Journal articles: 'Psychiatric hospitals Victoria'

1

Allison, Stephen, Tarun Bastiampillai, Jeffrey CL Looi, David Copolov, and Vinay Lakra. "Real-world performance of Victorian hospitals during the COVID-19 lockdowns." Australasian Psychiatry 30, no. 2 (April 2022): 239–42. http://dx.doi.org/10.1177/10398562221079281.

Full text

Abstract:

Objective Victoria has low numbers of general adult psychiatric beds per capita by Australian and international standards. Hospital key performance indicators (KPIs) such as bed occupancy rates, emergency department waiting times and inpatient lengths of stay are proximal measures of the effects any shortfall in beds. We investigate the real-world performance of Victorian hospitals during the first year of the COVID-19 pandemic and the extended lockdowns in 2020. Conclusions The Victorian inpatient psychiatric system is characterised by high bed occupancies in many regions, extended stays in emergency departments awaiting a bed, and short inpatient lengths of stay, except for patients with excessively long stays on acute units (over 35 days) who are unable to be admitted to non-acute facilities. At the end of 2020, bed occupancies were high (above 90%) in 10 regions, with three regions having bed occupancies over 100%. However, state-wide average bed occupancy improved between 2019 (94%) and 2020 (88%). Other KPIs remained steady because acute hospitals did not experience the expected pandemic mental health demand-surge. For a more complete picture of the impact of the pandemic, Australia needs interconnected, centralised data systems.

APA, Harvard, Vancouver, ISO, and other styles

2

Tobin, Margaret J. "Inquiries at Lakeside and Aradale Hospitals: Lessons and Advances?" Australian & New Zealand Journal of Psychiatry 27, no. 2 (June 1993): 333–40. http://dx.doi.org/10.3109/00048679309075787.

Full text

Abstract:

The release of reports of inquiries into two related psychiatric hospitals (Lakeside and Aradale) in Victoria occurred in 1991. These inquiries identified deficiencies in patient care standards and organisational dynamics. Knowledge of institutional dysfunction was available from similar Australian and overseas inquiries but nonetheless this knowledge had not prevented organisational inertia and decline in these two psychiatric hospitals. This paper examines the possible contribution of a failed medical hegemony model to organisational dysfunction and discusses organisational life-cycles. It reaches the conclusions that politically motivated inquiries do not achieve long term positive outcomes and that there is a need for academic research into the organisation of psychiatric services and staff productivity and morale.

APA, Harvard, Vancouver, ISO, and other styles

3

Castle, David J. "Letter from Australia: mental healthcare in Victoria." Advances in Psychiatric Treatment 17, no. 1 (January 2011): 2–4. http://dx.doi.org/10.1192/apt.bp.110.008375.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

4

Islam, Rezaul. "Mental health services in the Seychelles." Psychiatric Bulletin 23, no. 9 (September 1999): 565–67. http://dx.doi.org/10.1192/pb.23.9.565.

Full text

Abstract:

When I reached Seychelles to start my new job with the Ministry of Health as a consultant psychiatrist at the Victoria Hospital I had hardly any idea about the islands, let alone its mental health service. But I decided to take the job partly out of curiosity and an interest to see what psychiatry would be on a tourist island in the middle of the Indian Ocean.

APA, Harvard, Vancouver, ISO, and other styles

5

Lennox, Nicholas, and Robert Chaplin. "The Psychiatric Care of People with Intellectual Disabilities: The Perceptions of Trainee Psychiatrists and Psychiatric Medical Officers." Australian & New Zealand Journal of Psychiatry 29, no. 4 (December 1995): 632–37. http://dx.doi.org/10.3109/00048679509064978.

Full text

Abstract:

Objective: The main aim of this study was to document the perceptions of trainee psychiatrists and psychiatric medical officers regarding the psychiatric care of people with intellectual disabilities. Method: A 28-item self-administered questionnaire was developed by the investigators and pretested on eight psychiatrists and psychiatric trainees. A revised version of the questionnaire was then sent to 128 psychiatric trainees and 27 medical officers working in the public psychiatric services in Victoria. 116 questionnaires were returned, and the responses analysed. Results: The results indicate a high degree of interest in the psychiatry of intellectual disability, however this was tempered by a feeling that the respondents and their senior colleagues are inadequately trained. The respondents expressed major concerns regarding the care of people with dual disabilities in the hospital and community setting, and significant support for the development of specialised units and subspecialisation within psychiatry. The major concerns which were identified would in part explain why 30% of the respondents felt that they would prefer not to treat people with an intellectual disability and a psychiatric disorder. Conclusion: We can only support the assertion made by the Burdekin Report [12] that “there is an urgent need for academic research, increased clinical expertise and substantial increased resources in the much neglected area of dual disability.”

APA, Harvard, Vancouver, ISO, and other styles

6

Skinner, Adrian E. G., and Christine M. Williams. "A study of the measurement of changes occurring in long-term psychiatric patients discharged to residential care in the community." Psychiatric Bulletin 15, no. 6 (June 1991): 331–33. http://dx.doi.org/10.1192/pb.15.6.331.

Full text

Abstract:

As more health authorities close large psychiatric hospitals the provision of small local facilities in which former residents of such hospitals are housed is increasing. Such houses tend to share many common characteristics dictated both by practical necessity and by deliberate policy – they tend to be large Victorian houses chosen because they have a larger number of bedrooms and they tend to be run in a much less formal manner than hospital wards (Goldberg, 1985).

APA, Harvard, Vancouver, ISO, and other styles

7

Draper, Brian. "G Vernon Davies: unsung pioneer of old age psychiatry in Victoria." Australasian Psychiatry 30, no. 2 (November 8, 2021): 203–5. http://dx.doi.org/10.1177/10398562211045085.

Full text

Abstract:

Objective: To provide a biography of G Vernon Davies who took up a career in old age psychiatry in 1955 at the age of 67 at Mont Park Hospital in an era when there few psychiatrists working in the field. Conclusion: In the 1950s and 1960s, Vernon Davies worked as an old age psychiatrist and published papers containing sensible practical advice informed by contemporary research and experience, broadly applicable to both primary and secondary care, presented in a compassionate and empathetic manner. His clinical research in old age psychiatry resulted in the first doctoral degree in psychiatry awarded at the University of Melbourne at the age of 79. Before commencing old age psychiatry, he served in the Australian Army Medical Corps as a Regimental Medical Officer and received the Distinguished Service Order. He spent 3 years as a medical missionary in the New Hebrides before settling at Wangaratta where he worked as a physician for over 30 years. He contributed to his local community in a broad range of activities. Vernon Davies is an Australian pioneer of old age psychiatry.

APA, Harvard, Vancouver, ISO, and other styles

8

Gelber, Harry. "The experience of the Royal Children's Hospital mental health service videoconferencing project." Journal of Telemedicine and Telecare 4, no. 1_suppl (March 1998): 71–73. http://dx.doi.org/10.1258/1357633981931542.

Full text

Abstract:

In April 1995 the Royal Children's Hospital Mental Health Service in Melbourne piloted the use of videoconferencing in providing access for rural service providers and their clients to specialist child and adolescent psychiatric input. What began as a pilot project has in two years become integrated into the service-delivery system for rural Victoria. The experience of the service in piloting and integrating the use of videoconferencing to rural Victoria has been an important development for child and adolescent mental health services in Australia.

APA, Harvard, Vancouver, ISO, and other styles

9

Ramsay, Rosalind. "150 years on: recycling the old asylums." Psychiatric Bulletin 15, no. 7 (July 1991): 434–35. http://dx.doi.org/10.1192/pb.15.7.434.

Full text

Abstract:

The relocation of chronic psychiatric patients in the community may be of unexpected benefit to town planners. Many Victorian mental hospitals, largely redundant in terms of medical use, are high quality buildings – some are listed or otherwise of architectural merit – and they are often set in mature landscaped grounds. Architect John Burrell has developed the idea of using former psychiatric hospital sites on the edges of cities as a basis for establishing a new urban core to outer suburban areas. His plans for the Woodford Green site won him the top prize in a national competition ‘Tomorrow's New Communities’, which was organised earlier this year by the Town and Country Planning Association and the Joseph Rowntree Trust, with the backing of the Prince of Wales.

APA, Harvard, Vancouver, ISO, and other styles

10

MAQSOOD, NIAZ, JAMIL AHMED MALIK, BUSHRA AKRAM, Shoaib Luqman, and Naima Niaz. "PSYCHIATRIC INPATIENTS;." Professional Medical Journal 15, no. 01 (March 10, 2008): 104–13. http://dx.doi.org/10.29309/tpmj/2008.15.01.2706.

Full text

Abstract:

To explore the pattern and prevalence of inpatient psychiatricmorbidity and to see how it differs from the pattern of psychiatric morbidity in community. Design: The details of all inpatients from the case register developed for a health information system was included in study Setting: In Departmentof Psychiatry and Behavioral Sciences, Bahawal Victoria Hospital, Bahawalpur. Period: From 1998-2003. Results: Atotal of 5426 patients were admitted in the six year. There was a slight difference of 0.8% in total number of males andfemales cases (i.e., 2764 males Vs 2662 females). Overall difference reported in the present study, in mean ages ofmales and females was 3.45 years (i.e., males = 31.85 Vs females = 28.40). Mean stay of patients in ward is 10-12days. Most patients were admitted with Conversion disorder 24% followed by Schizophrenia 23%, Depressive disorder20%, Drug Dependence 10%, Bipolar Disorder 7%. The patients with Neurotic Disorder and Organic Disorder werebelow 5%. Conclusion: The study showed that overall general pattern of inpatient psychiatric morbidity is in line withpattern of psychiatric morbidity in community and the partial variance can be explained in terms of social variables, asthis variance exist even across studies within community samples.

APA, Harvard, Vancouver, ISO, and other styles

11

Brennan, Chris, Virginia Routley, and Joan Ozanne-Smith. "Motor Vehicle Exhaust Gas Suicide in Victoria, Australia 1998-2002." Crisis 27, no. 3 (May 2006): 119–24. http://dx.doi.org/10.1027/0227-5910.27.3.119.

Full text

Abstract:

Motor vehicle exhaust gas suicide (MVEGS) is the second most frequent method of suicide in Victoria, Australia. It is a highly lethal method of suicide with 1.5 deaths for every hospital admission. Australian regulations require all vehicles manufactured since 1998 to have a maximum carbon monoxide exhaust emission level of 2.1 g/km, reduced from the previous level of 9.6 g/km. Information surrounding all Victorian MVEGS between 1998-2002 was analyzed to determine whether suicides occurred in vehicles with the lower emission levels. Between 1998-2002, 607 suicides by this means were recorded while just 393 hospital admissions were recorded for the same period. Mean carboxyhaemoglobin levels were significantly lower in fatalities using vehicles manufactured from 1998, however suicide still occurred in these vehicles (n = 25). The extent to which the new regulations contributed to the relatively low rate of suicide in vehicles less than 5 years old compared to their frequency in the fleet remains unknown. Based on international experience and the age of the Victorian vehicle fleet, it may take well over a decade until substantial decreases in MVEGS are observed in the absence of active preventive measures.

APA, Harvard, Vancouver, ISO, and other styles

12

Draper, Brian M., and Annette Koschera. "Do Older People Receive Equitable Private Psychiatric Service Provision Under Medicare?" Australian & New Zealand Journal of Psychiatry 35, no. 5 (October 2001): 626–30. http://dx.doi.org/10.1080/0004867010060511.

Full text

Abstract:

Objective: The objective of this study is to determine the 1998 rates, types, regional variation and Medicare expenditure of private psychiatry services for older people in Australia, as compared with younger adults and with 1985–1986 data. Method: Medicare Benefits Schedule Item Statistics for the psychiatric item numbers 300–352 and item 14224 were obtained from the Health Insurance Commission for each State and Territory. The items were examined in the age groups 15–64 years, 65 years and over and 75 years and over. Main outcome measures were per capita service provision by age group, State and Territory and Medicare expenditure by age group. Results: During 1998, 6.4% (5765.6 per 100 000) of private psychiatric services were to patients aged > 64 years. Patients aged 15–64 received 2.7 times the number of psychiatric services per capita than patients > 64 and 3.6 times that of patients aged > 74 years. Patients aged > 64 received more hospital and nursing home consultations, home visits and electroconvulsive therapy per capita, while younger adults used more office-based consultations, longer consultations, and group therapy. Victoria had the highest per capita rate (7659.2 per 100 000) and the Northern Territory the lowest (540.4 per 100 000), although the highest proportion of services to older patients was in Western Australia. Per capita the proportion of Medicare expenditure allocated to adults aged less than 65 years was 4.1 times that for adults over 64 years. Conclusions: Private psychiatric service provision to older people is inequitable when compared with younger adults. The proportion of Medicare private psychiatry expenditure on older adults has declined since 1985–1986.

APA, Harvard, Vancouver, ISO, and other styles

13

Singh, I., M. I. Khalid, and M. J. Dickinson. "Psychiatric admission services for people with learning disability." Psychiatric Bulletin 18, no. 3 (March 1994): 151–52. http://dx.doi.org/10.1192/pb.18.3.151.

Full text

Abstract:

As the care of people with learning disability has shifted from large Victorian hospitals to the community, provision for in-patient psychiatric treatment has, in many districts, also moved. Purpose built district or supra-district admission services represent the most common model. An alternative is the use of existing general psychiatric beds. In this article we describe the first 18 months of the Hillingdon district service where this latter model has been adopted.

APA, Harvard, Vancouver, ISO, and other styles

14

Yan, Han, and Ramona Neferu. "Conversations with a pediatric psychiatrist." University of Western Ontario Medical Journal 84, no. 1 (September 4, 2015): 28–29. http://dx.doi.org/10.5206/uwomj.v84i1.4347.

Full text

Abstract:

In the first of three interviews in this issue, we speak to Dr Javeed Sukhera. Dr Sukhera is an Assistant Professor in the Department of Psychiatry and Senior Designate Physician Lead for Child and Adolescent Psychiatry at London Health Sciences Centre/Victoria Hospital. He is also the Academic Director of the Global Health Curriculum at Schulich. Dr Sukhera has previously served for two years on the board of directors of the Association of American Medical Colleges.

APA, Harvard, Vancouver, ISO, and other styles

15

Boardman, Anthony, and Richard Hodgson. "Community in-patient units and halfway hospitals." Advances in Psychiatric Treatment 6, no. 2 (March 2000): 120–27. http://dx.doi.org/10.1192/apt.6.2.120.

Full text

Abstract:

There is a current gap in the nomenclature of psychiatric in-patient services. There are few descriptions of types of in-patient care and over recent years the literature has abounded with debates concerning alternatives. However, it may be argued that these debates have been based on the creation of the ‘straw man’ of the psychiatric admission, which is only fit for knocking down. Although a post-war consensus has emerged concerning the need to abandon the Victorian asylums, this has often been misrepresented as the need to avoid in-patient admission. The poorly articulated and emotional concept of community care and its lack of clear and consistent definition in public policy and key legislation have contributed to this (Bulmer, 1987). Recent changes in our view of community care have led to a refining of the concept and a shift from its comforting appellations (Titmus, 1968) to a pragmatic approach that matches it to empirical experiences and new resources. This approach sees psychiatric services for adults as being based locally and provided by a spectrum of services – in-patient, residential and ambulatory (Department of Health, 1996) – based on best available evidence. This article has been written with these issues in mind. We will address the current problems of in-patient care and the current literature on alternatives and supplements to traditional in-patient units.

APA, Harvard, Vancouver, ISO, and other styles

16

Ong, Kevin, Andrew Carroll, Shannon Reid, and Adam Deacon. "Community Outcomes of Mentally Disordered Homicide Offenders in Victoria." Australian & New Zealand Journal of Psychiatry 43, no. 8 (January 1, 2009): 775–80. http://dx.doi.org/10.1080/00048670903001976.

Full text

Abstract:

Objective: The aim of the present study was to describe characteristics and post-release outcomes of Victorian homicide offenders under the Crimes (Mental Impairment and Unfitness to be Tried) Act 1997 (and/or its forerunner legislation) released from forensic inpatient psychiatric care since the development of specialist forensic services. Method: A legal database identified subjects meeting inclusion criteria: hospitalized in forensic psychiatric care due to finding of mental impairment or unfitness to stand trial for homicide in Victoria; released into the community; and released between 1 January 1991 and 30 April 2002. Using clinical records, demographics, index offence, progress in hospital, diagnosis, psychosocial and criminological data were obtained. Outcomes (offending or readmission into secure care) were obtained from the clinical records. Results: Of the 25 subjects, 19 (76%) were male. Primary diagnoses on admission to forensic hospital care were schizophrenia, n = 16 (64%); other psychotic disorder, n = 5 (20%); depression, n = 3 (12%); and personality disorder, n = 1 (4%). Mean time in custodial supervision was 11 years and 2 months, less for those whose offence occurred after the development of forensic rehabilitation services. In the first 3 years after release, there was a single episode of criminal recidivism, representing a recidivism rate of 1 in 25 (4%) over 3 years. Twelve subjects (48%) were readmitted at some point in the 3 year follow up. Conclusion: There was a very low rate of recidivism after discharge, but readmissions to hospital were common. Lengths of custodial care were reduced after the introduction of forensic rehabilitation facilities. Recidivism is low when there are well-designed and implemented forensic community treatment programmes, consistent with other data suggesting a reciprocal relationship between safe community care and a low threshold for readmission to hospital, lessening re-offending at times of crisis. Further research should be directed at timing of release decisions, based on reducing identified risk factors to acceptable levels.

APA, Harvard, Vancouver, ISO, and other styles

17

Turner, P. M., and T. J. Turner. "Validation of the Crisis Triage Rating Scale for Psychiatric Emergencies." Canadian Journal of Psychiatry 36, no. 9 (November 1991): 651–54. http://dx.doi.org/10.1177/070674379103600905.

Full text

Abstract:

Using a sample of 500 emergency psychiatric patients at Victoria Hospital in London, Ontario, this study replicated part of the research on the Crisis Triage Rating Scale (CTRS) conducted by Bengelsdorf, Levy, Emerson and Barile in 1984. The relationship between the suggested CTRS cut-off score and the decision whether or not to hospitalize the patient was studied, independently of these scores. The relative contribution of each of the subscales (Dangerousness, Support System and Ability to Cooperate) to this decision was also determined. The results of this study suggest that using a cut-off score of 9, the easily administered Crisis Triage Rating Scale could be an additional assessment aid in determining whether patients require emergency hospital admission to a psychiatric unit.

APA, Harvard, Vancouver, ISO, and other styles

18

Spence, S. A. "Presumed Curable: An Illustrated Casebook of Victorian Psychiatric Patients in Bethlem Hospital." BMJ 326, no. 7399 (May 22, 2003): 1150. http://dx.doi.org/10.1136/bmj.326.7399.1150.

Full text

APA, Harvard, Vancouver, ISO, and other styles

19

Turner, Trevor. "Presumed Curable: An Illustrated Casebook of Victorian Psychiatric Patients in Bethlem Hospital." International Journal of Psychiatry in Clinical Practice 8, no. 1 (January 2004): 66–67. http://dx.doi.org/10.1080/13651500310003831.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Forth, M. W. "The last of the Victorian mental hospitals." Psychiatric Bulletin 20, no. 2 (February 1996): 116–17. http://dx.doi.org/10.1192/pb.20.2.116-c.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Walmsley, Tom. "Undesirable reading: the real role of the clinical tutor." Psychiatric Bulletin 14, no. 3 (March 1990): 165–68. http://dx.doi.org/10.1192/pb.14.3.165.

Full text

Abstract:

I was appointed clinical tutor at Knowle Hospital seven years ago with little idea of what my responsibilities would be. From the College literature (which I have not found very helpful) it seemed I was responsible in a more or less indirect way for the psychiatric education of most of those working in the hospital as well as of those local general practitioners who might refer patients here. In addition, all medical students in the place are my responsibility – a considerable number of young people. To complicate this task, our academic unit had moved out of Knowle two years before my arrival and new trainees were advised that Knowle Hospital (usually described as a ‘traditional Victorian mental hospital’) would be closing in the near future as modern community services were provided. Finally, the advent of proper management, welcomed by me, was spoiled by an indifference to psychiatric education which bordered on absurdity.

APA, Harvard, Vancouver, ISO, and other styles

22

Ernst, Waltraud. "‘Under the influence’ in British India: James Esdaile's Mesmeric Hospital in Calcutta, and its critics." Psychological Medicine 25, no. 6 (November 1995): 1113–23. http://dx.doi.org/10.1017/s0033291700033092.

Full text

Abstract:

SynopsisMesmerism was for a period very popular in Victorian Britain. The special clinical approach developed by Dr J. Esdaile while on duty in British India is elaborated in detail. The controversy surrounding Esdaile's treatment of surgical, medical and psychiatric cases at the ‘mesmeric hospital’ at Calcutta is discussed, and the main arguments are set within their contemporary socio-cultural context. Some of the arguments advanced for and against mesmerism contain concerns similar to those that have been raised during later decades in regard to hypnotism and hypnotherapy.

APA, Harvard, Vancouver, ISO, and other styles

23

Langley, G. E. "Book Review: Presumed Curable: An Illustrated Casebook of Victorian Psychiatric Patients in Bethlem Hospital." Journal of Medical Biography 12, no. 1 (February 2004): 61–62. http://dx.doi.org/10.1177/096777200401200118.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Teive, Hélio A. G., Guilherme Ghizoni Silva, and Renato P. Munhoz. "Wittgenstein, medicine and neuropsychiatry." Arquivos de Neuro-Psiquiatria 69, no. 4 (August 2011): 714–16. http://dx.doi.org/10.1590/s0004-282x2011000500026.

Full text

Abstract:

A historical review is presented of the link between Ludwig Wittgenstein, considered the most important philosopher of the 20th century, and medicine, particularly neurology and psychiatry. Wittgenstein worked as a porter at Guy's Hospital in London, and then as a technician at the Royal Victoria Infirmary in Newcastle. He wrote about his important insights into language, and neuroscience. It has been suggested that he had Asperger syndrome and a possible movement disorder (mannerisms).

APA, Harvard, Vancouver, ISO, and other styles

25

Draper, Brian. "Melancholia in late life in New South Wales and Victoria, Australia, 1871–1905: symptoms, behaviours and outcomes." History of Psychiatry 33, no. 4 (November 19, 2022): 467–74. http://dx.doi.org/10.1177/0957154x221117000.

Full text

Abstract:

In the late nineteenth century, the prognosis of late-life melancholia was believed to be poor. The medical casebooks of 40 patients aged 60+years, admitted to two Hospitals for the Insane in New South Wales with melancholia between 1871 and 1905, were examined. Psychosis (87.5%), depressed mood (80%), suicidal behaviour (55%), physical ill health (55%), restlessness (50%) and fears of harm to self (50%) were identified. Main outcomes were discharge (40%) and death (37.5%). Victoria’s Kew Hospital patient register for 1872–88 revealed 669 melancholia admissions with 30 aged 60+. Outcomes worsened significantly with age (chi square = 16.19, df = 4, p < 0.005), mainly due to higher mortality. Nineteenth-century late-life melancholia was a severe disorder despite many cases recovering.

APA, Harvard, Vancouver, ISO, and other styles

26

Taylor, Barbara. "THE DEMISE OF THE ASYLUM IN LATE TWENTIETH-CENTURY BRITAIN: A PERSONAL HISTORY." Transactions of the Royal Historical Society 21 (November 4, 2011): 193–215. http://dx.doi.org/10.1017/s0080440111000090.

Full text

Abstract:

ABSTRACTMental health care in Britain was revolutionised in the late twentieth century, as a public asylum system dating back to the 1850s was replaced by a community-based psychiatric service. This paper examines this transformation through the lens of an individual asylum closure. In the late 1980s, I spent several months in Friern mental hospital in north-east London. Friern was the former Colney Hatch Asylum, one of the largest and most notorious of the great Victorian ‘museums of the mad’. It closed in 1993. The paper gives a detailed account of the hospital's closure, in tandem with my personal memories of life in Friern during its twilight days. Friern's demise occurred in an ideological climate increasingly hostile to welfare dependency. The transfer of mental health care from institution to community was accompanied by a new ‘recovery model’ for the mentally ill which emphasised economic independence and personal autonomy. Drawing on the Friern experience, the paper concludes by raising questions about the validity of this model and its implications for mental healthcare provision in twenty-first century Britain.

APA, Harvard, Vancouver, ISO, and other styles

27

Musson, Jeremy. "Hospital cases." Psychiatric Bulletin 15, no. 12 (December 1991): 765–66. http://dx.doi.org/10.1192/pb.15.12.765.

Full text

Abstract:

It could be said that one of the chief architectural legacies of the late 20th century, when it comes to be considered retrospectively, will be the wanton destruction and dispersal of buildings constructed in the previous century for the public benefit. Churches, schools and hospitals have been systematically sold off, and a good number of them, if not totally demolished, have lapsed into a pathetic state of limbo, particularly in this time of economic recession. Some of the worst cases of this known to the Victorian Society are hospitals of great architectural quality, constructed for the treatment of the mentally ill, then known as lunatic asylums.

APA, Harvard, Vancouver, ISO, and other styles

28

Robinson, Jo, Katrina Witt, Michelle Lamblin, Matthew J. Spittal, Greg Carter, Karin Verspoor, Andrew Page, et al. "Development of a Self-Harm Monitoring System for Victoria." International Journal of Environmental Research and Public Health 17, no. 24 (December 15, 2020): 9385. http://dx.doi.org/10.3390/ijerph17249385.

Full text

Abstract:

The prevention of suicide and suicide-related behaviour are key policy priorities in Australia and internationally. The World Health Organization has recommended that member states develop self-harm surveillance systems as part of their suicide prevention efforts. This is also a priority under Australia’s Fifth National Mental Health and Suicide Prevention Plan. The aim of this paper is to describe the development of a state-based self-harm monitoring system in Victoria, Australia. In this system, data on all self-harm presentations are collected from eight hospital emergency departments in Victoria. A natural language processing classifier that uses machine learning to identify episodes of self-harm is currently being developed. This uses the free-text triage case notes, together with certain structured data fields, contained within the metadata of the incoming records. Post-processing is undertaken to identify primary mechanism of injury, substances consumed (including alcohol, illicit drugs and pharmaceutical preparations) and presence of psychiatric disorders. This system will ultimately leverage routinely collected data in combination with advanced artificial intelligence methods to support robust community-wide monitoring of self-harm. Once fully operational, this system will provide accurate and timely information on all presentations to participating emergency departments for self-harm, thereby providing a useful indicator for Australia’s suicide prevention efforts.

APA, Harvard, Vancouver, ISO, and other styles

29

Seiler, Natalie, Matthew Ng, Midya Dawud, Subhash Das, Shu-Haur Ooi, and Astrid Waterdrinker. "Demographic and clinical factors associated with psychiatric inpatient admissions during the COVID-19 pandemic." Australasian Psychiatry 30, no. 2 (December 6, 2021): 229–34. http://dx.doi.org/10.1177/10398562211052903.

Full text

Abstract:

Objective: The COVID-19 pandemic may cause a major mental health impact. We aimed to identify demographic or clinical factors associated with psychiatric admissions where COVID-19 was attributed to contribute to mental state, compared to admissions which did not. Methods: A retrospective cohort study was undertaken of inpatients admitted to Northern Psychiatric Unit 1, Northern Hospital in Melbourne, Victoria, Australia during 27/02/2020 to 08/07/2020. Data were extracted for participants who identified COVID-19 as a stressor compared to participants who did not. Fisher’s exact test and Mann-Whitley rank sum test were used. Results: Thirty six of 242 inpatients reported the COVID-19 pandemic contributed to mental ill health and subsequent admission. Reasons given included social isolation, generalized distress about the pandemic, barriers to support services, disruption to daily routine, impact on employment, media coverage, re-traumatization, cancelled ECT sessions, loss of loved ones, and increased drug use during the lockdown. Chronic medical conditions or psychiatric multimorbidity were positively associated and smoking status was negatively associated with reporting the COVID-19 pandemic as a contributor to mental ill health. Conclusion: Screening and identifying vulnerable populations during and after the global disaster is vital for timely and appropriate interventions to reduce the impact of the pandemic worldwide.

APA, Harvard, Vancouver, ISO, and other styles

30

Ramsay, Rosalind. "Psychiatrists and the public." Psychiatric Bulletin 15, no. 12 (December 1991): 795. http://dx.doi.org/10.1192/pb.15.12.795.

Full text

Abstract:

One hundred and fifty years on, how, Professor Clare asked an invited audience of eminent non-psychiatrists at the Royal Society of Medicine, do we fare? Is there really a more positive attitude to mental illness, now than in the nineteenth century, or even the 1960s? The Victorian public image of madness was characterised by ignorance, intolerance and fear and the mentally ill regarded as less than human, available to be exploited or used to entertain; and also, dangerous and incurable, best put away in large mental hospitals or ‘bins’. The media colluded in maintaining such attitudes: a leader in The Times in 1900, commenting on the 30-fold increase in the mental hospital population, was anxious that soon the mad might outnumber the sane!

APA, Harvard, Vancouver, ISO, and other styles

31

Holmes, Jeremy. "Acute wards: problems and solutions." Psychiatric Bulletin 26, no. 10 (October 2002): 383–85. http://dx.doi.org/10.1192/pb.26.10.383.

Full text

Abstract:

There has been a curious linguistic shift in the use of the word community in mental health (Holmes, 2001a). In the 1950s and early 1960s community psychiatry was synonymous with milieu therapy and the therapeutic community – that is, the attempt to create a vibrant community of patients and staff, in a shared space, working actively together to overcome disability, illness and stigma. The contrast was with insitutional psychiatry, caricatured as the silent, soulless and, at times, abusive wards of the Victorian mental hospital. The therapeutic community had two main psychotherapeutic tools: group therapy and creative therapies such as art therapy and psychodrama. These approaches were pioneered in specialist units such as the Henderson hospital (Norton & Haigh, 2002) but, more generally, progressive acute units emphasised the use of ward groups and the importance of patients playing an active part in decision-making.

APA, Harvard, Vancouver, ISO, and other styles

32

Curran, Peter S., and Paul W. Miller. "Psychiatric implications of chronic civilian strife or war: Northern Ireland." Advances in Psychiatric Treatment 7, no. 1 (January 2001): 73–80. http://dx.doi.org/10.1192/apt.7.1.73.

Full text

Abstract:

“Sectarianism lives in all of us – it is in the choices we make, it is in the words we say, it is even in the friends we make. It lives in our churches and it taints our community life. It makes possible the violent actions which we abhor” (McKittrick et al, 1999).As Northern Ireland celebrates the first year in 30 years when a soldier or police officer has not been killed and as it currently struggles to implement yet another political initiative to gain peace, now seems an appropriate time to reflect upon the effect of political violence on the psychiatric services in the province. For almost two generations the campaign of political violence has touched every doctor professionally. Indeed, one of us was a houseman in the front line Royal Victoria Hospital and the other was just born when the sectarian street pogroms and internecine violence first erupted. Neither of us knew that what was to follow would determine our professional futures. In the fresh air of the new millennium, and particularly following the horror of the Omagh massacre of August 1998 and the hope of the Good Friday agreement of April 1998, we can reflect upon and review the psychiatric aspects of politically inspired violence.

APA, Harvard, Vancouver, ISO, and other styles

33

Cheung, P., I. Schweitzer, V. Tuckwell, and K. C. Crowley. "A Prospective Study of Aggression among Psychiatric Patients in Rehabilitation Wards." Australian & New Zealand Journal of Psychiatry 30, no. 2 (April 1996): 257–62. http://dx.doi.org/10.3109/00048679609076103.

Full text

Abstract:

Objective: The aim of the study was to determine, among patients in rehabilitation wards, the prevalence and nature of aggressive behaviour and the relationship between aggressive behaviour and patient characteristics and ward factors. Method: The aggressive behaviour of all 220 inpatients within the rehabilitation program of a large psychiatric hospital in Victoria was assessed using the Staff Observation Aggression Scale. Results: Physical assaults occurred at a rate of 97.6 per 100 patients per year. About 40% of all incidents appeared to be unprovoked. Most physical incidents involved use of body parts and use of a weapon was uncommon. Aggression was most often directed at a staff member. Serious injury was rare. Aggressive behaviour was correlated with gender and duration of admission for the whole sample; however, there were different correlates of aggressive behaviour for different ward populations and different types of aggression. As for ward variables, time of day but not patient/staffing level was associated with aggressive behaviour. Conclusions: There was a high rate of aggressive behaviour among patients in rehabilitation wards; this should be taken into consideration in the planning of their community placement. The findings also caution against aggregating different ward populations and types of aggressive behaviour for research.

APA, Harvard, Vancouver, ISO, and other styles

34

Dharwadkar, Nitin. "Effectiveness of an Assertive Outreach Community Treatment Program." Australian & New Zealand Journal of Psychiatry 28, no. 2 (June 1994): 244–49. http://dx.doi.org/10.1080/00048679409075635.

Full text

Abstract:

The purpose of this paper is to describe an Adult Community Treatment (ACT) program in Dandenong, Victoria, and its effect upon admission rates and time in hospital for 50 of the serviceapos;s most disturbed patients. The implementation of the program was associated with a reduction in the annual re-admission rate from 38% (1989–90) to 21% (1990–91); the total length of hospital stay was also significantly reduced. The results support the value of community support programs in the management of the seriously mentally ill.

APA, Harvard, Vancouver, ISO, and other styles

35

Stuart, Geoffrey W., I. Harry Minas, Steven Klimidis, and Siobhan O'connell. "English Language Ability and Mental Health Service Utilisation: A Census." Australian & New Zealand Journal of Psychiatry 30, no. 2 (April 1996): 270–77. http://dx.doi.org/10.3109/00048679609076105.

Full text

Abstract:

Objective: To explore the relationship between English language proficiency and mental health service utilisation. Methods: In September 1993, a sample census was conducted of all mental health services in the State of Victoria, including public and private hospital wards, outpatient consultations provided by psychiatrists and clinical psychologists, and primary mental health care provided by general practitioners. Response rates ranged from 37% for monolingual general practitioners (GPs) to 96% for inpatient units. Particular emphasis was placed on patients' English language proficiency and the role played by bilingual clinicians. Results: Over 80% of inpatients received a diagnosis of either dementia or psychosis. This proportion was even greater in the case of patients with English language difficulties. The latter group of patients underutilised specialist outpatient services, and those using these services were less likely to receive psychotherapy than fluent English speakers. They utilised GPs for mental disorder at at least the same rate as other patients. There was a marked preference for bilingual GPs, with 80% of patients with poor English language skills consulting GPs who spoke their native language. Conclusion: There appears to be considerable underutilisation of specialist mental health services by patients who are not fluent in English. The liaison-consultation model of psychiatric care may be an effective way of addressing this problem, given the important role already played by bilingual GPs in the psychiatric care of those whose native language is not English.

APA, Harvard, Vancouver, ISO, and other styles

36

Zhao, Henry, Lauren Pesavento, Edrich Rodrigues, Patrick Salvaris, Karen Smith, Stephen Bernard, Michael Stephenson, et al. "009 The ambulance clinical triage-for acute stroke treatment (ACT-FAST) algorithmic pre-hospital triage tool for endovascular thrombectomy: ongoing paramedic validation." Journal of Neurology, Neurosurgery & Psychiatry 89, no. 6 (May 24, 2018): A5.1—A5. http://dx.doi.org/10.1136/jnnp-2018-anzan.9.

Full text

Abstract:

IntroductionThe ambulance clinical triage-for acute stroke treatment (ACT-FAST) algorithm is a severity based 3-step paramedic triage tool for pre-hospital recognition of large vessel occlusion (LVO), designed to improve specificity and paramedic assessment reliability compared to existing triage scales. ACT-FAST sequentially assesses 1. Unilateral arm fall to stretcher <10 s; 2a. Severe language disturbance (right arm weak), or 2b. Severe gaze deviation/hemi-neglect assessed by shoulder tap (left arm weak); 3. Clinical eligibility questions. We present the results of the ongoing Ambulance Victoria paramedic validation study.MethodsAmbulance Victoria paramedics assessed ACT-FAST in all suspected stroke patients pre-hospital in metropolitan Melbourne, Australia, and in the Royal Melbourne Hospital Emergency Department since July 2017. Algorithm results were validated against a comparator of ICA/M1 occlusion on CT-angiography with NIHSS ≥6 (Class 1 indications for endovascular thrombectomy).ResultsData were available from n=119 assessments (ED n=68, pre-hospital n=51). Patient diagnoses were LVO n=20 (15.6%), non-LVO infarcts n=45 (38.5%), ICH n=10 (8.3%) and no stroke on imaging n=44 (37.6%). ACT-FAST showed 85% sensitivity, 88.9% specificity, 60.7% (72% excluding ICH) positive predictive value and 96.7% negative predictive value for LVO. Of 10 false-positives, 4 received thrombectomy for non-Class 1 indications (basilar/M2 occlusions/cervical dissection), 3 were ICH, and 1 was tumour. Three false-negatives were LVO with milder syndromes.DiscussionThe ongoing ACT-FAST algorithm validation study shows high accuracy for clinical recognition of LVO. The streamlined algorithmic approach with just two examination items provides a more practical option for implementation in large emergency service networks. Accurate pre-hospital recognition of LVO will allow bypass to endovascular centres and early activation of neuro-intervention services to expedite endovascular thrombectomy.

APA, Harvard, Vancouver, ISO, and other styles

37

Daniel, Jeffrey, James Chamberlain, and David Castle. "The Pharmacological Management of Behavioural Disturbance in Psychosis: a Naturalistic Study." Australasian Psychiatry 15, no. 5 (October 2007): 380–84. http://dx.doi.org/10.1080/10398560701435754.

Full text

Abstract:

Objective: The aim of the study was to compare the efficacy of atypical and typical anti-psychotics in treating behavioural disturbance in people with psychotic disorders, in a naturalistic setting. Method: This was a prospective naturalistic study of 303 incidents of behavioural disturbance at Royal Melbourne Hospital, Melbourne, Victoria, Australia. Results: There was no significant difference between atypicals and typicals on two efficacy measures and some evidence on a third measure, that typicals are more effective. Conclusions: In the pharmacological treatment of behavioural disturbance in psychosis, typical and atypical anti-psychotics have largely comparable efficacy.

APA, Harvard, Vancouver, ISO, and other styles

38

Clayton, Alison. "Malaria therapy for general paralysis of the insane at the Sunbury Hospital for the Insane in Australia, 1925–6." History of Psychiatry 33, no. 4 (November 19, 2022): 377–93. http://dx.doi.org/10.1177/0957154x221120757.

Full text

Abstract:

This paper, drawing on the published medical literature and unpublished medical record archives, provides an in-depth account of the introduction of malaria therapy for general paralysis of the insane into Australia in 1925–6, at Victoria’s Sunbury Hospital for the Insane. This study reveals a complex and ambiguous picture of the practice and therapeutic impact of malaria therapy in this local setting. This research highlights a number of factors which may have contributed to some physicians overestimating malaria therapy’s effectiveness. It also shows that other physicians of the era held a more sceptical attitude towards malaria therapy. Finally, this paper discusses the relevance of this history to contemporary psychiatry.

APA, Harvard, Vancouver, ISO, and other styles

39

Shanker J, Sreeja, H. L. Vishwanath, Vibha C, and Muralidhara Krishna. "A study of pre-analytical errors in the clinical biochemistry laboratory at Victoria hospital, BMCRI, Bangalore." International Journal of Clinical Biochemistry and Research 8, no. 4 (January 15, 2022): 278–80. http://dx.doi.org/10.18231/j.ijcbr.2021.059.

Full text

Abstract:

To categorize and calculate the percentage error of pre-analytical variables in the clinical biochemistry laboratory. Prospective observational study conducted for two months with documenting the frequency and type of pre-analytical errors occurring in venous samples. The total errors recorded were 1.31%. Insufficient volume followed by haemolysis amounted to a major proportion of errors. Continuous pre-analytical phase evaluation and taking corrective measures to make this phase error-free, have to be done.

APA, Harvard, Vancouver, ISO, and other styles

40

AKHTAR, SAEED, Bushra AKRAM, and AZRA YASMEEN. "DEPRESSION;." Professional Medical Journal 19, no. 03 (May 10, 2012): 319–23. http://dx.doi.org/10.29309/tpmj/2012.19.03.2124.

Full text

Abstract:

Objective: Prevalence of Depression in patients presenting with Alcohol and Drug addiction. Place & duration of study: Thestudy was conducted in the Department of Psychiatry & Behavioural Sciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College,Bahawalpur from March, 2009 to May, 2009. Subjects & methods: The sample consisted of 50 in-patients (Male 46, Female 4) with Alcohol &Drug addiction. They were interviewed and results were analysed from the entries in a Performa and Hamilton Rating Scale for Depression.Results: Majority of the patients were male (92%), age group majority (74%) were between 21-40 years. Depression was found in 23(46%)patients, 14(28%) had severe depression and 9(18%) had mild to moderate depression. Conclusions: Significant numbers of patients ofalcohol and drug addiction have depression as co-morbidity, which can have important implications in the aetiology and prognosis. So everypatient seeking treatment for alcohol and drug addiction should be assessed for depression and we should develop a protocol to treatdepression in these patients.

APA, Harvard, Vancouver, ISO, and other styles

41

AKHTAR, SAEED, ASIA MANZOOR,, and AZRA YASMEEN. "DEPRESSION IN DISSOCIATIVE (CONVERSION) DISORDER PATIENTS;." Professional Medical Journal 20, no. 02 (February 7, 2013): 272–78. http://dx.doi.org/10.29309/tpmj/2013.20.02.682.

Full text

Abstract:

Objective: Prevalence of depression in Dissociative (Conversion) disorder Patients. Place and Duration of Study: Thestudy was conducted in the Department of Psychiatry & Behavioural Science / Bahawal Victoria Hospital & Quaid-e-Azam MedicalCollege, Bahawalpur, from February 2012 to May 2012. Subjects and Methods: The sample consisted of 100 consecutive in patients(Female 84, Male 16) of Dissociative (Conversion) disorder. They were interviewed and results were analyzed from the entries in aPerforma and Hamilton Rating Scale for Depression. Results: Majority of the patients were female (84%), uneducated (54%) andunmarried (60%). Mean age of our patients was 21.84±7.29 years. Depression was found in 76% of patients. Out of 76 depressedpatients had moderate depression, 24 had severe depression. Conclusions: Our study collaborates that depression was present in highproportion in patients with dissociative (conversion) disorder, which shows that co-morbid depression should not be over looked in thesepatients. It is recommended that every patient presenting with dissociative (Conversion) disorder should be assessed for co-morbiddepression and should be managed accordingly.

APA, Harvard, Vancouver, ISO, and other styles

42

Ridley, Graham. "Consent and Treatment." Australian & New Zealand Journal of Psychiatry 26, no. 3 (September 1992): 516–17. http://dx.doi.org/10.3109/00048679209072082.

Full text

Abstract:

I found Dr Wallace's letter (Journal, 1992, 26:330-33 1) most interesting. I am familiar with mental health legislation in both the English and Victorian systems, and both of these — in common, I suspect with many other such systems — have the similar problems of being unable to cater for voluntary patients willing to be in hospital but unable to give informed consent to treatment.

APA, Harvard, Vancouver, ISO, and other styles

43

Lai, Timothy Chwan, Cristyn Davies, Kerry Robinson, Debi Feldman, Charlotte Victoria Elder, Charlie Cooper, Ken C. Pang, and Rosalind McDougall. "Effective fertility counselling for transgender adolescents: a qualitative study of clinician attitudes and practices." BMJ Open 11, no. 5 (May 2021): e043237. http://dx.doi.org/10.1136/bmjopen-2020-043237.

Full text

Abstract:

ObjectiveFertility counselling for trans and gender diverse (TGD) adolescents has many complexities, but there is currently little guidance for clinicians working in this area. This study aimed to identify effective strategies for—and qualities of—fertility counselling for TGD adolescents based on clinicians’ experiences.DesignWe conducted qualitative semi-structured individual interviews in 2019 which explored clinician experiences and fertility counselling practices, perspectives of the young person’s experience and barriers and facilitators to fertility preservation access. Data were analysed using thematic analysis.SettingThis qualitative study examined experiences of clinicians at the Royal Children’s Hospital—a tertiary, hospital-based, referral centre and the main provider of paediatric TGD healthcare in Victoria, Australia.ParticipantsWe interviewed 12 clinicians from a range of disciplines (paediatrics, psychology, psychiatry and gynaecology), all of whom were involved with fertility counselling for TGD adolescents.ResultsBased on clinician experiences, we identified five elements that can contribute to an effective approach for fertility counselling for TGD adolescents: a multidisciplinary team approach; shared decision-making between adolescents, their parents and clinicians; specific efforts to facilitate patient engagement; flexible personalised care; and reflective practice.ConclusionsIdentification of these different elements can inform and hopefully improve future fertility counselling practices for TGD adolescents, but further studies examining TGD adolescents’ experiences of fertility counselling are also required.

APA, Harvard, Vancouver, ISO, and other styles

44

Scull, Andrew. "Presumed curable: An illustrated casebook of Victorian psychiatric patients in Bethlem hospital; Invention of hysteria: Charcot and the photographic iconography of the Salpêtrière." Journal of the History of the Behavioral Sciences 42, no. 3 (2006): 296–97. http://dx.doi.org/10.1002/jhbs.20183.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Clapperton, Angela J. "Identifying typologies among persons admitted to hospital for non-fatal intentional self-harm in Victoria, Australia." Social Psychiatry and Psychiatric Epidemiology 54, no. 12 (July 16, 2019): 1497–504. http://dx.doi.org/10.1007/s00127-019-01747-1.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

Rollin, Henry R. "The Evolution of the British Journal of Psychiatry." British Journal of Psychiatry 159, no. 1 (July 1991): 33–36. http://dx.doi.org/10.1192/bjp.159.1.33.

Full text

Abstract:

Whereas the history of the Royal College of Psychiatrists has been reasonably well documented, that of its journal, under its various titles, has received little attention. What follows is an attempt to redress the balance, but this could not have come about if my attention had not been drawn to the existence in the College library of the original, handwritten minutes dating from 1841 of the Association of Medical Officers of Asylums and Hospitals for the Insane and the succeeding body, the Medico-Psychological Association. This historic treasure, to steal a line from one of its pages, written in immaculate handwriting and expressed in elegant Victorian Gothic prose, “contained an unworked mine of golden wealth”.

APA, Harvard, Vancouver, ISO, and other styles

47

MAQSOOD, NIAZ, NAEEM-ULLAH LAGHARI, and BUSHRA AKRAM. "CONVERSION DISORDER;." Professional Medical Journal 20, no. 06 (December 15, 2013): 981–87. http://dx.doi.org/10.29309/tpmj/2013.20.06.1568.

Full text

Abstract:

Objective: The objective of the study was to find out association and pattern of childhood sexual abuse in patientspresenting with conversion disorder. Study Design: A descriptive study. Place & duration of study: The study was conducted in theDepartment of Psychiatry & Behavioural Sciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur from June,2011 to December, 2011. Subjects & Methods: The sample consisted of 60 Female in-patients with Conversion Disorder by purposivesampling. They were interviewed and results were analysed from the entries in a semi structured Performa. Results: Out of 60 patients,34(57%) reported sexually abused in childhood and 26(43%) not abused. There were 19(32%) patients reported uncomfortable sexualtalk, sexual touching, 9(15%) reported attempted intercourse which was successful and 6(10%) reported attempted for intercourse butfailed in their aim. 14(23%) patients abused by their relatives, 5(8%) by Neighbours and strangers, 3(5%) by their health caregivers,boyfriends and class fellows and 1(2%) by teachers. Conclusions: This study shows a positive association between severe sexual abuse(Uncomfortable talk, sexual touching, penetration or attempted penetration) in childhood and Conversion Disorder in adult life.

APA, Harvard, Vancouver, ISO, and other styles

48

MAQSOOD, NIAZ, BUSHRA AKRAM, and WAJID ALI. "PATIENTS WITH CONVERSION DISORDER." Professional Medical Journal 17, no. 04 (December 10, 2010): 715–20. http://dx.doi.org/10.29309/tpmj/2010.17.04.3031.

Full text

Abstract:

Objectives: To assess the frequency of the various psychosocial stressors and stressful life events in patients presenting with conversion disorder. Study Design: Case series study. Place & Duration of Study: The study was conducted in the Department of Psychiatry & Behavioural Sciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur from January, 2009 to March, 2009. Subjects & Methods: The sample consisted of 100 in-patients (89 Female, 11 Male) with Conversion Disorder. They were interviewed andresults were analysed from the entries in a Performa. Results: Stressors were clearly identified in 100 patients. In all patients, we found more than one stressor. Among patients, there were (24%) In-laws problems, (23%) Love problems, (21%) Relationship problems with family, (20%) exam/study stress, (15%) marriage against will, (13%) demanding and pampered child, (11%) Issue less, (10%) sexual abuse, (8%) demand of marriage, (6%) overage in wait of marriage, (4%) death of partner, (3%) husband abroad and (3%) patient’s engagement break. Conclusions: We concluded that stressors and life events were present in all conversion disorder’s patients and these stressful life events are important causal factors for Conversion Disorder. Conversion Disorder has strong relationship with psychosocial stressors.

APA, Harvard, Vancouver, ISO, and other styles

49

Luqman, Naima, Niaz Maqsood, and Wajih-Ur Rehman. "DEPRESSION IN ACNE VULGARIS." Professional Medical Journal 25, no. 06 (June 10, 2018): 892–95. http://dx.doi.org/10.29309/tpmj/2018.25.06.277.

Full text

Abstract:

INTRODUCTION: Acne vulgaris is a chronic inflammatory disorder of pilo-sebaceous glands,which most commonly affect face and trunk. It is most prevalent in adolescent age group. Ithas been seen that acne can have profound social and psychological effects which are notnecessarily related to its clinical severity. Objectives: To determine the frequency and severity ofdepression among acne patients attending the outpatient dermatology department, of a tertiarycare hospital. Study Design: Descriptive study. Place & Duration of Study: Department ofDermatology, Bahawal Victoria Hospital, Bahawalpur from September, 2013 to November, 2013.Subjects & Methods: Informed written consent was taken from patients for the study, seventypatients of acne, diagnosed by consultant dermatologist were inducted. The severity of acnewas determined by Global Acne Grading System. Both genders were included, the age rangewas from 16 to 40 years. Those patients with concomitant dermatological, psychiatric diseasesand those receiving systemic isotretinoin were excluded. The patients fulfilling inclusioncriteria were assessed for depressive symptoms and Hamilton Depression rating scale wasadministered for severity of depression. Results: 70 patients were included in the study, amongthem 14 (20%) were male and 56 (80%) were females. Most of the acne patients were of the age16-20 years [24 (34.3%)]. Mild depression was seen in 26% patients (18%-were females and8%-males). Severe depression was present in 14% of patients, among which 11% were females& 3% were males. Very severe depression was noted in 18% patients among which 16% werefemale and 2% were males. Conclusions: it can be concluded that Dermatologists should paydue attention to the psychological/ mental state of the patient while clinically evaluating andtreating patients suffering from acne vulgaris

APA, Harvard, Vancouver, ISO, and other styles

50

Smith, Iain David, and Audrey Hillman. "Management of alcohol Korsakoff syndrome." Advances in Psychiatric Treatment 5, no. 4 (July 1999): 271–78. http://dx.doi.org/10.1192/apt.5.4.271.

Full text

Abstract:

“Contrary to popular belief, partial recovery from Korsakoff's Psychosis is the rule and 21% recover more or less completely. However the extent to which the patient will recover cannot be predicted with confidence during the acute stages of the illness. Failure to appreciate these facts about the natural history of the mental illness may result in the premature confinement of the patient to a mental hospital” (Victoret al, 1971).

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Psychiatric hospitals Victoria'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles