Abstract
The need to confine and restrain psychotic patients at the turn of the last century saw the building of a few large asylums which soon became overcrowded with the growth of the population. These asylums were the only service available to the mentally ill until 1959 when the trend to decentralise began with the building of general hospital psychiatric units.
Highlights
It is intended that they would have direct links with the University psychiatric services initially, and with other suitably specialised services in the future, should these occur
The need to confine and restrain psychotic patients at the turn of the last century saw the building of a few large asylums which soon became overcrowded with the growth of the population. These asylums were the only service available to the mentally ill until 1959 when the trend to decentralise began with the building of general hospital psychiatric units
There are day care centres in all the psychiatric hospitals, their activities are generally confined to occupational therapy except the two university units which have more structured programmes
Summary
MOHD.RAZALISALLEHL, ecturer in Psychiatry, School of Medical Sciences, University Sains Malaysia, 15990 Kota Bharu, Kelantan, Malaysia. The need to confine and restrain psychotic patients at the turn of the last century saw the building of a few large asylums which soon became overcrowded with the growth of the population. These asylums were the only service available to the mentally ill until 1959 when the trend to decentralise began with the building of general hospital psychiatric units. The total number in the general hospital psychiatric units is 728 This gives a bed - population ratio of 3.9 per 10,000 for psychiatric hospital beds alone and 4.3 per 10,000 for all psychiatric beds. The 3,852 psychiatric hospital beds form part of a total of 35,683 hospital beds in the country, giving a ratio of one psychiatric bed to 4.5 general hospital beds (Tan & Lipton, 1988)
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