their homelessness. In a study of newly presenting patients at the DHSS Reception Centre in Camberwell, London, Tidmarsh & Wood found that 87% of those with mental illness had been staying recently with their families just before their first hospital admission, suggesting that mental illness may have led to homelessness in these patients (Tidmarsh & Wood, 1972). Although direct evidence is scant in the UK, it is felt that the closure of long-stay psychiatric hospitals could lead to some of their in-patients becoming homeless.

Medical-protective regime and its significance in the process of enforcement of compulsory medical measures in stationary conditions

2020 ◽  
pp. 18-28
Author(s):  
Александра Викторовна Васеловская
Keyword(s):  
Psychiatric Hospital ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
Legal Regulation ◽  
Compulsory Treatment ◽  
Scientific Methods ◽  
Logical Language ◽  
General Scientific ◽  
The Subject ◽  
Stationary Conditions

Применение принудительных мер медицинского характера в стационарных условиях влечет за собой изоляцию психически больного лица от общества посредством помещения его в психиатрический стационар на заранее не определенный срок. Применение данной меры связано с существенными ограничениями прав и свобод граждан, а потому требует четкой правовой регламентации. Предметом рассмотрения настоящей статьи стали вопросы правового регулирования порядка установления и обеспечения лечебно-охранительного режима психиатрического стационара, исполняющего принудительное лечение. В процессе работы над статьей были использованы как общенаучные (анализ, синтез), так и частнонаучные (формально-юридический, логико-языковой, статистические) методы, позволившие провести комплексный анализ категории «лечебно-охранительный режим» применительно к принудительным мерам медицинского характера. Исследование показало, что предусмотренные действующим уголовным законом типы психиатрических стационаров, исполняющих принудительное лечение, различаются между собой условиями пребывания в них психически больных лиц. Необходимость установления различных условий пребывания обусловлена, в свою очередь, разной степенью общественной опасности лиц, которым назначено принудительное лечение. Лечебно-охранительный режим устанавливает порядок пребывания лиц в отделениях для принудительного лечения и создает наиболее оптимальные и безопасные условия для лечения указанных лиц. С учетом представленных в статье выводов автором обосновывается позиция о необходимости закрепления в законе понятия лечебно-охранительного режима психиатрического стационара, исполняющего принудительные меры медицинского характера, а также необходимость разработки и принятия типовых правил внутреннего распорядка, определяющих особенности лечебно-охранительного режима в зависимости от типов психиатрических стационаров. The use of compulsory medical measures in stationary conditions entails the isolation of a mentally ill person from society by placing him in a psychiatric hospital for an indefinite period. The application of this measure has special restrictions on the rights and freedoms of people, and therefore requires clear legal regulation. The subject of this article is the issues of legal regulation of the procedure for establishing and ensuring the medical-protective regime of a psychiatric hospital performing compulsory treatment. In the process of work on the article there were used both general scientific methods (analysis, synthesis) and private scientific methods (formal-legal, logical-language, statistical), which made it possible to conduct a comprehensive analysis of the category "medical-protective regime" in relation to compulsory medical measures. The study showed that the types of psychiatric hospitals that perform compulsory treatment differ among themselves in the conditions of stay of mentally ill persons in them. The need to establish different conditions is due, in turn, to the different degree of social danger of persons who are assigned compulsory treatment. The medical-protection regime establishes the procedure for the stay of persons in departments for compulsory treatment and creates the most optimal and safe conditions for the treatment of these persons. Taking into account the conclusions presented in the article, the author substantiates the position concerning the necessity to consolidate in the law the concept of a medical-protective regime of a psychiatric hospital, performing compulsory medical measures. It is also necessary to develop and adopt standard internal regulations that determine the features of the medical-protective regime, depending on the types of psychiatric hospitals.

Community Integration of Elderly Mentally Ill Persons in Psychiatric Hospitals and Two Types of Residences

2003 ◽  
Vol 54 (5) ◽  
pp. 730-735 ◽  
Author(s):  
Marja F. I. A. Depla ◽  
Ron de Graaf ◽  
Jooske T. van Busschbach ◽  
Thea J. Heeren
Keyword(s):  
Mentally Ill ◽  
Community Integration ◽  
Psychiatric Hospitals ◽  
Mentally Ill Persons

An overview of jail-based competency restoration

CNS Spectrums ◽  
2019 ◽  
Vol 25 (5) ◽  
pp. 624-629
Author(s):  
Scott E. Kirkorsky ◽  
Mary Gable ◽  
Katherine Warburton
Keyword(s):  
United States ◽  
State Hospital ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
The United States ◽  
Competency Restoration ◽  
State Hospitals ◽  
Hospital Beds ◽  
Incompetent To Stand Trial ◽  
County Jails

Forensic populations in the United States are increasing, driven largely by a rise in individuals determined to be Incompetent to Stand Trial (IST). Across most states, including California, the number of mentally ill inmates awaiting competency restoration has increased dramatically in recent years. Traditionally, competency restoration has taken place in state hospitals, but incompetent inmates often experience a significant wait for state hospital beds because of the rising demand for beds in such facilities. The resulting waitlists, which range from days to months, have led to states being held in contempt of court for violating limits placed on how long incompetent defendants can be held in jail. Therefore, alternatives to state hospitalization for IST patients have been developed, including jail-based competency (JBCT) restoration programs. JBCT programs provide restoration services in county jails, rather than in psychiatric hospitals. The following article will review the nature of JBCT programs and will emphasize the structure and evolution of such programs within California.

scholarly journals Letter from Australia: mental healthcare in Victoria

2011 ◽  
Vol 17 (1) ◽  
pp. 2-4 ◽  
Author(s):  
David J. Castle
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Substance Use ◽  
Intellectual Disability ◽  
Mentally Ill ◽  
Mental Healthcare ◽  
Psychiatric Hospitals ◽  
Mental Illnesses ◽  
Government Agencies ◽  
The Past

SummaryMental health services in the state of Victoria, Australia, have undergone enormous change over the past 15 years, with the closure of all stand-alone psychiatric hospitals and a shift of resources and services into the community. Although successful overall, various areas cause concern, including pressure on acute beds, a paucity of alternative residential options, and suboptimal integration of government and non-government agencies concerned with the care of people with mental illnesses. Certain groups, notably those with complex symptom sets such as substance use and mental illness, intellectual disability and forensic problems, remain poorly catered for by the system. Finally, community stigma and lack of work inclusion for mentally ill individuals are ongoing challenges.

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