Transfer of Special Hospital Patients to the NHS

1980 ◽  
Vol 136 (3) ◽  
pp. 222-234 ◽  
Author(s):  
Susanne Dell
Keyword(s):  
National Health Service ◽  
Department Of Health ◽  
Hospital Patients ◽  
Severely Handicapped ◽  
Transferred Patients ◽  
Open Wards ◽  
Special Hospital ◽  
Special Hospitals ◽  
Made In

SummaryIn 1976, 163 patients were approved by the Department of Health and Social Security for transfer from the Special Hospitals to the open wards of the National Health Service. By autumn 1978, a quarter were still waiting for admission. Patients meeting most difficulty were the severely handicapped non-offenders, who were usually refused unseen on the ground that local subnormality hospitals were full. The role of the DHSS and of the Regional and Area Authorities was in general restricted to bewailing problems they could not help to solve.Some two years after their transfer, enquiries were made in the NHS about the 105 transferred patients. Removal back to the Special Hospital had been requested for seven, and another three had been removed by the police and prosecuted.

Survey of incapacity associated with mental handicap at Rampton and Moss Side Special Hospitals: a comparison with the 1970 National Survey

1975 ◽  
Vol 5 (3) ◽  
pp. 300-306
Author(s):  
Elizabeth Parker
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
National Survey ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Hospital Patients ◽  
Special Hospital ◽  
Special Hospitals

SynopsisThe results of a survey carried out at Rampton and Moss Side Special Hospitals into physical and behavioural incapacity associated with mental handicap are described and compared with the findings of the 1970 National Survey. The Special Hospital patients were found to be less mentally handicapped than similar patients in subnormality hospitals in the National Health Service. The prevalence of physical incapacity associated with mental handicap was also lower in the Special Hospitals but the Special Hospital patients were assessed as more behaviourally disordered. In both surveys the incapacities present were concentrated in the severely mentally handicapped patients. In the Special Hospitals survey the women, when compared with the men, were found to be more behaviourally disordered and to suffer from a greater degree of multiple severe incapacity. All the differences found between the two surveys are consistent with the statutory criteria for admission to a Special Hospital.

scholarly journals Patients in Broadmoor Hospital from the South Western region: an audit of transfer procedures

1991 ◽  
Vol 15 (2) ◽  
pp. 81-84 ◽  
Author(s):  
Jeanette Smith ◽  
Martin Donovan ◽  
Harvey Gordon
Keyword(s):  
Psychiatric Hospitals ◽  
Home Office ◽  
Mentally Disordered ◽  
The Public ◽  
Maximum Security ◽  
Hospital Patients ◽  
Male Patients ◽  
Transfer Procedures ◽  
Special Hospital ◽  
Special Hospitals

Broadmoor Hospital is one of the three special hospitals covering England and Wales. It provides approximately 500 beds for mentally disordered patients who on account of their dangerous, violent or criminal propensities constitute a grave and immediate danger to the public, requiring treatment in conditions of special security (Section 4, National Health Service Act, 1977). It is generally recognised, however, that there are patients in special hospitals no longer requiring treatment in conditions of maximum security. These patients could probably be more appropriately cared for elsewhere if the facilities existed in general psychiatric hospitals or the community. However, special hospital consultants frequently encounter significant obstacles when attempting to transfer patients to local hospitals. Dell (1980) highlighted this problem, suggesting that 16% of special hospital patients were waiting to leave, following the agreement of the DHSS and the Home Office to their transfer. This delay appeared to be due to hospitals not wanting to accept patients who might prove to be difficult or dangerous. At the time of this current study (March 1990) these difficulties in transferring patients were particularly relevant as two of the special hospitals, Broadmoor and Ashworth (Park Lane and Moss Side) were full for male patients and therefore closed to male admissions, despite a continuing demand for beds.

Moving from Student to New Practitioner: The Transitional Experience

2006 ◽  
Vol 69 (5) ◽  
pp. 231-233 ◽  
Author(s):  
Mary Morley
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Occupational Therapists ◽  
Clinical Work ◽  
First Year ◽  
Clinical Supervisors ◽  
Department Of Health ◽  
Transitional Experience ◽  
Service Department

Preceptorship is now a requirement for all newly qualified occupational therapists joining the National Health Service (Department of Health 2005). This is intended to ameliorate the difficulties experienced by new practitioners when moving from the role of student into clinical work. A number of studies confirm the importance of providing both support and challenge in the first year of practice. This opinion piece presents the case for the introduction of preceptorship, building on the expertise of clinical supervisors. This role of preceptor could improve the transitional experience of new practitioners and support the development of their skills and their confidence.

Results of Intelligence Testing of a Group of Patients Referred for Special Hospital Care

1978 ◽  
Vol 18 (1) ◽  
pp. 36-39
Author(s):  
Christopher Treves Brown
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
National Health Service ◽  
Hospital Care ◽  
Intelligence Testing ◽  
Test Results ◽  
Iq Test ◽  
Special Hospital ◽  
Special Hospitals ◽  
Psychopathic Disorder

Comparison of the IQ test results of a group of patients admitted to Special Hospitals under the Mental Health Act 1959 classifications of mental illness and psychopathic disorder showed that those admitted from prison had a mean IQ. of about 100, whereas those admitted from National Health Service hospitals had a mean of only about 85. The possible significance of this is discussed.

Fitness to Plead and Psychiatric Reports

1989 ◽  
Vol 29 (1) ◽  
pp. 26-32 ◽  
Author(s):  
E P Larkin ◽  
P J Collins
Keyword(s):  
Mental Health ◽  
Clinical Diagnosis ◽  
Criminal Responsibility ◽  
Poor Understanding ◽  
Hospital Patients ◽  
Study Support ◽  
Legislative Changes ◽  
Special Hospital

The role of the psychiatrist in the determination of fitness to plead is reviewed by reference to 77 pre-trial psychiatric reports prepared on 31 Special Hospital patients detained under the provision of Section 5(1)(c) (Unfit to Plead) of the Criminal Procedure (Insanity) Act 1964. Each psychiatric report was analysed using a standardized checklist which addressed the legal criteria used to determine fitness to plead, the nature of the alleged offence and the clinical diagnosis. The results showed that almost 40% of the reports made no mention of fitness to plead at all and that only one-third of the reports made a statement about fitness to plead which was supported by reference to standard legal criteria. The results of this study support earlier work which has suggested that psychiatrists have a poor understanding of the issues surrounding fitness to plead and criminal responsibility. These findings are discussed in relation to recommendations made by the Report of the Committee on Mentally Abnormal Offenders, 1975 (Butler Report) and legislative changes introduced by the Mental Health Act 1983.

A Survey of Psychiatric Reports on Potential Special Hospital Patients

1980 ◽  
Vol 20 (2) ◽  
pp. 104-107
Author(s):  
Gavin Tennent ◽  
Christopher Treves-Brown
Keyword(s):  
Social Security ◽  
Sexual Violence ◽  
Mental States ◽  
Department Of Health ◽  
Hospital Patients ◽  
History Of ◽  
Special Hospital

189 letters written by consultants at Broadmoor Hospital about patients whom they had seen at the request of the Department of Health and Social Security, regarding suitability for admission, were studied for the presence or absence of comments about various aspects of the patients' social, criminal and psychiatric histories and current mental states. Social and psychiatric histories were similar for those who were accepted and rejected. A history of previous violence or of sexual violence was more common in the accepted group. Major differences were found in the current mental states described for the two groups of patients.

What Happens to Patients Released from the Special Hospitals?

1981 ◽  
Vol 138 (4) ◽  
pp. 340-345 ◽  
Author(s):  
Paul Bowden
Keyword(s):  
Accurate Prediction ◽  
Criminal Histories ◽  
Hospital Patients ◽  
Special Hospital ◽  
Special Hospitals

SummaryNHS consultants who are asked to accept Special Hospital patients can judge the prognosis, since the extent of both psychiatric and criminal histories provides the most accurate prediction of future behaviour. Patients discharged to the community have different outcomes from those transferred to NHS hospitals, but overall about one in five of those released are returned to a Special Hospital; up to one in two will subsequently be convicted, but the offences are mainly trivial and directed at property. Perhaps one in ten will be involved in serious or homicidal acts of violence.

ASPECTS IN BUILDING A COMPANY WEB-SITE AND ITS ROLE FOR THE DEVELOPMENT OF BUSINESS

2018 ◽  
pp. 117-124
Author(s):  
Petar Halachev ◽  
Victoria Radeva ◽  
Albena Nikiforova ◽  
Miglena Veneva
Keyword(s):  
Life Cycle ◽  
Web Site ◽  
The Internet ◽  
A Company ◽  
The Web ◽  
Design Construction ◽  
Made In ◽  
Site Types

This report is dedicated to the role of the web site as an important tool for presenting business on the Internet. Classification of site types has been made in terms of their application in the business and the types of structures in their construction. The Models of the Life Cycle for designing business websites are analyzed and are outlined their strengths and weaknesses. The stages in the design, construction, commissioning, and maintenance of a business website are distinguished and the activities and requirements of each stage are specified.

Aboutness

2014 ◽  
Author(s):  
Stephen Yablo
Keyword(s):  
Subject Matter ◽  
Philosophy Of Language ◽  
Mental States ◽  
Library Science ◽  
Philosophical Methodology ◽  
Major Advance ◽  
Truth Conditions ◽  
Ways Of Being ◽  
Made In

Aboutness has been studied from any number of angles. Brentano made it the defining feature of the mental. Phenomenologists try to pin down the aboutness features of particular mental states. Materialists sometimes claim to have grounded aboutness in natural regularities. Attempts have even been made, in library science and information theory, to operationalize the notion. However, it has played no real role in philosophical semantics, which is surprising. This is the first book to examine through a philosophical lens the role of subject matter in meaning. A long-standing tradition sees meaning as truth conditions, to be specified by listing the scenarios in which a sentence is true. Nothing is said about the principle of selection—about what in a scenario gets it onto the list. Subject matter is the missing link here. A sentence is true because of how matters stand where its subject matter is concerned. This book maintains that this is not just a feature of subject matter, but its essence. One indicates what a sentence is about by mapping out logical space according to its changing ways of being true or false. The notion of content that results—directed content—is brought to bear on a range of philosophical topics, including ontology, verisimilitude, knowledge, loose talk, assertive content, and philosophical methodology. The book represents a major advance in semantics and the philosophy of language.

The Role of the Endothelium in Premature Atherosclerosis: Molecular Mechanisms

2020 ◽  
Vol 27 (7) ◽  
pp. 1041-1051 ◽  
Author(s):  
Michael Spartalis ◽  
Eleftherios Spartalis ◽  
Antonios Athanasiou ◽  
Stavroula A. Paschou ◽  
Christos Kontogiannis ◽  
...  
Keyword(s):  
Molecular Mechanisms ◽  
Low Density Lipoprotein ◽  
Critical Role ◽  
Density Lipoprotein ◽  
Number Of Genes ◽  
Causes Of Mortality ◽  
Artery Disease ◽  
Genetic And Environmental Factors ◽  
Made In

Atherosclerotic disease is still one of the leading causes of mortality. Atherosclerosis is a complex progressive and systematic artery disease that involves the intima of the large and middle artery vessels. The inflammation has a key role in the pathophysiological process of the disease and the infiltration of the intima from monocytes, macrophages and T-lymphocytes combined with endothelial dysfunction and accumulated oxidized low-density lipoprotein (LDL) are the main findings of atherogenesis. The development of atherosclerosis involves multiple genetic and environmental factors. Although a large number of genes, genetic polymorphisms, and susceptible loci have been identified in chromosomal regions associated with atherosclerosis, it is the epigenetic process that regulates the chromosomal organization and genetic expression that plays a critical role in the pathogenesis of atherosclerosis. Despite the positive progress made in understanding the pathogenesis of atherosclerosis, the knowledge about the disease remains scarce.

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