Large State Hospital Research Articles

Are state mental hospitals dumping aged patients on nursing homes?

Twenty-five patients from a large state hospital selected for placement in nursing homes were compared with a matched group of 25 patients residing on the same or similar wards but not selected for placement. Comparisons for 43 measures of disturbed psychiatric behaviors, self-care activities, physical and mental status at time of selection, 30 days later, and 6 months later were made to determine whether there were any initial differences, any overall differences for the entire period, and any differences for comparative change. The 25 mental patients selected for placement in nursing homes were functioning far better from a psychiatric standpoint at the time of selection and during the entire 6-month period. There were no consistent differences between groups for improvement. These findings controvert the view that state hospitals are indiscriminately sending patients to nursing homes.

Development of a community-oriented program in a large state hospital of limited resources.

A geographic unit in a large state hospital began a community-oriented program without significant increases in money or personnel. This was done by the alteration of many of the traditional staff functions and concentration on a patient-centered program. Striking declines occurred in average resident population, average length of stay, and readmission rate.

The computer: a new tool for psychiatry. Obtaining data needed by a large state hospital.

Back to table of contents Previous article Next article ArticleNo Access1. Obtaining Data Needed by a Large State HospitalRobert E. GraetzRobert E. GraetzSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ps.17.3.66AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail PDFThis content is only available as a PDF. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - Psychiatric Services $35.00 Add to cart PPV Articles - Psychiatric Services Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited ByA Multiple-Facility SystemAldred H. Neufeldt1 April 2006 | Psychiatric Services, Vol. 21, No. 1 Volume 17Issue 3 March 1966Pages 66-69 Metrics PDF download History Published online 1 April 2006 Published in print 1 March 1966

FIRST ADMITTED SCHIZOPHRENICS IN DRUG ERA; FOLLOW-UP ANOKA SCHIZOPHRENIC COHORT, 1956-1958.

Introduction There remains little doubt today of the therapeutic effectiveness of the ataractic drugs in the treatment of the acute schizophrenic. However, their long-range effectiveness is less well established. Predictions concerning the projected effect vary from a reduction of 25% among the chronically ill to abolition of the large state hospitals. The question then arises as to the permanence or impermanence of the advantages these drugs offer the schizophrenic—namely, whether a change has occurred in the percentage who eventually become chronic. Also, more up to date information concerning the probability of release and readmission is needed to enable the patient, the doctor, the hospital, and the government to formulate realistic plans for the future. It would be valuable to be able to cite with some accuracy the probability of release for the newly admitted patient, the probable length of stay and the likelihood of remaining

Direct measurement of communication during psychiatric admission interviews

A new technique has been developed which allows the continuous, automatic and direct recording of the auditory and visual communication between two persons. This study presents findings derived from the application of this technique to the analysis of interviews of newly-admitted patients by the admissions director of a large state hospital. Although most of the patients included in the study were acutely disturbed at the time of the interview, all but two began responding almost immediately and continued to respond throughout the interview at rates high enough for the interview to proceed satisfactorily. Both the patients and the interviewer adjusted to the artificial nature of closed-circuit television within 10–15 min. The patients' rates of looking, listening and talking correlated negatively with the severity of their illness. Cumulative records of several interviews demonstrate that speech-content of significance to a patient frequently correlates with altered rates of looking and listening. Suggestions for further research with this method are also given.

Polybezoar and gastrointestinal foreign bodies: Total surgical experience in a large state hospital

Polybezoar and gastrointestinal foreign bodies: Total surgical experience in a large state hospital

Large state mental hospitals. Social values and societal resources.

One of the most hotly debated issues before American Psychiatry is what ought properly to be the fate of large state mental hospitals. 1,2 There are forces within the profession itself, as well as within the general public, which strongly resist the efforts to dissolve completely these large institutions and to replace them with other types of institutions. The considerations brought to bear against dissolution appear on balance to be less clinical and more pragmatic; whereas the arguments for their dissolution seem to be phrased principally in psychiatric terms—the large state hospitals are criticized as organizationally inadequate for giving proper psychiatric treatment. But—we shall attempt to point out in this paper—both sides are addressing themselves to the issues not merely as psychiatrists but as members of society at a particular point in history; both sides are deeply implicated, whether explicitly or implicitly, in a

THE EPINEPHRINE-MECHOLYL TEST APPLIED TO A STATE HOSPITAL POPULATION

The Funkenstein test was given to 132 patients newly admitted to a large state hospital. It was concluded that the test probably is capable of giving valuable prognostic information about such patients. The possibility that it gives an indication of the most effective form of therapy was also raised.

The relative value of tranquilizing drugs and social and psychological therapies in chronic schizophrenia

Forty-six chronic schizophrenic patients were divided into two groups and treated for six months with tranquilizing drugs in two different settings, a large state hospital and a small treatment center. The rate of improvement was the same at the two hospitals. Marked or moderate improvement was made in one-third of the patients. Another one-fourth was slightly improved and the remainder unimproved. The discharge rate was significantly different at the two hospipitals. Eight patients (33 per cent) were discharged from the small hospital and one patient (5 per cent) was discharged from the large hospital. Discharges were to protected environments, similar in varying degrees to the patient's previous hospital life. The relation of drug therapy to social and psychological therapy in chronic schizophrenia is discussed. Drug treatment appeared to be related to the uniform improvement rate. Intensive social and psychological therapy appeared to increase significantly the discharge rate at the small hospital. The implications of the present study for the management and disposition of chronic schizophrenic patients are listed.

Development of an active therapeutic program on a chronic ward.

In recent years there have been many efforts to alter traditionally custodial psychiatric hospitals into more psychotherapeutic rehabilitative organizations. The project herein reported was undertaken to transform a chronic custodial psychiatric ward into one that actively encouraged and supported patient improvement and rehabilitation. As one of several projects initiated to improve patient care in a large state hospital, it was begun shortly after a similar program had been instituted on another ward in the same building. The personnel from both wards met weekly to discuss problems encountered on their respective units, and the over-all approach was evolved in these meetings and personnel conferences on each ward. As is the case in most state hospitals, there were limitations in the number of personnel and amount of money available to carry out the program. This paper is written to describe the evolutionary process on one ward from October, 1956, to October, 1957.

Nonhemolytic streptococci in relation to an epidemic of influenza; diagnostic cutaneous tests and specific treatment.

THE EPIDEMIC reported herewith occurred in a large state hospital for the insane in January, February, and March, 1950. The onset of the epidemic was abrupt, occurring at almost the same time in different wards of the hospital. The attack rate was far greater in women than in men. Among the attendants 9 men and 23 women and among the patients 94 men and 269 women had symptoms of respiratory infections resembling moderately severe influenza. The onset of symptoms was usually sudden, consisting of prostration, general aching, moderately sore throat, usually slight coryza, pain in the chest due to bronchitis followed by cough, and expectoration of mucopurulent sputum. Sensations of chill at the onset often occurred, but a definite chill was usually absent. There was mild to moderate fever lasting for from several days to a week or longer. The symptoms at the onset were out of proportion to the

Sales and Service Industries in Luce County, Michigan

of the county (Fig. 2). Three other villages-McMillan, Dollarville, and Soo Junction-each with but a few score to several hundred people are spaced at intervals along the railroad. Two additional villages-Hunters Mill and Helmer-are located on the Tahquamenon River and Manistique Lake, respectively. The large State Hospital for the Insane, with a population about one-half that of Newberry, is situated two miles south of the town.

THE ORGANIZATION AND ADMINISTRATION OF A STATE HOSPITAL INSULIN-METRAZOL-ELECTRIC SHOCK THERAPY UNIT

Imperfect and unsatisfactory as it is at the present time shock therapy is economically, medically and socially justifiable. It is indicated in the treatment of mental disturbances unassociated with gross organic brain disease, where illness has been serious enough to lead to recent commitment to a state hospital, unless there are severe physical contraindications or unless there is a clear history of continuous illness outside of the hospital for several years. It appears to be a treatment of choice. From a five-year experience with this method in a large state hospital the authors conclude that the treatment is very conveniently and efficiently applied in a central unit where all patients are housed and where insulin, metrazol and electric shock therapy are given in parallel, with the idea of finding which treatment or what combination of treatments will produce the best result in each individual case. Costs per capita fall rapidly as the capacity of the treatment unit rises and it may be said that a un...