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Psychiatric Institutions (psychiatric + institution)
Selected AbstractsState Psychiatric Institutions and the Left-Behinds of Mental Health ReformAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2010William D. Spaulding First page of article [source] Globalizing Disaster Trauma: Psychiatry, Science, and Culture after the Kobe EarthquakeETHOS, Issue 2 2000Joshua Breslau In January of 1995 a massive earthquake struck the city of Kobe, Japan. This article examines how this event became an opportunity for extending global networks of the science and medicine of trauma. The article is based on ethnographic research in Kobe and Los Angeles with psychiatrists who responded to the earthquake in its immediate aftermath. Three aspects of the process are examined: 1) changes in psychiatric institutions that were ongoing at the time of the earthquake, 2) the place of psychiatry in Japanese cultural self-criticism, and 3) the particular technologies for identifying and treating trauma. Globalization in this case cannot be seen as an imposition of Western cultural forms, but rather an ongoing process that reproduces differences between cultures as particular elements travel between them. [source] ,Like a friend going round': reducing the stigma attached to mental healthcare in rural communitiesHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 4 2002P. Crawford RMN DPSN BA (Hons) PhD Abstract Traditionally, stigma is seen as something that is the fault of the mental health system, and that involves an individual suffering social disapprobation and reduced life chances as a result of having been given a diagnostic label and an identity as a patient as a result of their contact with psychiatric institutions. The present study, based on focus group discussions conducted with users and mental healthcare workers in a rural setting, suggests that this classic conception of stigma does not readily apply to care in the community. First, workers described themselves as actively trying to challenge stigma at an institutional level, as well as being apt to change their own practice to reduce the stigmatizing effect of mental healthcare on their clients and make their presence less conspicuous. The ideal was to be ,like a friend going round'. However, this view included a somewhat passive notion of clients. By contrast, the present investigation showed that clients described themselves in much more active terms as being aware of possible sources of stigma and being inclined to challenge negative attitudes themselves. Future mental healthcare practice could draw upon professionals' stock of knowledge as to how their practice could lead to less stigma and could build upon clients' own strengths to achieve stigma reduction. [source] The effectiveness of two interventions in the management of patient violence in acute mental inpatient settings: report on a pilot studyJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2004I. NEEDHAM rn nt mnsc Systematic risk assessment and training courses have been suggested as interventions to deal with patient violence in psychiatric institutions. A dual centre prospective feasibility study was conducted on two Swiss psychiatric admission wards to test the hypothesis that such interventions will reduce the frequency and severity of violent events and coercion. A systematic aggression risk assessment, in combination with a standardized training course in aggression management was administered and the frequency and severity of aggressive incidents and the frequency of coercive measures were registered. The incidence rates of aggressive incidents and attacks showed no significant reduction from the baseline through risk prediction and staff training, but the drop in coercive measures was highly significant. A ,ward effect' was detected with one ward showing a decline in attacks with unchanged incidence rates of coercion and the other ward showing the opposite. The severity of the incidents remained unchanged whilst the subjective severity declined after the training course. We conclude that a systematic risk assessment and a training course may assist in reducing the incidence rate of coercive measures on psychiatric acute admission wards. Further testing of the interventions is necessary to measure the effect of the training alone and to counteract ,ward effects'. [source] Psychoeducation in dementia: Results of a survey of all psychiatric institutions in Germany, Austria and SwitzerlandPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 6 2008Christine Rummel-Kluge md No abstract is available for this article. [source] International study on antidepressant prescription pattern at 20 teaching hospitals and major psychiatric institutions in East Asia: Analysis of 1898 cases from China, Japan, Korea, Singapore and TaiwanPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 5 2007NAOKI UCHIDA md Abstract The purpose of the present study was to review the prescription patterns of antidepressants in different countries in East Asia. The survey was conducted in China, Japan, Korea, Singapore and Taiwan from October 2003 to March 2004 using the unified research protocol and questionnaire. Twenty teaching hospitals and major psychiatric hospitals participated and a total of 1898 patients receiving antidepressants were analyzed. The survey provided a number of interesting characteristics on the prescription patterns of antidepressant in East Asia. Out of 56 antidepressants listed in the Anatomical Therapeutic Chemical Classification (ATC) index by the World Health Organization (WHO) Collaborating Center for Drug Statistics Methodology (Oslo), only 26 antidepressants were prescribed in participating countries in East Asia. On average 38.4% of prescriptions of antidepressants were for patients with diagnoses other than depressive disorders. The availability and commonly prescribed antidepressants varied greatly by country. The selective serotonin re-uptake inhibitors (SSRI) and other newer antidepressants were prescribed in approximately 77.0% of all cases. At the time of the survey, only two SSRI medications were available in Japan. However, five types of SSRI were available and were often prescribed in Korea. [source] A HISTORICAL PERSPECTIVE ON MENTAL HEALTH SERVICES IN AUSTRALIA: 1883,84 TO 2003,04AUSTRALIAN ECONOMIC HISTORY REVIEW, Issue 2 2009Article first published online: 22 JUN 200, Darrel Phillip Doessel Australia; deinstitutionalisation; mental health expenditure; mental health policy; public psychiatric hospitals This paper describes changes in the number of residents and admissions to public psychiatric hospitals in Australia, and in the state of Queensland in particular, from 1883 to 2003. It identifies when the deinstitutionalisation of dedicated psychiatric institutions began in Queensland and finds that the policy described as ,opening the back door' (discharging residents) began around 1952,53, while the policy of ,closing the front door' (reducing admissions) began in 1962,63. Deinstitutionalisation in Queensland thus began earlier than most contemporary writers suggest. [source] Reducing aberrant verbal behavior by building a repertoire of rational verbal behavior,BEHAVIORAL INTERVENTIONS, Issue 3 2006Erik Arntzen The purpose of the present study was to train different verbal classes in a 44-year-old woman to reduce aberrant verbal behavior. She had been hospitalized for 22 years in different psychiatric institutions, and has been diagnosed with schizophrenia, developmental disabilities, non-organic psychosis, and autism. Assessment of her verbal behavior showed that a small amount was adequate verbal behavior, whereas almost the entire repertoire of verbal behavior could be characterized as aberrant verbal behavior (,psychotic' and repetitive verbal behavior), and this behavior was maintained by social reinforcement such as smiles, various comments from other persons. The treatment program was based on results from the assessment results and was focused on establishing relationships between a variety of verbal response responses and proper controlling variables. She was trained to produce different verbal classes, mainly mand, tact, intraverbal, textual, transcription, and dictation responses. The duration of aberrant verbal behavior and the rate of ,psychotic' verbal behavior were gradually reduced as a function of an increasing number of adequate verbal responses. In the study, we present data covering a very long period; the last data point was acquired 25 months after the start of the program. Copyright © 2006 John Wiley & Sons, Ltd. [source] | |||||||||||||