Abstract
In each of three mental handicap hospitals I have observed an institutional disorder. From consideration of these I have suggested a classification. I have analysed the aetiology and pathogenesis of some of these disorders and discuss the treatment and prognosis.
Highlights
Case 1A 300 bed recently built mental handicap hos pital experienced pockets of low morale
He/she and the nursing officers were baffled by the psychiatric disorders
Authority had drifted over the years and had ended with the senior nurse baffled by the complexities of budgeting and struggling to maintain standards of care
Summary
Case 1A 300 bed recently built mental handicap hos pital experienced pockets of low morale. Standards of care were higher on wards nursing physically dependent patients. Standards of care on wards nursing psychiatrically disordered patients were low.
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