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Articoli di riviste sul tema "Royal Mental Hospital"

Autore: Grafiati

Pubblicato: 29 luglio 2024

Ultima modifica: 30 luglio 2024

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1

Rollin, Henry R. "Horton Hospital, Epsom – the Royal connection". Psychiatric Bulletin 16, n. 12 (dicembre 1992): 791–93. http://dx.doi.org/10.1192/pb.16.12.791.

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The history of Horton Hospital is best seen in the context of the socio-economic history of the late 19th century. London, as a result of the Industrial Revolution, had grown enormously so that the existing metropolitan mental hospitals could no longer cope with sheer numbers of mentally disordered arising within its boundaries. The Metropolitan Asylums Board, whose responsibility it then was, looked for suitable land within easy – but not too easy – reach of London. Epsom at the turn of the century was an exceedingly fashionable area boasting a number of large and elegant “Derby Houses” (some of which still exist, although now put to rather more plebeian use) to which the aristocratic racing fraternity transferred themselves for the races. It was known that this wealthy and influential body would oppose the sale of the private estate of Sir Thomas Powell Buxton in the parish of Horton, roughly one square mile in size, for the purpose of building mental hospitals. What added even more bitterness to the pill was that the hospitals were to house “pauper lunatics”, a sobriquet with obviously undesirable social connotations. The negotiations for the sale were carried out in secrecy and the fait accompli, when it was announced, created an outcry. But it was too late. In retaliation the “toffs of the turf” including, ironically perhaps, the Royal Family, transferred their establishments and training facilities mainly to Newmarket which grew in importance as Epsom declined.

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2

McCreadie, R. G., A. C. Tait e Morag Williams. "Crichton Royal Hospital 1839–1989". Psychiatric Bulletin 13, n. 6 (giugno 1989): 294–95. http://dx.doi.org/10.1192/pb.13.6.294.

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On 4 June 1839 the first patient walked with friends the mile uphill to the new Crichton Institution from the lunatic wing of Dumfries and Galloway Royal Infirmary. Detailed clinical records support a diagnosis of melancholia; the patient was discharged well in 1844 and follow-up confirmed her recovery.

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3

Haley, Derek. "Gartnavel Royal Hospital – 150th anniversary". Psychiatric Bulletin 15, n. 3 (marzo 1991): 173. http://dx.doi.org/10.1192/pb.15.3.173-b.

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4

Singh, Bruce, e David Copolov. "Aubrey Lewis Unit, Royal Park Hospital". Psychiatric Bulletin 14, n. 12 (dicembre 1990): 739–40. http://dx.doi.org/10.1192/pb.14.12.739.

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5

Mahmood, Rafeek, Chris Thompson e John Robertson. "Visit to Abbasiah Hospital, Egypt". Psychiatric Bulletin 21, n. 1 (gennaio 1997): 45–46. http://dx.doi.org/10.1192/pb.21.1.45.

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At a Regional meeting of Members and Fellows of the Royal College of Psychiatrists, held in Cairo in April 1994, a strong initiative to promote Abbasiah Psychiatric Hospital as a teaching centre was put forward. The President, Registrar and Dean made a preliminary visit to the hospital and met with Dr S. Al-Kott, the Medical Director, and agreed to offer assistance on behalf of the Royal College of Psychiatrists. It was anticipated that Abbasiah would benefit through improved recruitment into medical and nursing posts, and by the injection of renewed interest in its large patient population.

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6

Schweitzer, Isaac, Brian Davies, Graham Burrows, Leslie Branton, L. R. Turecek e John Tiller. "The Royal Melbourne Hospital Lithium Clinic". Australian and New Zealand Journal of Psychiatry 33, s1 (dicembre 1999): S35—S38. http://dx.doi.org/10.1111/j.1440-1614.1999.00680.x.

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7

Wilkinson, Greg. "Mental Health Services Planning". Bulletin of the Royal College of Psychiatrists 9, n. 7 (luglio 1985): 138. http://dx.doi.org/10.1192/s0140078900022161.

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A timely conference on Mental Health Services Planning, organized jointly by the Royal College of Psychiatrists and the Department of Health and Social Security, took place in London in March 1985. The conference concentrated on difficulties associated with the implementation of government policies for mental health service planning in England and Wales. Particular emphasis was given to the problems of transition from hospital-based services to community-based services.

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8

Healy, David. "In conversation with Tom Lynch". Psychiatric Bulletin 16, n. 2 (febbraio 1992): 65–72. http://dx.doi.org/10.1192/pb.16.2.65.

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Professor Lynch was born in Dublin in 1922. From 1953 to 1961 he was Staff Psychiatrist, St Patrick's Hospital, Dublin, and Consultant Psychiatrist to Meath Hospital, Dublin. He was Resident Medical superintendent at St Otteran's Hospital, Waterford from 1961 to 1968. From 1968 to 1990 he was Professor of Psychiatry, Royal College of Surgeons in Ireland. He has been Chairman and Clinical Director of the Eastern Health Board, Chairman of the Irish Psychiatric Training Committee and Chairman of the Irish Division of the Royal College of Psychiatrists. He was a member of Council of the Royal College of Psychiatrists from 1980 to 1984, Junior Vice-President of the Royal College of Psychiatrists from 1981 to 1982 and Senior Vice-President from 1982 to 1983. He served on the College's Court of Electors from 1983 to 1988.

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9

Pradhan, Alisha, William Lee, Nathan Batley, Suzanne Burton e Zoe Wyatt. "Mental Health Triage Form Use in Emergency Department Clerking – Audit at Royal Cornwall Hospital". BJPsych Open 9, S1 (luglio 2023): S177. http://dx.doi.org/10.1192/bjo.2023.463.

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AimsThe aim of this audit is to assess use of the Mental Health Triage Form (MHTF) at the Royal Cornwall Hospital Emergency Department (ED), during June 2021 and to determine whether MHTF use increases rates of psychiatric-specific information being documented by ED staff. Patient attendances to Accident and Emergency (A&E) departments in the UK during 2020-21 decreased by 30.3% in comparison to 2019-20. However, attendances to A&E at the Royal Cornwall Hospital (RCH) in June 2021 increased by 51.2% compared to June 2020. Psychiatric patients accounted for 2% of attendances to A&E at RCH in June 2021. The Royal College of Emergency Medicine (RCEM) have recommended use of a mental health proforma document in line with recommendations from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) document ‘Treat as One’. Based on these guidelines, the Psychiatric Liaison department at RCH have a produced a local Mental Health Triage Form (MHTF) to be used in A&E when assessing and clerking psychiatric patients.MethodsThis was a retrospective audit of clinical records of 125 mental health cases attending the Accident & Emergency Department (A&E) at Royal Cornwall Hospital during June 2021, which were referred to Psychiatric Liaison.NHS numbers were identified for each referral made during the study period. Each referral's A&E clerking documents were reviewed on an online patient records system. Information was recorded on whether each question in the Mental Health Triage Form had been answered with or without use of the form.ResultsThe Mental Health Triage Form (MHTF) was used in 44 out of 125 patients (35%). 15 patients (12%) had missing Accident & Emergency Department documentation on online records. Where the MHTF was used, there was an 25% average increase in information recorded. Over half of the questions on the MHTF were answered more when the form was used versus when it was not used.Questions relating to the patients ‘Triage Code’, which are used to determine the level of observation, urgency of referral, and appropriate place of assessment, had the highest rates of improvement using the form.ConclusionOverall use of the Mental Health Triage Form during June 2021 reduced to 35% in comparison to 46% use during June 2020. This implied that patients attending the Accident & Emergency Department at the Royal Cornwall Hospital with psychiatric presentations were not being assessed fully. This may be due to various reasons such as staff unfamiliarity with the triage form and increasing pressure on Emergency Department services.

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10

Birrell, Jill. "The Thomas Clouston Clinic (Craighouse) Royal Edinburgh Hospital". Psychiatric Bulletin 16, n. 9 (settembre 1992): 574. http://dx.doi.org/10.1192/pb.16.9.574-a.

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11

., Rome, Ermi Girsang e Ali Napiah Nasution. "The Effect of Hospital Support on Nurse Anxiety in Isolation Room for COVID-19 Patients". International Journal of Research and Review 9, n. 3 (16 marzo 2022): 335–42. http://dx.doi.org/10.52403/ijrr.20220338.

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The increasing number of cases of COVID-19 can affect health workers as a group that tends to have contact with COVID-19 patients at high risk of contracting it. This may affect the psychological aspects of health workers. It is important to explore the various factors that can affect the mental health of health workers who provide health services to patients with COIVD-19. Therefore, this study aims to analyze the effect of perceived organizational support on the psychology of health workers who provide care for COVID-19 patients at RSU. Royal Prima Medan. This Research uses the DASS-42 Questionnaire and the 8-POS Questionnaire to assess mental health and perceptions of hospital support for nurses who provide health services to COVID-19 patients. The results of this study indicate that there is a significant relationship between the perception of hospital support (Perceived Organization Support) on the level of depression (P-value: 0.002; OR [95 % CI]: 5.23 [1.92-14.23]), anxiety (P-value < 0.05; OR [95 % CI]: 12.26 [3.89-38.60]), and stress (P < 0.05; OR [95% CI]: 8.79 [3.03-25.48]) on nurses at the Royal Prima General Hospital, Medan. So it can be concluded that the perception of hospital support for nurses can restore the mental health of nurses who provide health services to COVID-19 patients. Keywords: Perceived Organization Support, Stress, Depression, Anxiety, Royal Prima.

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12

Smith, Murray, Rian O’Regan e Rainer Goldbeck. "Detaining patients in the general hospital – current practice and pitfalls". Scottish Medical Journal 64, n. 3 (18 marzo 2019): 91–96. http://dx.doi.org/10.1177/0036933019836054.

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Aims Much has been written about the use of the Mental Health Act in psychiatric settings. There is, however, little written on its use to detain patients with mental disorder in general hospitals. Method and results We therefore carried out a survey of the use of the Mental Health Act in general hospital settings in Aberdeen, and also posted a questionnaire to Scottish Liaison Psychiatrists, asking about their experience of the use of the Mental Health Act in general hospitals. Over a six-month period in Aberdeen Royal Infirmary, we identified 39 detentions. Out of hours, the use of Emergency Detention Certificates was more common than use of Short Term Detention Certificates – the latter is recommended by the Mental Welfare Commission, as patients are afforded more rights. When psychiatric staff were not directly involved, procedural and administrative errors were more likely to occur. Liaison psychiatrists elsewhere in Scotland reported similar observations. Conclusion General hospital clinicians are unfamiliar with the Mental Health Act and its use. Errors in its application therefore arise, and are more common when psychiatric staff is not involved. Better education, including the provision of written information and consideration of an electronic system, may improve current practice.

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13

Gelber, Harry. "The experience of the Royal Children's Hospital mental health service videoconferencing project". Journal of Telemedicine and Telecare 4, n. 1_suppl (marzo 1998): 71–73. http://dx.doi.org/10.1258/1357633981931542.

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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.

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14

Fenton, George W., Brian R. Ballinger, C. Barbara Ballinger e Graham J. Naylor. "Medical audit in a Scottish psychiatric service". Psychiatric Bulletin 14, n. 3 (marzo 1990): 136–39. http://dx.doi.org/10.1192/pb.14.3.136.

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Psychiatry is unique in already being subject to statutory external audit through regular visits to psychiatric hospitals and units by the Hospital Advisory Services and Mental Health and Mental Welfare Commissions. These organisations do comment on aspects of the standard and quality of care. Reports of their findings undoubtedly facilitate change. By their programme of repeated visits they are in a position to observe the implementation and outcome of altered patterns of practice brought about by their reports. The Codes of Practice being prepared by the Mental Health Commission (England and Wales) and Mental Welfare Commission (Scotland) is another step that will significantly influence clinical practice. Finally, the Royal College of Psychiatrists' postgraduate training scheme accreditation exercise, like those of the other Royal Colleges and Faculties, has had an impact on quality of clinical care through its policy of gradually increasing the standard of postgraduate clinical training requirements. Locally based audit clearly complements these external exercises and local psychiatric services are now expected to organise systems of regular internal audit as are the other clinical disciplines (Department of Health, 1989).

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15

WDB. "James Whigham Affleck, formerly Physician Superintendent, Royal Edinburgh Hospital". Psychiatric Bulletin 13, n. 8 (agosto 1989): 461. http://dx.doi.org/10.1192/pb.13.8.461.

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16

Ball, H. N., e M. I. Levi. "A casualty psychiatric clinic at the Royal Liverpool Hospital". Psychiatric Bulletin 12, n. 8 (1 agosto 1988): 333–34. http://dx.doi.org/10.1192/pb.12.8.333.

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17

Mindham, R. H. S. "Crichton Royal Hospital, Dumfries, 1939–2013 – Psychiatry in pictures". British Journal of Psychiatry 223, n. 2 (agosto 2023): 401. http://dx.doi.org/10.1192/bjp.2022.199.

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18

Hall, Annie, e John R. Robertson. "Psychiatry in Rotterdam's University Hospital". Psychiatric Bulletin 20, n. 8 (agosto 1996): 482–84. http://dx.doi.org/10.1192/pb.20.8.482.

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Following a visit to the Royal College of Psychiatrists by Professor W. J. Schudel, it was decided to visit The Netherlands with a view to gathering information about the organisation of postgraduate medical education In psychiatry there. Several Dutch psychiatrists were interviewed during the visit. The ‘Calman’ Report recommends limiting the period of training for British trainees. Formative methods of assessment are to be introduced, with a review of progress at regular intervals. The present Dutch system relies solely upon formative assessment.

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19

Gupta, Sunjai. "Psychosis in Migrants from the Indian Subcontinent and English-Born Controls". British Journal of Psychiatry 159, n. 2 (agosto 1991): 222–25. http://dx.doi.org/10.1192/bjp.159.2.222.

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A cohort of first-generation Asian immigrants who received a diagnosis of a functional psychosis at the Bethlem Royal and Maudsley Hospitals were compared with an English-born control group. The Asians were found to have spent a lower total percentage of time in the two hospitals, had fewer in-patient admissions per year, and had a shorter average duration of stay in hospital than the matched controls.

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20

Healy, David. "In conversation with Desmond McGrath". Psychiatric Bulletin 16, n. 3 (marzo 1992): 129–37. http://dx.doi.org/10.1192/pb.16.3.129.

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Dr McGrath was born in Liverpool in 1922. He was Medical Director of St John of God Hospital from January 1955 until December 1991 and Consultant Psychiatrist, St Laurence's (Richmond) Hospital (Beaumont Hospital from 1987), Dublin from 1956 until 1988. He was a Foundation Fellow of the Royal College of Psychiatrists and was a member of Council from 1974 to 1979, a member of the Court of Electors from 1979 to 1982 and Chairman of the Irish Division from 1974 to 1977. He was a member of Council and Censor of the Royal College of Physicians of Ireland from 1980 to 1982 and Chairman of the Section of Psychiatry of the Royal Academy of Medicine in Ireland from 1973 to 1975. He was President of the Medico-Legal Society of Ireland from 1966 to 1968 and has served on the Fitness to Practice Committee of the Medical Council of Ireland since 1989 and the Mental Health & Neurology Committee of the Medical Research Council of Ireland from 1969 to 1991.

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21

Stewart, Mary. "The physical health of old long stay in-patients in one psychiatric hospital". Psychiatric Bulletin 15, n. 7 (luglio 1991): 404–6. http://dx.doi.org/10.1192/pb.15.7.404.

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The provision of care for patients with chronic mental illness is changing with the gradual closure of mental hospitals and the expectation that this group will be largely cared for in the community. In Scotland the process is only beginning. A recent Scottish survey examined the demographic, social and clinical characteristics of 2605 “old long-stay” in-patients, defined as those in hospital more than six years and under 65 years of age at the time of last admission (McCreadie et al, 1991). Patients in 18 psychiatric hospitals serving 83% of the Scottish population were studied. Results showed the population was elderly, 70% being over 60 years of age, and nearly 40% over 70 years. The aim of the present study was to look at the physical health of the old long-stay population in one hospital, namely Crichton Royal, Dumfries, because of the implications of physical health care needs for the management of this group in the community.

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Mayor, Janet, Milan Bhate, Hugh Firth, Anne Graham, Pam Knox e Stephen Tyrer. "Facilities for mentally impaired patients: three years experience of a semi-secure unit". Psychiatric Bulletin 14, n. 6 (giugno 1990): 333–35. http://dx.doi.org/10.1192/pb.14.6.333.

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The Working Party on Security in NHS Hospitals (The Glancy Report, DHSS, 1974a) and the interim report of The Butler Committee (DHSS, 1974b) both recommended that secure provision should be made available for the treatment of mentally disordered patients who required greater security than could be provided in a standard hospital setting. They recommended that patients with mild or borderline mental handicap should be treated together with the mentally ill but that “severely subnormal patients” should be treated separately. Later the Royal College of Psychiatrists (1981) largely endorsed this advice proposing that: (a) individuals with borderline and mild mental handicap could be adequately treated in the secure units for mentally ill individuals(b) individuals with moderate mental handicap needed a special secure facility(c) individuals with severe mental handicap did not need high security, and should be managed in high-staffed wards in mental handicap hospitals.

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Mindham, R. H. S. "Bethlem Royal Hospital at Monks’ Orchard, Beckenham – Psychiatry in pictures". British Journal of Psychiatry 224, n. 1 (22 dicembre 2023): 30–31. http://dx.doi.org/10.1192/bjp.2023.134.

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24

Setiawan, Handika. "ANALYSIS OF CAUSES DELAYS IN THE ROYAL RUNGKUT SURABAYA HOSPITAL PROJECT USING FTA METHOD". SONDIR 6, n. 2 (23 ottobre 2022): 18–25. http://dx.doi.org/10.36040/sondir.v6i2.5078.

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Hospitals are one of the most strategic parts of the health field. This is none other than because a quality hospital is a service to create a healthy Indonesian society, in terms of physical and mental. Therefore, the construction of the Hospital building which is included in the development of this development is needed by the Royal Surabaya Hospital. But in reality, the development of development has been delayed since December 6, 2021, which can be seen through the S curve. In this study, researchers used a questionnaire that was distributed to respondents, namely the construction staff of the Royal Extension Hospital Surabaya to obtain data, then the data was processed using the fault tree analysis method to find out what caused the delay in the project. The results of this study found that the cause of the delay was caused by the owner's late payment to the contractor or related parties, the owner's delay in approving and making changes to the design, lack of supervision of the design, damage and effectiveness of the use of heavy equipment, and lack of construction materials. It can be concluded that the cause of the occurrence of delays is due to 4 factors.

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Jolley, David, Nick Kosky e Frank Holloway. "Older people with long-standing mental illness: the graduates". Advances in Psychiatric Treatment 10, n. 1 (gennaio 2004): 27–34. http://dx.doi.org/10.1192/apt.10.1.27.

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People who survive into late life with chronic or relapsing illnesses, which had their onset in youth or middle age, have special needs. In the past, those most severely affected often lived out their lives in mental hospitals. The mental hospital closure programme led to discharges to alternative care, and the successes and failures of these have been monitored by some services. Subsequent generations are at risk of falling between the care of general psychiatry, rehabilitation psychiatry and old age psychiatry. These patients are uniquely disabled by a combination of personal, social, mental and physical health disadvantage. The Royal College of Psychiatrists has produced guidance to highlight the special needs of these ‘graduates', encouraging every locality to investigate its own performance in their care and bring it into line with best practice in the light of local strengths and resources.

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Ramsay, Rosalind. "Psychiatrists and the public". Psychiatric Bulletin 15, n. 12 (dicembre 1991): 795. http://dx.doi.org/10.1192/pb.15.12.795.

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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!

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Russell, Gerald. "Silvio Benaim: Formerly Consultant Psychiatrist at the Royal Free Hospital, London". Psychiatric Bulletin 32, n. 8 (agosto 2008): 318–19. http://dx.doi.org/10.1192/pb.bp.108.021980.

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Silvio Benaim died on 10 January 2008 at Highgate Nursing Home, London, after a long illness. He was a senior consultant psychiatrist at the Royal Free Hospital since 1968, having been a consultant at Halliwick Hospital from 1959. He retired from the National Health Service (NHS) in 1983 but continued his private practice at the Charter Nightingale Clinic until 2004.

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Smith, Helen, e Tom White. "Before and after: introduction of the Mental Health (Care and Treatment) (Scotland) Act 2003". Psychiatric Bulletin 31, n. 10 (ottobre 2007): 374–77. http://dx.doi.org/10.1192/pb.bp.107.015446.

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Aims and MethodThe aim of the study was to assess the impact of the introduction of new mental health legislation in October 2005 on general adult psychiatry admissions. Patients were included in the study if they were admitted to Murray Royal Hospital, Perth from December 2004 to July 2005 and December 2005 to July 2006.ResultsFewer patients were detained but they were more likely to progress to longer-term detentions. Overall detained patients remained in hospital for shorter periods.Clinical ImplicationsThe change in de novo detention procedures reduced the number of de novo detentions. The new power to enforce medication in the community may have contributed to the reduced length of detention in hospital.

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Turner, Matthew, Shaun Love, Fergus Douds e Anyssa Zebda. "Audit of follow-up within 7 days on discharge from the mental health unit, Forth Valley Royal Hospital". BJPsych Open 7, S1 (giugno 2021): S225—S226. http://dx.doi.org/10.1192/bjo.2021.602.

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AimsTo determine compliance with the new discharge policy of review within 7-days for all General Adult Psychiatry patients discharged from Forth Valley Royal Hospital.BackgroundIt is well established that there is an increased risk of suicide following discharge from Inpatient Psychiatric Wards. This risk is significantly increased in the first month, and particularly high in the first week.In their 2016 Guidance, NICE recommends follow-up within 7 days of discharge. It is not known whether seven day follow-up reduces suicide risk but it is clearly an opportunity for risk assessment and management during a particularly risky period.This standard was adopted by the General Adult Wards in Mental Health Unit at Forth Valley Royal Hospital in April 2019.MethodAll discharges from Wards 1, 2 and 3, Forth Valley Royal Hospital were reviewed during three distinct, month-long periods:November 2018 (prior to the introduction of the new discharge policy)May 2019 (shortly after the introduction of the new discharge policy)September 2019 (six months after the introduction of the new discharge policy)A list was obtained from Medical Records of all General Adult patients discharged in these periods. The paper and electronic records were checked for each patient, and the first scheduled care episode post discharge was taken as follow-up.ResultIn the1st round of audit (November 2018): 41 patients were discharged and 26 patients (64%) received follow-up within 7 days.In the 2nd round of audit (May 2019): 46 patients were discharged, 39 patients (84%) received follow-up within 7 days.In the 3rd round of the audit (September 2019), 50 patients were discharged and 49 (98%) received follow-up within 7 days.ConclusionThere has been a clear improvement in the provision of follow-up on discharge from the General Adult Psychiatry Wards in Forth Valley Royal Hospital.The new discharge policy was implemented in April 2019 and a “Discharge Pause” was introduced (initially a sticker, now an electronic form) to be completed by the medical team at the point when it was decided to discharge.Community Mental Health Teams have also been reminded of their need to facilitate seven day follow-up as a priority. A flowchart was produced in May 2019, which provided guidance as to who should provide the seven day follow-up.

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Green, Ben, e M. Amin El-Hihi. "Out-patient referrals of major depression to psychiatrists in central Liverpool". Psychiatric Bulletin 14, n. 8 (agosto 1990): 465–67. http://dx.doi.org/10.1192/pb.14.8.465.

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Psychiatric clinics see 4% of all hospital referrals by general practitioners (GPs), but the literature contains surprisingly little about the referral behaviour of, and the patients referred by, GPs to psychiatrists (Wilkinson, 1989). We describe an analysis of the Royal Liverpool Hospital psychiatric out-patient clinic which serves a deprived inner city population of 125,000 people and its GPs.

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Young, Maura, e Siobhan Morris. "Higher training in liaison psychiatry for older adults: experiences of two specialist training posts". Psychiatric Bulletin 31, n. 9 (settembre 2007): 354–56. http://dx.doi.org/10.1192/pb.bp.106.014233.

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Over the past decade, old age liaison psychiatry services have been developing across the UK. The driving force behind this has been the recognition of the inequity in service provision for people over the age of 65 with mental health problems in a general hospital setting. A postal survey of consultants in old age psychiatry in April 2002 showed that most respondents (71%) considered that the service they provided to older people in general hospitals was poor and needed to be improved (Holmes et al, 2002). Much work has been done to highlight this issue, and liaison psychiatry for older adults is gaining prominence. The national conference on liaison psychiatry for older people, which has been held in Leeds for the past 4 years, attracts large numbers of enthusiastic participants. The Department of Health (2006) document A New Ambition for Old Age specifically mentions the current poor standard of care that older people with mental health problems receive in a general hospital setting. The Royal College of Psychiatrists (2005) has produced guidelines for the development of liaison mental health services for older people.

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Yahya, Nurul, e Derrett Watts. "Patient experience survey for community drug and alcohol service users in hospitals". BJPsych Open 7, S1 (giugno 2021): S229. http://dx.doi.org/10.1192/bjo.2021.611.

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AimsTo explore and monitor experience of hospital care provided to patients of Stoke Community Drug and Alcohol Services (CDAS) and Edward Myers Unit (EMU; detox inpatient based unit).MethodThe sample was collected from patients who attended face-face clinics at CDAS and patients living in Stoke-On-Trent who were admitted to the Edward Myers Unit. The survey pertains to four locations, which include Royal Stoke Hospital, A + E, Harplands Hospital (Mental Health Unit), and EMU.We collected data of over two months from September–November 2020. The cohort of patients from CDAS included new presentations or restart Opioid Substitution Treatment (OST) clinics and people known to the alcohol team at CDAS.We delivered a survey pertaining to experience of hospital care in the last 12 months. This includes treatment at A&E Royal Stoke Hopital, any of the wards at Royal Stoke Hospital, Harplands Hospital and Edward Myers Unit.ResultThe uptake for the survey was 53/83 (64%) at CDAS clinic and 23/44 (52%) at Edward Myers Unit. The sample comprised more men than women. The majority were aged 31–40 years. Most common substances used were alcohol.Majority of patients has been admitted to the general hospital, either in the ward or seen at A + E. Most people were very satisfied with their treatment in all four locations. This include withdrawal symptoms, pain, mental health, and discharge plan. There were diverse reasons given of the satisfactory scores. EMU seems to have the best overall scores comparatively to the other units, with Harplands Hospital seems to be doing worse.The free text comments revealed that the staffs' courtesy, respect, careful listening and easy access of care was particularly the strongest driver of overall patient satisfaction. Patients look for supportive relationships, to be involved in treatment decisions, effective approaches to care, easy treatment access and a non-judgemental treatment environment. In some aspects, patients were dissatisfied with pain management, longer waiting times and inability to treat them as equal to non drug/alcohol users.ConclusionOn objective measures, patients were satisfied with treatment received, however, some has point out their dissatisfaction, particularly in the mental health setting. This project calls for greater attention and support for addiction service provision in emergency departments and hospital wards. Although these findings do not represent the views of all patients in SUD treatment, findings give insight into the ways treatment providers, service managers and policy makers might enhance the patient experience to improve patient treatment prognosis and outcomes

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33

Harrison, Tom, e Alexandra Espejo. "Notes on the Lundbeck Teaching Fellowship in Chile 1991". Psychiatric Bulletin 17, n. 3 (marzo 1993): 162–63. http://dx.doi.org/10.1192/pb.17.3.162.

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34

Corby, Claudia, e Jennifer Barraclough. "Smoking among psychiatric in-patients in Southampton". Psychiatric Bulletin 16, n. 6 (giugno 1992): 325–26. http://dx.doi.org/10.1192/pb.16.6.325.

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Abstract (sommario):

Smoking accounts for 15–20% of all British deaths (Royal College of Physicians, 1983). Smoking-related diseases incur considerable cost to the NHS and smokers' materials cause 39% of accidental hospital fires (Batten, 1988).

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35

Copolov, David L., Patrick D. McGony, Nicholas Keks, Iraklis H. Minas, Helen E. Heman e Bruce S. Singh. "Origins and Establishment of the Schizophrenia Research Programme at Royal Park Psychiatric Hospital". Australian & New Zealand Journal of Psychiatry 23, n. 4 (dicembre 1989): 443–51. http://dx.doi.org/10.3109/00048678909062611.

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This paper documents the initial phase of a new research direction which began in 1984 at Royal Park Hospital. Attention is focussed on the place of the university and the research institute in the psychiatric hospital and on the perceived need for concerted research on the major psychoses in Australia. The focal point of the Royal Park research programme, the Aubrey Lewis Clinical Research Unit, has been open since October 1984. The development of the unit's research activities during the initial few years of its existence required an awareness of specific scientific, administrative and political issues. These are discussed in detail in order to convey something of the process, as well as the content of such development, and in an attempt to provide some assistance to others undertaking similar developments.

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36

Delany, Norma. "Good practice in ECT". Psychiatric Bulletin 16, n. 5 (maggio 1992): 272–73. http://dx.doi.org/10.1192/pb.16.5.272.

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At the Department of Psychiatry, Royal South Hants Hospital, an Audit Committee of two consultant psychiatrists and the three senior registrars working in the department meet every two to three weeks to plan and execute audit projects.

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37

Payne, Andrew. "Comments of the Royal College of Psychiatrists on the Ashworth Special Hospital". Psychiatric Bulletin 23, n. 8 (agosto 1999): 504. http://dx.doi.org/10.1192/pb.23.8.504.

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38

Benjamin, Richard, Milford McArthur, Fiona Judd, Stephane Auchincloss, Tarun Bastiampillai e Stephen Allison. "Intense pressure on the Royal Hobart Hospital after psychiatric bed cuts". Australian & New Zealand Journal of Psychiatry 52, n. 5 (15 febbraio 2018): 494–95. http://dx.doi.org/10.1177/0004867418759423.

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39

Clein, Lewis. "Dr Nathaniel Minton MA, DPM, FRCPsych". Psychiatrist 37, n. 7 (luglio 2013): 248. http://dx.doi.org/10.1192/pb.bp.113.043661.

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Formerly consultant psychiatrist, St Peter's Hospital, Chertsey, The Priory, and Capio Nightingale Hospital, LondonDr Nathaniel Minton, who was born on 28 May 1935, had a unique training in psychiatry for a British graduate, because he spent 3 years (1965–1968) training in psychoanalysis and depth psychotherapy at the C.G.Jung Institute in Zurich, trained individually by Jolande Jacobi, Jung's senior deputy. When later, in 1979, he became a consultant psychiatrist at St Peter's Hospital, Chertsey, he was also recognised as being a psychotherapist at the Royal Holloway University of London.

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40

Tarbuck, Andrew F. "Liaison psychiatry in Addenbrooke's Hospital: six months experience". Psychiatric Bulletin 14, n. 11 (novembre 1990): 668–70. http://dx.doi.org/10.1192/pb.14.11.668.

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Addenbrooke's Hospital is large (approximately 1,000 beds) and serves the functions of an academic and teaching centre, as well as providing acute care in medicine, surgery and the specialties for the inhabitants of Cambridge and the surrounding area. Before January 1989, all psychiatric beds were located at Fulbourn Hospital, three miles from the main Addenbrooke's site and all liaison psychiatric cover was provided by links between individual medical and psychiatric teams. However, since that date, a small in-patient psychiatric unit has been established on the Addenbrooke's site and at the same time, in order to gain closer compliance with the Royal College Guidelines (1988), arrangements were made for one of the registrar posts associated with this unit to form part of a liaison psychiatry team.

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41

Shand, Allen John. "Recovery (2007)". British Journal of Psychiatry 197, n. 2 (agosto 2010): 85. http://dx.doi.org/10.1192/bjp.197.2.85.

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Abstract (sommario):

Allen Shand works as a general adult psychiatrist at Royal Cornhill Hospital, Aberdeen. He has always been an enthusiastic artist but only took up photography in 2004 while living in Melbourne, Australia where he worked as a registrar in psychiatry. He describes Recovery as follows:

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42

Rooney, Siobhan, e Gabrielle Kelly. "Psychotherapy experience in Ireland". Psychiatric Bulletin 23, n. 2 (febbraio 1999): 89–94. http://dx.doi.org/10.1192/pb.23.2.89.

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Aims and methodA questionnaire was sent to members of the Psychotherapy Section of the Irish Division of the Royal College of Psychiatrists to assess psychotherapy training.ResultsMembers from Northern Ireland, compared with those from the Republic, had more mandatory psychotherapy experience in a variety of psychotherapies, had attended more lectures on the theories of the psychotherapies, had cases longer in analysis and were more satisfied with their level of supervision. Few non-consultant hospital doctors had obtained mandatory psychotherapy training as outlined by the College guidelines and they were also generally dissatisfied with their basic training in psychotherapy.ImplicationsAlthough there were clear qualitative differences in psychotherapy training between Northern Ireland and the Republic, 100% of members believed there should be improvements in the training of psychotherapy in Ireland. If the Royal College guidelines are to be adhered to, these results would imply that changes in the structure of psychotherapy training in Ireland particularly for non-consultant hospital doctors are required.

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43

Tyrer, Stephen P., e Timothy C. Jerram. "The Mental Health Act and its agencies – are they working together?" Psychiatric Bulletin 15, n. 5 (maggio 1991): 287–88. http://dx.doi.org/10.1192/pb.15.5.287.

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The 1983 Mental Health Act gave increased responsibility to the Mental Health Act Commission and the Mental Health Review Tribunal to ensure safeguards in the treatment and detention of patients compulsorily admitted to hospital. Although most are agreed that the civil rights of patients admitted to hospital against their will are better protected under the new Act, some psychiatrists are irritated by the necessity to involve these bodies in what they regard as primarily clinical management. The North-East Division of the Royal College of Psychiatrists believed that debate on this issue might benefit both psychiatrists and others involved and this topic was chosen for the Annual Meeting of the Division in York on 28 September 1990. The meeting attracted other mental health care professionals and of the 144 participants almost one-third were not psychiatrists, but mainly social workers and psychologists. The sessions were chaired by the President of the College and Professor Donald Eccleston.

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44

Hillam, Jonathan, Amanda Thompsell e Robert Tobiansky. "Administration of ECT by trainee psychiatrists". Psychiatric Bulletin 21, n. 4 (aprile 1997): 217–20. http://dx.doi.org/10.1192/pb.21.4.217.

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Abstract (sommario):

There has been increasing concern in recent years that trainee psychiatrists are not receiving adequate training and are not fully competent in the administration of electroconvulsive therapy (ECT). This has led to the publication of guidelines by the Royal College of Psychiatrists recommending measures to improve supervision and tuition. This study compares the results of two surveys, five years apart, exploring levels of supervision, satisfaction with training and confidence in the procedure among trainee psychiatrists on the Royal Free Hospital scheme. The findings are discussed in the light of Improvements to teaching of ECT in the interim. Continuing problems with supervision are highlighted, and the need for organised training is emphasised.

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45

Cowan, Colin. "Multidisciplinary involvement in hospital discharge: a regional survey of current practice in general adult psychiatry". Psychiatric Bulletin 15, n. 7 (luglio 1991): 415–16. http://dx.doi.org/10.1192/pb.15.7.415.

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Abstract (sommario):

The multidisciplinary team approach is considered by the Royal College of Psychiatrists to be a valuable instrument in modern psychiatric practice (Rawnsley, 1984). In addition, it is assumed by the 1983 Mental Health Act in Section 117 concerning joint Health and Social Service responsibility for statutory aftercare and in Sections 57 and 58 where consultation with other disciplines by the second opinion doctor is required. The benefits of this way of working include a broader perspective in care provision, consistency of approach, continuity of care, and improved communication between disciplines (Pollock, 1986).

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46

Fahy, Thomas A., e Barbara Beats. "Psychiatric training at the Maudsley Hospital: a survey of junior psychiatrists' experiences". Psychiatric Bulletin 14, n. 5 (maggio 1990): 289–92. http://dx.doi.org/10.1192/pb.14.5.289.

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A majority of psychiatrists embark on their careers by entering an SHO/registrar rotation where they can expect to receive a broad based training in the principles and practice of their chosen specialty. These posts should provide the trainee with an opportunity to observe and emulate high standards of clinical care as well as fostering academic interests and research skills. The Royal College of Psychiatrists recognises the importance of these years by monitoring the standard of posts and by examining trainees at the end of this period.

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47

Mindham, R. H. S. "Bethlem Royal Hospital at St George's Fields, Lambeth, 1815–1930 – Psychiatry in pictures". British Journal of Psychiatry 220, n. 1 (23 dicembre 2021): 44. http://dx.doi.org/10.1192/bjp.2021.110.

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48

Burns, Alistair. "How Has Clinical Psychiatry Changed? A Historical Perspective". Bulletin of the Royal College of Psychiatrists 9, n. 1 (gennaio 1985): 8–9. http://dx.doi.org/10.1192/pb.9.1.8.

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Abstract (sommario):

During some recent research for a project in the history of psychiatry, I had the opportunity of studying the first hundred years' Annual Reports of Glasgow's Gartnavel Royal Mental Hospital dating from 1814. I was struck at how applicable some of the comments were in modern psychiatry and was interested in some of the phraseology used and ideas expressed. Some were quaint, some entertaining and surprisingly few abstruse.

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49

Hughes, Tom, Susan Hampshaw, Edward Renvoize e David Storer. "General hospital services for those who carry out deliberate self-harm". Psychiatric Bulletin 22, n. 2 (febbraio 1998): 88–91. http://dx.doi.org/10.1192/pb.22.2.88.

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Abstract (sommario):

The Royal College of Psychiatrists has published national guidelines for services for those who carry out deliberate self-harm. This study aimed to discover whether these recommendations are being followed. We conducted a semi-structured interview with a professional from the accident and emergency service and one from the specialist service at each of 16 hospitals in the former Yorkshire Regional Health Authority. The findings are that services are not adhering to the guidelines. The production of guidelines without an adequate implementation strategy is ineffective. The Department of Health should endorse the College guidelines, and produce an implementation strategy to secure the involvement of purchasers and providers.

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50

Ferguson, Brian. "Fraud and misconduct in medical research Summary of the report of the Royal College of Physicians". Psychiatric Bulletin 16, n. 10 (ottobre 1992): 628–29. http://dx.doi.org/10.1192/pb.16.10.628.

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Abstract (sommario):

In February 1991 the Royal College of Physicians produced a report entitled ‘Fraud and Misconduct in Medical Research’. Most of the cases documented have come from the United States but by the end of 1988 five cases had been formally reported in Britain. One of these was a financial fraud perpetrated by a psychiatrist who worked in a district general hospital in the Northern Region and who forged data for a drug company. He was subsequently reported to the General Medical Council by the Association of the British Pharmaceutical Industry and had his name removed from the medical register. Informal investigations, however, suggest that fraudulent research might be more widespread and as a result the Royal College of Physicians established a working party to look at this issue in detail. They recommended that a twin track approach of prevention and thorough management of complaints of misconduct be adopted. The report was kindly forwarded to the Research Committee of the Royal College of Psychiatrists which felt that a summary of these recommendations should be widely published among researchers in psychiatry.

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