scholarly journals Emergency work at an Inner London psychiatric hospital: a study of assessments made over six months

1993 ◽  
Vol 17 (2) ◽  
pp. 84-86 ◽  
Author(s):  
M. A. McPhillips ◽  
S. A. Spence
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
The Uk

Following the introduction of a 24 hour Emergency Clinic at the Maudsley Hospital in 1952, psychiatric hospitals across the UK have come to offer a similar but often smaller service.

scholarly journals Staff attitudes to a psychiatric hospital closure

1997 ◽  
Vol 21 (3) ◽  
pp. 139-141
Author(s):  
Nick Ardagh-Walter ◽  
Prakash Naik ◽  
David Tombs
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Staff Attitudes ◽  
Staff Morale ◽  
Hospital Closures ◽  
Factors Influencing ◽  
Hospital Closure ◽  
Future Hospital ◽  
The Uk ◽  
Enoch Powell

Many psychiatric hospitals in the UK have closed. Factors influencing staff morale around the time of a hospital closure will affect the functioning of that institution. This study surveyed staff anxieties, attitudes and expectations in a major psychiatric hospital three weeks prior to its closure. We found evidence of widespread denial despite energetic dissemination of information. There were also significant differences between staff groups. Our findings will have implications for the management of future hospital closures.“We have to get it into our heads that a hospital is like a shell, a framework to contain certain processes, and when the processes are superseded, the shell must, most probably, be scrapped and the framework dismantled” (Enoch Powell, 1961).

Architecture as change-agent? Looking for innovation in contemporary forensic psychiatric hospital design

2020 ◽  
pp. medhum-2020-011887
Author(s):  
Rebecca Mclaughlan ◽  
Codey Lyon ◽  
Dagmara Jaskolska
Keyword(s):  
Psychiatric Hospital ◽  
Mental Healthcare ◽  
Psychiatric Hospitals ◽  
Advisory Panel ◽  
Design Practice ◽  
Hospital Design ◽  
Hospitalised Patients ◽  
The Usa ◽  
Forensic Psychiatric ◽  
The Uk

History suggests that departures from accepted design practice can contribute to positive change in the delivery of mental healthcare, the daily experience of hospitalised patients and public perceptions of mental illness. Yet the question of how architecture can support the therapeutic journey of patients remains a critical one. The availability of evidence-based design literature to guide architects cannot keep pace with growing global demand for new forensic psychiatric hospital facilities. This article reports a global survey of current design practice to speculate on the potential of three new hospitals to positively improve patient experience. A desktop survey was conducted of 31 psychiatric hospitals (24 forensic, 7 non-forensic) constructed or scheduled for completion between 2006 and 2022. This was supplemented by advisory panel sessions with clinical/facilities staff, alongside architectural knowledge obtained through workshops with architects from the UK and the USA, and the inclusion of Australian architects on the research team. Data analysis draws on knowledge from architectural practice, architectural history and environmental psychology, arguing that there is a responsibility to integrate knowledge from across these disciplines in respect of such a pressing and important problem.

scholarly journals Family involvement and patient-experienced improvement and satisfaction with care: a nationwide cross-sectional study in Danish psychiatric hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie Louise Svendsen ◽  
Trine Ellegaard ◽  
Karoline Agerbo Jeppesen ◽  
Erik Riiskjær ◽  
Berit Kjærside Nielsen
Keyword(s):  
Psychiatric Hospital ◽  
Hospital Care ◽  
Psychiatric Hospitals ◽  
Cross Sectional Study ◽  
Satisfaction With Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Caregiver Relationship ◽  
Patient Reported ◽  
Caregiver Involvement

Abstract Background Randomised controlled trials suggest that family therapy has a positive effect on the course of depression, schizophrenia and anorexia nervosa. However, it is largely unknown whether a positive link also exists between caregiver involvement and patient outcome in everyday psychiatric hospital care, using information reported directly from patients, i.e. patient-reported experience measures (PREM), and their caregivers. The objective of this study is to examine whether caregiver-reported involvement is associated with PREM regarding patient improvement and overall satisfaction with care. Methods Using data from the National Survey of Psychiatric Patient Experiences 2018, we conducted a nationwide cross-sectional study in Danish psychiatric hospitals including patients and their caregivers who had been in contact with the hospital (n = 940 patients, n = 1008 caregivers). A unique patient identifier on the two distinct questionnaires for the patient and their caregiver enabled unambiguous linkage of data. In relation to PREM, five aspects of caregiver involvement were analysed using logistic regression with adjustment for patient age, sex and diagnosis. Results We consistently find that high caregiver-reported involvement is statistically significantly associated with high patient-reported improvement and overall satisfaction with care with odds ratios (OR) ranging from 1.69 (95% confidence interval (CI) 0.95–2.99) to 4.09 (95% CI 2.48–6.76). This applies to the following aspects of caregiver-reported involvement: support for the patient-caregiver relationship, caregiver information, consideration for caregiver experiences and the involvement of caregivers in decision making. No statistically significant association is observed regarding whether caregivers talk to the staff about their expectations for the hospital contact. Conclusion This nationwide study implies that caregiver involvement focusing on the patient-caregiver relationship is positively associated with patient improvement and overall satisfaction with care in everyday psychiatric hospital care.

scholarly journals Executives have taken over the asylum: the fate of 71 psychiatric hospitals

2003 ◽  
Vol 27 (6) ◽  
pp. 227-229 ◽  
Author(s):  
Robert Chaplin ◽  
Steve Peters
Keyword(s):  
Psychiatric Hospitals ◽  
Descriptive Data ◽  
Mental Hospitals ◽  
The Uk

This article gives an account of a 2-year project to establish the fate of the mental hospitals in three areas of the UK. There were two aims: to determine the proportion of mental hospitals that are currently open and to provide descriptive data on the fate of those that had closed.

Forensic care in Germany

2017 ◽  
Vol 41 (S1) ◽  
pp. S61-S61
Author(s):  
H. Dressing ◽  
H.J. Salize
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Epidemiological Data ◽  
Mentally Ill Offenders ◽  
Legal Regulations ◽  
Forensic Patients ◽  
Penal Law ◽  
Forensic Psychiatric ◽  
Competing Interest ◽  
Legal Frameworks

Although the idea that offenders suffering from a mental disorder must primarily be considered as ill and should therefore be exempted from punishment is of considerable antiquity legal frameworks and key concepts, which are applied in this field, differ widely in European Union member States. The respective legal regulations and epidemiological data of Germany will be presented.In German penal law the question of the guilt of an offender is of central significance. Legal regulations on the placement and treatment of mentally ill offenders in a forensic psychiatric hospital are subsumed under the section “Measures on improvement and safety”. Section 63 of the German penal law provides for the temporally unlimited commitment to a forensic- psychiatric hospital.In accordance with section 64 of the German penal law addicted offenders can be committed to a detoxification center for a period of up to two years. The available epidemiological data show a clear increase in the admissions to forensic psychiatric hospitals and to detoxification centers since beginnings of the 1990s. Recently the German parliament passed a new law. The aim of the new law is to strengthen patients’ rights and to diminish the number of forensic patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Readmission after discharge from a medium secure unit

2013 ◽  
Vol 37 (4) ◽  
pp. 124-129 ◽  
Author(s):  
Martin Clarke ◽  
Conor Duggan ◽  
Clive R. Hollin ◽  
Nick Huband ◽  
Lucy McCarthy ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Patient Treatment ◽  
Multiple Sources ◽  
Long Term Follow Up ◽  
Secure Unit

Aims and methodWe examined readmission to psychiatric hospital of 550 patients discharged from one medium secure unit over 20 years. Multiple sources were used to obtain readmission data.ResultsReadmission was common, particularly to non-secure psychiatric hospitals. At least 339 patients (61.6%) were readmitted to any psychiatric hospital (mean follow-up 9.5 years), with over a third (37.6%) subsequently being readmitted to medium- or high-security or both. Of those discharged directly to the community, having previous in-patient treatment and a Mental Health Act classification of mental illness were associated with shorter time to first readmission.Clinical implicationsThe long-standing nature of disorders is evident in the high rates of readmission overall and the need for readmission to medium and high secure services, suggesting that these patients require long-term follow-up and support from mental health services.

scholarly journals Early Intervention Services for First Episode of Psychosis in South London and the Maudsley (SLaM): 20 Years of Care and Research for Young People

2020 ◽  
Vol 11 ◽  
Author(s):  
Paolo Fusar-Poli ◽  
Serena Lai ◽  
Marta Di Forti ◽  
Eduardo Iacoponi ◽  
Graham Thornicroft ◽  
...  
Keyword(s):  
Early Intervention ◽  
Clinical Research ◽  
Psychiatric Hospitals ◽  
First Episode ◽  
Scientific Publications ◽  
Early Intervention Services ◽  
White Ethnicity ◽  
Service Characteristics ◽  
Accident And Emergency ◽  
The Uk

Introduction: Early Intervention for a first episode of Psychosis (EI) is essential to improve outcomes. There is limited research describing real-world implementation of EI services.Method: Analysis of service characteristics, outcomes (described through a retrospective 2007–2017 Electronic Health Record (EHR) cohort study) and clinical research relating to the first 20 years of implementation of EI services in South London and Maudsley (SLaM) Trust.Results: SLaM EI are standalone services serving 443,050 young individuals in South-London, where (2017) incidence of psychosis (58.3–71.9 cases per 100,000 person-years) is greater than the national average. From 2007–2017 (when the EHR was established), 1,200 individuals (62.67% male, mean age 24.38 years, 88.17% single; two-thirds of non-white ethnicity) received NICE-compliant EI care. Pathways to EI services came mainly (75.26%) through inpatient (39.83%) or community (19.33%) mental health services or Accident and Emergency departments (A&E) (16%). At 6 year follow-up 34.92% of patients were still being prescribed antipsychotics. The 3 month and 6 year cumulative proportions of those receiving clozapine were 0.75 and 7.33%; those compulsorily admitted to psychiatric hospitals 26.92 and 57.25%; those admitted to physical health hospitals 6.83 and 31.17%, respectively. Average 3 months and 6 year days spent in hospital were 0.82 and 1.85, respectively; mean 6 year attendance at A&E was 3.01. SLaM EI clinical research attracted £58 million grant income and numerous high-impact scientific publications.Conclusions: SLaM EI services represent one of the largest, most established services of its kind, and are a leading model for development of similar services in the UK and worldwide.

Changes in the Administrative Incidence of Schizophrenia

1991 ◽  
Vol 159 (6) ◽  
pp. 811-816 ◽  
Author(s):  
Glynn Harrison ◽  
J. E. Cooper ◽  
Richard Gancarczyk
Keyword(s):  
At Risk ◽  
Psychiatric Hospitals ◽  
Case Register ◽  
Admission Rates ◽  
First Onset ◽  
Administrative Incidence ◽  
Substantial Decline ◽  
The Uk ◽  
Different Parts ◽  
First Admission

First-admission rates to psychiatric hospitals, and data from certain psychiatric case registers suggest that there may have been a substantial decline in the administrative incidence of schizophrenia in recent years. However, data from the Nottingham case register show that rates for first-onset schizophrenia remained stable between 1975 and 1987. It is suggested that variations in trends between different parts of the UK may be partly explained by differences in the proportion of migrants and their children in the population at risk.

scholarly journals ‘Heading up a blind alley’? Scottish psychiatric hospitals in the era of deinstitutionalization

2016 ◽  
Vol 28 (1) ◽  
pp. 115-128 ◽  
Author(s):  
Vicky Long
Keyword(s):  
Institutional Care ◽  
Psychiatric Hospitals ◽  
Blind Alley ◽  
Department Of Health ◽  
Institutional Services ◽  
1960S And 1970S ◽  
Post War ◽  
The 1960S ◽  
The Uk ◽  
The City

This article examines Scottish provision of psychiatric care in the 1960s and 1970s. It demonstrates that institutional services did not rapidly disappear across the UK following the Ministry of Health’s decision to shut down psychiatric hospitals in 1961, and highlights Scotland’s distinctive trajectory. Furthermore, it contends that psychiatric hospitals developed new approaches to assist patients in this era, thereby contributing towards the transformation of post-war psychiatric practice. Connecting a discussion of policy with an analysis of provision, it examines the Department of Health for Scotland’s cautious response to the Ministry’s embrace of deinstitutionalization, before analysing Glasgow’s psychiatric provision in the 1970s. At this point the city boasted virtually no community-based services, and relied heavily on its under-resourced and overburdened hospitals. Closer analysis dispels any impression of stagnation, revealing how ideologies of deinstitutionalization transformed institutional care.

scholarly journals Psychosocial and Demographic Variables as Correlates of Patterns of Substance Abuse among in-Patients in Two Selected Neuro-Psychiatric Hospitals in South-West, Nigeria

2020 ◽  
pp. 65-76
Author(s):  
Quamariyat Adekemi Akinlawon ◽  
Christiana Obiageli Emeghara ◽  
Christian C. C. Asonye ◽  
Olawale Rasheed Oladapo ◽  
Okechukwu Emeghara
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Psychiatric Hospital ◽  
Significant Influence ◽  
Demographic Factors ◽  
Psychiatric Hospitals ◽  
Demographic Variables ◽  
Psychoactive Substance ◽  
Social Psychological ◽  
Psychoactive Substance Use

Aims: The study main objective is to access psychosocial and demographic variables as correlates of patterns of psychoactive substance abuse among patients admitted to drug treatment centers in two federal mental health institutions in Nigeria. Study Design: Descriptive correlational research design. Place and Duration of Study: Neuropsychiatric Hospital (Aro & Lantoro Annex) Abeokuta and Federal Neuro Psychiatric Hospital, Yaba, Lagos in February 2018. Methodology: The sample size for this study comprises 224 patients admitted for treatment due to psychoactive substance abuse at the Neuropsychiatric Hospital (Aro & Lantoro Annex) Abeokuta and Federal Neuro Psychiatric Hospital, Yaba, Lagos. A self-developed, pre-tested semi structured interviewer administered questionnaire was used to collect data on psychosocial and demographic variables that may explain the patterns of substance abuse among. Data were analysed using descriptive and inferential statistics at 0.05 level of significance. Results: The study found that social, psychological and demographic factors have significant influence on psychoactive substance use (F (6, 213) =23.214, P=0.07), Adj R2 = .158 (F (3, 216) =33.193, P=0.000), Adj R2 = .104, (F (6, 213) =10.101, P=0.031), Adj R2 = .062 respectively. Social factors of accessibility, family usage, affordability and peer usage exerted positive impact on psychoactive substance use β = .81, P = 000, β =.127, P = .037, β = .118, P = 0.011 and β = .139, P = .009 respectively. The psychological factors of perception, impulsivity and self- gratification exerted positive and significant influence on psychoactive substance use β = .148, P = 047, β =.197, P = .000 and β = .107, P = 0.03 respectively. Demographic factors age (x2 = 21.347, P = .000); gender (x2 = 5.432, P = .013); marital status (x2 = 2.707, P = .034) and religion is (x2 = 4.119, P = .009) exerted significant effect on pattern of substance abuse. Conclusion: The study concluded that social, psychological and demographic variables are the main correlates of psychoactive substance abuse among patients admitted and treated in sampled Neuropsychiatric Hospitals.

Sign in / Sign up

Export Citation Format

Share Document