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1

Nardi, Antonio E., Adriana Cardoso Silva, Jaime E. Hallak, and José A. Crippa. "A humanistic gift from the Brazilian Emperor D. Pedro II (1825 - 1891) to the Brazilian nation: the first lunatic asylum in Latin America." Arquivos de Neuro-Psiquiatria 71, no. 2 (2013): 125–26. http://dx.doi.org/10.1590/s0004-282x2013000200013.

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Until the beginning of the 19th century, psychiatric patients did not receive specialized treatment. The problem that was posed by the presence of psychiatric patients in the Santas Casas de Misericórdia and the social pressure from this issue culminated in a Decree of the Brazilian Emperor, D. Pedro II, on July 18, 1841. The “Lunatic Palace” was the first institution in Latin America exclusively designed for mental patients. It was built between 1842 and 1852 and is an example of neoclassical architecture in Brazil, located at Saudade Beach in the city of Rio de Janeiro. In the 1930s and 1940
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2

Floate, Susan. "Asylum architecture." Psychiatric Bulletin 16, no. 12 (1992): 764–65. http://dx.doi.org/10.1192/pb.16.12.764.

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The College library is continuing with its project to photograph some of the large old psychiatric hospitals. With the planned closure and possible demolition of many of these institutions it seems worthwhile to record the architecture of the buildings, although inevitably most have been extended, renovated or dissected over the years. Initially hospitals in the vicinity of London are being photographed but we hope to include establishments throughout the country and would be pleased to receive photographs of any architecturally interesting psychiatric hospitals to add to our collection. (Phot
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3

Fricke, Oliver P., Daniel Halswick, Alfred Längler, and David D. Martin. "Healing Architecture for Sick Kids." Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie 47, no. 1 (2019): 27–33. http://dx.doi.org/10.1024/1422-4917/a000635.

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Abstract. Scientific data are sparse on hospital design in child and adolescent psychiatry. The present article aims to give an overview of various concepts of hospital design and to develop concepts how architecture can consider the special needs of children and adolescents in their recovery from psychiatric diseases. Literature research is provided from PubMed and collected from architectural and anthroposophic bibliography. Access to daylight and nature, reduced level of noise and an atmosphere of privacy are general principles to support convalescence in patients. Especially in psychiatry,
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4

Bil, Jakub. "Psychiatric hospital architecture - selected problems of existing infrastructure." Psychiatria Polska 50, no. 4 (2016): 887–90. http://dx.doi.org/10.12740/pp/62572.

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5

Topp, Leslie. "Otto Wagner and the Steinhof Psychiatric Hospital: Architecture as Misunderstanding." Art Bulletin 87, no. 1 (2005): 130–56. http://dx.doi.org/10.1080/00043079.2005.10786232.

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6

Ramsay, Rosalind. "150 years on: recycling the old asylums." Psychiatric Bulletin 15, no. 7 (1991): 434–35. http://dx.doi.org/10.1192/pb.15.7.434.

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The relocation of chronic psychiatric patients in the community may be of unexpected benefit to town planners. Many Victorian mental hospitals, largely redundant in terms of medical use, are high quality buildings – some are listed or otherwise of architectural merit – and they are often set in mature landscaped grounds. Architect John Burrell has developed the idea of using former psychiatric hospital sites on the edges of cities as a basis for establishing a new urban core to outer suburban areas. His plans for the Woodford Green site won him the top prize in a national competition ‘Tomorrow
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7

De Girolamo, Giovanni, Angelo Barbato, Renata Bracco, et al. "Characteristics and activities of acute psychiatric in-patient facilities: national survey in Italy." British Journal of Psychiatry 191, no. 2 (2007): 170–77. http://dx.doi.org/10.1192/bjp.bp.105.020636.

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BackgroundLegislation in 1978 led to the gradual replacement of mental hospitals in Italy with a full range of community-based services, including facilities for acute in-patient care.AimsTo survey the main characteristics of Italian public and private in-patient facilities for acute psychiatric disorders.MethodStructured interviews were conducted with each facility's head psychiatrist in all Italian regions, with the exception of Sicily.ResultsOverall, Italy (except Sicily) has atotal of 4108 public in-patient beds in 319 facilities, with 0.78 beds for every 10 000 inhabitants, and 4862 beds
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Szántová, Gabriela, and Monika Rychtárikova. "Architecture Indoor Environment as a Healing Factor of Depression and Seasonal Affective Disorder." Applied Mechanics and Materials 824 (January 2016): 210–17. http://dx.doi.org/10.4028/www.scientific.net/amm.824.210.

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The number of patients in psychiatric facilities in Slovakia is increasing. Internal environment and appropriate architectural design of the building interior largely affects the health status and course of treatment of patients with psychiatric diagnoses such as depression and seasonal affective disorder. Specialized residential care facilities in Slovakia are often in poor technical conditions and internal environment often does not support therapeutic process, while in some cases it might work even contradictory. Consequence of the absence of standards or/and design guidelines for psychiatr
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9

Blitz, Rogério, Michael Storck, Bernhard T. Baune, Martin Dugas, and Nils Opel. "Design and Implementation of an Informatics Infrastructure for Standardized Data Acquisition, Transfer, Storage, and Export in Psychiatric Clinical Routine: Feasibility Study." JMIR Mental Health 8, no. 6 (2021): e26681. http://dx.doi.org/10.2196/26681.

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Background Empirically driven personalized diagnostic applications and treatment stratification is widely perceived as a major hallmark in psychiatry. However, databased personalized decision making requires standardized data acquisition and data access, which are currently absent in psychiatric clinical routine. Objective Here, we describe the informatics infrastructure implemented at the psychiatric Münster University Hospital, which allows standardized acquisition, transfer, storage, and export of clinical data for future real-time predictive modelling in psychiatric routine. Methods We des
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10

Drača, Vinko. "Između nadzora i funkcionalnosti." Acta medico-historica Adriatica 16, no. 2 (2018): 303–18. http://dx.doi.org/10.31952/amha.16.2.8.

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This paper reviews the architecture of the Royal National Institute for the Insane in Stenjevec during its construction and the first years of its existence. Since the opening of the Institute in 1879 until the end of the World War I, there were numerous adaptations and extensions of the original capacities. The paper shows how these extensions reflected the existing paradigm of the institutional architecture in the second half of the 19th century. Architecture, under the influence of Pinel’s “moral treatment” as a primary therapeutic approach to mental illnesses in the 19th century, was consi
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11

Högström, Ebba, and Gesa Helms. "Yielding and (Not) Breaking: Two Observations on the Walls of a Psychiatric Hospital." Architecture and Culture 7, no. 1 (2019): 45–49. http://dx.doi.org/10.1080/20507828.2019.1558832.

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12

Pink, Sarah, Melisa Duque, Shanti Sumartojo, and Laurene Vaughan. "Making Spaces for Staff Breaks: A Design Anthropology Approach." HERD: Health Environments Research & Design Journal 13, no. 2 (2020): 243–55. http://dx.doi.org/10.1177/1937586719900954.

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Purpose: This article proposes and demonstrates a design anthropological approach to hospital design and architecture and engages this approach to advance recent discussions of the question of designing for staff breaks. Background: We respond to calls for attention to sensory and experiential dimensions of hospital architecture and design through social science approaches and to research into the sensory environments for staff breaks. Method: Design anthropology enables us to surface the experiential and unspoken knowledge and practice of hospital staff, which is inaccessible through conventi
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Belčáková, Ingrid, Pavla Galbavá, and Martina Majorošová. "HEALING AND THERAPEUTIC LANDSCAPE DESIGN – EXAMPLES AND EXPERIENCE OF MEDICAL FACILITIES." International Journal of Architectural Research: ArchNet-IJAR 12, no. 3 (2018): 128. http://dx.doi.org/10.26687/archnet-ijar.v12i3.1637.

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Healing and therapeutic landscape design proposals are particularly suitable for medical facilities and, in general, facilities for people with health disorders, where they become a major support in difficult situations and can serve as a supplement to treatment. They do not replace medical help and different therapies, and neither do they exclude their need. However, their effects can improve and accelerate the recovery process in patients. In Slovakia, medical facilities do not often meet modern medical care requirements in terms of their technologies and equipment. For this reason, it is ne
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Kandasamy, S., D. Dooldeniya, J. Beezhold, A. Prabhu, and C. Heffernan. "Psychiatric intensive care units - designed for the patient ….designed for the environment." European Psychiatry 26, S2 (2011): 746. http://dx.doi.org/10.1016/s0924-9338(11)72451-8.

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AimsThis poster explores how Psychiatric Intensive Care Units can be designed using “green” technology in order to be environment-friendly whilst also meeting patient needs.MethodAnalysis of the new PICU at Hellesdon Hospital, Norfolk and Waveney Mental Health NHS Foundation Trust, United Kingdom. We describe how the architecture has been adapted from the standard mental health unit model to facilitate more intensive supervision. We will also examine the building design features that have been incorporated to ensure the lowest possible carbon footprint.ResultsRollesby Ward (PICU) at Hellesdon
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15

Gulak, Morton B. "Architectural Guidelines for State Psychiatric Hospitals." Psychiatric Services 42, no. 7 (1991): 705–7. http://dx.doi.org/10.1176/ps.42.7.705.

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16

Zhou, Ying, and YaoNan Sun. "Basic study on architectural planning of psychiatric hospital." Science China Technological Sciences 53, no. 7 (2010): 1755–67. http://dx.doi.org/10.1007/s11431-010-3077-6.

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17

Dvoskin, Joel A., Steven J. Radomski, Charles Bennett, et al. "Architectural design of a secure forensic state psychiatric hospital." Behavioral Sciences & the Law 20, no. 5 (2002): 481–93. http://dx.doi.org/10.1002/bsl.506.

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18

Loken, E. K., J. M. Hettema, S. H. Aggen, and K. S. Kendler. "The structure of genetic and environmental risk factors for fears and phobias." Psychological Medicine 44, no. 11 (2013): 2375–84. http://dx.doi.org/10.1017/s0033291713003012.

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BackgroundAlthough prior genetic studies of interview-assessed fears and phobias have shown that genetic factors predispose individuals to fears and phobias, they have been restricted to the DSM-III to DSM-IV aggregated subtypes of phobias rather than to individual fearful and phobic stimuli.MethodWe examined the lifetime history of fears and/or phobias in response to 21 individual phobic stimuli in 4067 personally interviewed twins from same-sex pairs from the Virginia Adult Twin Study of Psychiatric and Substance Abuse Disorders (VATSPSUD). We performed multivariate statistical analyses usin
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19

Musson, Jeremy. "Hospital cases." Psychiatric Bulletin 15, no. 12 (1991): 765–66. http://dx.doi.org/10.1192/pb.15.12.765.

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It could be said that one of the chief architectural legacies of the late 20th century, when it comes to be considered retrospectively, will be the wanton destruction and dispersal of buildings constructed in the previous century for the public benefit. Churches, schools and hospitals have been systematically sold off, and a good number of them, if not totally demolished, have lapsed into a pathetic state of limbo, particularly in this time of economic recession. Some of the worst cases of this known to the Victorian Society are hospitals of great architectural quality, constructed for the tre
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20

Black, Eddie, Richard Moore, and Tony Whitehead. "A Psychiatric Service Almost Without a Psychiatric Hospital." Bulletin of the Royal College of Psychiatrists 10, no. 2 (1986): 29–31. http://dx.doi.org/10.1192/s0140078900026651.

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For the past twenty years or more it has been suggested that all our large psychiatric hospitals should be closed and psychiatry transferred to the community. This idea has generated a large amount of discussion, innumerable papers and much anxiety. More recently it has become the stated objective of the Department of Health, and now every region in the country is making concrete plans to transfer psychiatry from the mental hospital to facilities in the community with the definite objective of closing down psychiatric hospitals within a measurable time. Naturally this has generated even more d
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21

Serra, Paolo. "Martyrs of the psychiatric hospitals." Temida 16, no. 2 (2013): 5–16. http://dx.doi.org/10.2298/tem1302005s.

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This article is based on the history of an Italian psychiatric hospital (Arezzo) that closed in 1989 and was turned into a university. The illegal and inhumane treatment in asylum-type institutions is condemned. In particular the treatment of those patients who, according to the analysis, hospital directors referred to as ?social cases.? These individuals did not stay in hospital because of health problems but only due to the lack of social care by the state. AS a consequence they are condemned to be ?prisoners? without committing any crimes.
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22

Goldberg, Richard J., and Barry S. Fogel. "Integration of General Hospital Psychiatric Services With Freestanding Psychiatric Hospitals." Psychiatric Services 40, no. 10 (1989): 1057–61. http://dx.doi.org/10.1176/ps.40.10.1057.

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23

H., Petryshyn. "DEVELOPMENT OF ARCHITECTURAL AND URBANISTIC COMPLEX OF LVIV REGIONAL PSYCHIATRIC HOSPITAL." Vìsnik Nacìonalʹnogo unìversitetu "Lʹvìvsʹka polìtehnìka". Serìâ Arhìtektura 2, no. 1 (2020): 133–42. http://dx.doi.org/10.23939/sa2020.01.133.

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24

Wright, Duncan. "Psychiatric Hospitals and Instrumental Rationality." International Journal of Health Services 28, no. 2 (1998): 373–84. http://dx.doi.org/10.2190/e24m-qwrm-vem9-6jc5.

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Therapists in psychiatric hospitals often overuse a model borrowed from natural science, with the patient becoming an object to be examined, assessed, and altered, and underuse an interpretive psychotherapeutic approach, or misuse it to control patients. And while expressing an interest in the meaning of what patients say, they exclude most of the traditional sources of meaning, in ethics, religion, literature, art, and political thought. The author argues that therapists do these things for two ideological reasons: to maintain their position in the authoritarian structure of the hospital and
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van den Berg, Marc, Hans Voordijk, and Arjen Adriaanse. "Information processing for end-of-life coordination: a multiple-case study." Construction Innovation 20, no. 4 (2020): 647–71. http://dx.doi.org/10.1108/ci-06-2019-0054.

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Purpose The purpose of this study is to explore how demolition contractors coordinate project activities for buildings at their end-of-life. The organizations are thereby conceptualized as information processing systems facing uncertainty. Design/methodology/approach A multiple-case study methodology was selected to gain in-depth insights from three projects with different end-of-life strategies: a faculty building (material recycling), a nursing home (component reuse) and a psychiatric hospital (element reuse). Using a theory elaboration approach, the authors sought to explain how and why dem
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Stanton, Malcolm W., and Peter R. Joyce. "Stability of Psychiatric Diagnoses in New Zealand Psychiatric Hospitals." Australian & New Zealand Journal of Psychiatry 27, no. 1 (1993): 2–8. http://dx.doi.org/10.3109/00048679309072117.

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This study examines the stability over a five year follow-up of first admission psychiatric diagnoses assigned in New Zealand psychiatric hospitals in 1980 and 1981. Diagnostic stability is a measure of the degree to which psychiatric diagnoses remained unchanged at a later hospital admission. Reasonably high levels of stability were found for the initial diagnoses of substance abuse disorders (86% stable), anorexia nervosa (70%), schizophrenia (67%), and affective disorder (67%). Poor levels of stability were noted for the initial diagnoses of personality disorder (36%), other psychosis (excl
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El shamy, Naglaa. "The impact of architectural psychology on the interior design of psychiatric hospitals." Journal of Design Sciences and Applied Arts 2, no. 1 (2021): 30–49. http://dx.doi.org/10.21608/jdsaa.2021.29937.1043.

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28

Anstee, Bryan H. "The residuum of a traditional psychiatric hospital." Psychiatric Bulletin 15, no. 11 (1991): 666–67. http://dx.doi.org/10.1192/pb.15.11.666.

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It is known that in most traditional psychiatric hospitals a significant minority of patients can have a better quality of life in hospital-hostels. With ample hospital-hostel places it was decided to interview and/or review the notes of all the non-demented Gloucestershire patients under 75 years whose stay in psychiatric hospitals exceeded one year on a census date of 26 September 1990. The characteristics of these long stay or residual patients are described.
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Adler, Nanci, and Semyon Gluzman. "Soviet Special Psychiatric Hospitals." British Journal of Psychiatry 163, no. 6 (1993): 713–20. http://dx.doi.org/10.1192/bjp.163.6.713.

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The subversion of psychiatric intervention for political purposes in the USSR during the 1970s and 1980s resulted in both intra-psychic and subsequent adaptational dysfunction in those dissidents who physically survived it. Incarceration in special psychiatric hospitals subjected the inmates to a sense of helplessness under the control of a malevolent power, futility, despair, danger from close and contentious contact with hardened criminals and the violently insane, overdosage with mind-altering and body-distorting neuroleptic drugs, and a Kafkaesque ambiguity concerning the specific terms of
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Sousa, Lídia, Ana Antunes, Tiago Mendes, Sofia Reimão, Lia Lucas Neto, and Jorge Campos. "Long-term Neuropsychiatric and Neuropsychological Sequelae of Endovascularly Treated Aneurysmal Subarachnoid Hemorrhage." Acta Médica Portuguesa 32, no. 11 (2019): 706. http://dx.doi.org/10.20344/amp.10894.

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Introduction: There is limited evidence regarding long-term outcomes of aneurysmal subarachnoid hemorrhage survivors. Most follow-up programs are relatively short and focused on physical functions. Endovascular aneurysmal embolization enables recovery of normal vascular architecture. However, there is growing evidence that neuropsychological and behavior sequelae can significantly impact the lives of these patients, even when treatment is successful. In this study, we reviewed cognition, psychiatric and neuropsychological symptoms, global functionality, and health-related quality of life 10 to
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Briscoe, Jane, Rosemarie McCabe, Stefan Priebe, and Thomas Kallert. "A national survey of psychiatric day hospitals." Psychiatric Bulletin 28, no. 5 (2004): 160–63. http://dx.doi.org/10.1192/pb.28.5.160.

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Aims and MethodWe conducted a postal questionnaire survey of all psychiatric day hospitals in England to identify the range of aims, organisational structure and content of service provision.ResultsOf 102 identified day hospitals, 77% responded to the questionnaire. The findings confirmed that there is great heterogeneity in English day hospital service provision. The function or aim with the highest mean rating was ‘providing an alternative to in-patient care’, with 66% of day hospitals giving this a rating of great or greatest importance. However, the majority of respondents prioritised mult
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Dunn, John. "Psychiatric training." Psychiatric Bulletin 18, no. 10 (1994): 643–44. http://dx.doi.org/10.1192/pb.18.10.643.

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The arrangement of medical services in Brazil is more akin to that of the USA than the UK. Private practice predominates but with a safety net of state funded hospitals. The majority of doctors working in state hospitals have contracts for 20 hours per week and are very poorly paid and they often have two or three jobs to compensate. These usually include working in a private clinic for part of the week and perhaps doing a period of on-call at another hospital. Some state hospitals are unable to fill vacant posts and there are frequent television reports of casualty departments having to close
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Leff, Julian, and Noam Trieman. "Long-stay patients discharged from psychiatric hospitals." British Journal of Psychiatry 176, no. 3 (2000): 217–23. http://dx.doi.org/10.1192/bjp.176.3.217.

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BackgroundThere have been no large-scale prospective studies evaluating the transfer of care from psychiatric hospitals to district-based services.AimsWe aimed to compare the quality of life of patients in two north London hospitals scheduled for closure with that in the community homes to which they were discharged.MethodThe total long-stay population of Friern Hospital and several hundred long-stay patients in Claybury Hospital were assessed with a batch of eight schedules while in hospital. They were followed up after one year in the community and then at five years.ResultsOf the 670 discha
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Tomison, Arden Randall. "Characteristics of Psychiatric Hospital Absconders." British Journal of Psychiatry 154, no. 3 (1989): 368–71. http://dx.doi.org/10.1192/bjp.154.3.368.

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Absence of patients without leave is common in psychiatric hospitals, and causes anxiety to staff, relatives, and the lay public. Such incidents are difficult to predict. This study attempted to identify the characteristics of patients absconding from a UK hospital over one year. Numbers were small, as those patients discharged against advice and failing to return from leave were excluded. Absconders were predominantly male, young, compulsorily admitted, and discharged with a diagnosis of schizophrenia. They tended to be single, had many previous admissions, and a longer total length of stay,
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Mitrofanova, N. N., and D. V. Antsyferova. "Features of Intra-Hospital Infections in Specialized Psychiatric Hospitals." Psikhiatriya 18, no. 4 (2020): 72–80. http://dx.doi.org/10.30629/2618-6667-2020-18-4-72-80.

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Rationale: The problem of intra-hospital infections around the world (including in Russia) has played a huge role in recent decades.The aim of the work: consider the issue of nosocomial infections using an example of a psychiatric hospital and show the significance of this problem.Material and methods: review and analysis of the current state of the problem; analysis of thesituation of nosocomial infections for 2016–2018 in psychiatric inpatient departments of GBUZ “OPB im. K.R. Evgrafova”, Penza (for 1000 beds).Results: the main problems of intra-hospital infections in the world and Russia ar
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Lally, John, Yim Lun Wong, Hitesh Shetty, et al. "Acute hospital service utilization by inpatients in psychiatric hospitals." General Hospital Psychiatry 37, no. 6 (2015): 577–80. http://dx.doi.org/10.1016/j.genhosppsych.2015.07.006.

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Dimenstein, Magda Diniz Bezerra, Viktor Gruska, and Jader Ferreira Leite. "Psychiatric Crisis Management in the Emergency Care Hospital Network." Paidéia (Ribeirão Preto) 25, no. 60 (2015): 95–104. http://dx.doi.org/10.1590/1982-43272560201512.

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Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality i
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Upton, Mark W. M., G. Harm Boer, and Alastair J. Neale. "Patients or clients? – a hospital survey." Psychiatric Bulletin 18, no. 3 (1994): 142–43. http://dx.doi.org/10.1192/pb.18.3.142.

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The use of the term client, rather than patient, has become frequent in psychiatric hospitals. There is little evidence to justify this change, so this study surveyed the views of the in-patients in a community based psychiatric hospital to establish the term they prefer. It concludes that a dear majority of people admitted to a psychiatric hospital think of themselves as patients, not clients.
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Miyoshi, Newton Shydeo Brandão, João Mazzoncini De Azevedo-Marques, Domingos Alves, and Paulo Mazzoncini De Azevedo-Marques. "An eHealth Platform for the Support of a Brazilian Regional Network of Mental Health Care (eHealth-Interop): Development of an Interoperability Platform for Mental Care Integration." JMIR Mental Health 5, no. 4 (2018): e10129. http://dx.doi.org/10.2196/10129.

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Background The electronic exchange of health-related data can support different professionals and services to act in a more coordinated and transparent manner and make the management of health service networks more efficient. Although mental health care is one of the areas that can benefit from a secure health information exchange (HIE), as it usually involves long-term and multiprofessional care, there are few published studies on this topic, particularly in low- and middle-income countries. Objective The aim of this study was to design, implement, and evaluate an electronic health (eHealth)
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Dorovskikh, I. V., E. A. Koltochnik, G. Y. Maltsev, D. G. Zhukov, N. D. Zhukov, and T. A. Pavlova. "Legal conflicts of hospitalization in a psychiatric hospital." V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY, no. 2 (July 11, 2019): 75–83. http://dx.doi.org/10.31363/2313-7053-2019-2-75-83.

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This discussion article describes the legislative contradictions of the legitimacy of hospitalization of the mentally ill patients in psychiatric hospitals. We give a specific recommendations to eliminate errors of practicing psychiatrists, as well as proposals to improve the legislation in the field of mental health care.
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Cooney, John M., Conor K. Farren, and Anthony W. Clare. "Personality disorder among first ever admissions to an Irish public and private hospital." Irish Journal of Psychological Medicine 13, no. 1 (1996): 6–8. http://dx.doi.org/10.1017/s0790966700002196.

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AbstractObjective: The identification of personality disorder among psychiatric in-patients is important because of the effect on the course and outcome of illness. The introduction of a multiaxial approach to diagnosis, has resulted in a higher than previously reported rate of occurrence of personality disorder in a variety of psychiatric settings. A prevalence of personality disorder of 4.9% is reported in the official statistics for Irish psychiatric hospitals. The aim of this study is to determine the true prevalence of personality disorders in two Irish psychiatric hospitals, one public a
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Powell, Georgia, Woody Caan, and Michael Crowe. "What Events Precede Violent Incidents in Psychiatric Hospitals?" British Journal of Psychiatry 165, no. 1 (1994): 107–12. http://dx.doi.org/10.1192/bjp.165.1.107.

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BackgroundThe study aimed to identify, classify and measure the relative frequency of events preceding violent incidents in psychiatric hospitals.MethodPossible antecedents for 1000 incidents in three associated psychiatric hospitals over 13 months were investigated with an ‘untoward incident database’.ResultsFrom eyewitness accounts, 921 incidents (92%) could be related to one of 15 categories of antecedent involving characteristics of the patient, or of the hospital regime, or interactions with other individuals. Overall, the most common antecedents involved patients who were generally agita
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Barone, Annarita, Felice Iasevoli, Marta Matrone, et al. "M170. GENETIC CHARACTERIZATION OF A COHORT OF PATIENTS AFFECTED BY SCHIZOPHRENIA. THE ROLE FOR RARE STRUCTURAL VARIANTS IN MODULATING TREATMENT RESISTANT ENDOPHENOTYPES: PRELIMINARY DATA." Schizophrenia Bulletin 46, Supplement_1 (2020): S201. http://dx.doi.org/10.1093/schbul/sbaa030.482.

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Abstract Background Schizophrenia (SCZ) is a debilitating mental illness characterized by a highly complex, heterogeneous, non-mendelian genetic background. Recent progress in dissecting genetic architecture of SCZ has accelerated over the last decade due to new advanced technologies. Genome-Wide Association Studies (GWAS) on extremely large samples of patients identified and replicated hundreds of Single-Nucleotide Polymorphism (SNPs), each exhibiting only a modest effect. The analysis of genomic Copy Number Variations (CNVs) clarified the role of rare structural variants conferring significa
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Curral, Rosário, Rui Lopes, Celeste Silveira, et al. "Forty years of a psychiatric day hospital." Trends in Psychiatry and Psychotherapy 36, no. 1 (2014): 52–58. http://dx.doi.org/10.1590/2237-6089-2013-0018.

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INTRODUCTION: Day hospitals in psychiatry are a major alternative to inpatient care today, acting as key components of community and social psychiatry. Objective: To study trends in the use of psychiatric day hospitals over the last decades of the 20th century and the first decade of the 21st century, focusing on patient age, sex, and diagnostic group, using data from Centro Hospitalar São João, Porto, Portugal. METHODS: Data corresponding to years 1970 to 2009 were collected from patient files. Patients were classified into seven diagnostic groups considering their primary diagnoses only. RES
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Fraser, R. M., and Rosemary Healy. "Psychogeriatric Liaison: A Service to a District General Hospital." Bulletin of the Royal College of Psychiatrists 10, no. 11 (1986): 312–14. http://dx.doi.org/10.1192/pb.10.11.312.

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Liaison psychiatry has been an influential element in hospital psychiatric practice for over a decade now. It is concerned with the ‘diagnosis, treatment, study, and prevention of psychiatric disorders among patients in non-psychiatric health care institutions, especially in general hospitals’. This paper describes and evaluates a project in which the principles of liaison psychiatry were incorporated into a psychogeriatric service.
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Ardagh-Walter, Nick, Prakash Naik, and David Tombs. "Staff attitudes to a psychiatric hospital closure." Psychiatric Bulletin 21, no. 3 (1997): 139–41. http://dx.doi.org/10.1192/pb.21.3.139.

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Many psychiatric hospitals in the UK have closed. Factors influencing staff morale around the time of a hospital closure will affect the functioning of that institution. This study surveyed staff anxieties, attitudes and expectations in a major psychiatric hospital three weeks prior to its closure. We found evidence of widespread denial despite energetic dissemination of information. There were also significant differences between staff groups. Our findings will have implications for the management of future hospital closures.“We have to get it into our heads that a hospital is like a shell, a
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Furlong, Rosalind C. S. "Closure of Large Mental Hospitals—Practicable or Desirable?" Bulletin of the Royal College of Psychiatrists 9, no. 7 (1985): 130–34. http://dx.doi.org/10.1192/s0140078900022136.

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The move towards community care essentially aims at the provision of a comprehensive psychiatric service in each District with facilities for the chronically disabled based outside the hospital for the greater part. Parallel with this move runs the aim to close all large mental hospitals. The present debate centres around the extent to which we can move towards a system of comprehensive District psychiatric services alone at this stage in time and the question of whether it is desirable to abandon totally the large psychiatric hospital style of care. The brief of this paper is to summarize the
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Das, Mohan P. "Privatisation of psychiatric care in the USA." Psychiatric Bulletin 13, no. 9 (1989): 496–98. http://dx.doi.org/10.1192/pb.13.9.496.

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Privatisation of psychiatric care is an increasing phenomenon in the USA. This is a relatively new trend and has followed on the heels of other trends like the deinstitutionalisation of the 1960s and 70s. Until recently the majority of in-patient population was in public hospitals, with some in psychiatric units of general hospitals. In the 1980s, the private hospital corporations seem to have discovered that there is money to be made in the business of psychiatric care and started building and marketing psychiatric hospitals on a wide scale.
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Jamieson, Elizabeth, Martin Butwell, Pamela Taylor, and Morven Leese. "Trends in special (high-security) hospitals." British Journal of Psychiatry 176, no. 3 (2000): 253–59. http://dx.doi.org/10.1192/bjp.176.3.253.

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BackgroundSpecial hospitals in England provide psychiatric care and treatment in high security. Their future is often questioned.AimsTo test for variation in demand for high-security psychiatric services over one 10-year period.MethodThis study was from the special hospitals' case registers and hospital records. The main measures were numbers and annual rates for referrals and beds offered; the Mental Health Act 1983 (MHA) classification of mental disorder; adjusted population rates by health region; admission episodes; legal category of detention; admission source and type of offence.ResultsR
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Bardell, Trevor, and Peter M. Brown. "Smoking Inside Canadian Acute Care Hospitals." Canadian Respiratory Journal 13, no. 5 (2006): 266–68. http://dx.doi.org/10.1155/2006/139359.

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OBJECTIVE: To assess smoking policies at Canadian acute care hospitals.METHOD: A questionnaire was designed, piloted and faxed to all acute care hospitals in Canada. The questionnaire was designed to address the following: what is the current policy regarding patient smoking? Are staff and/or visitors allowed to smoke inside the hospital? Is there a separate policy for psychiatric patients? Are smoking cessation products available at the hospital pharmacy? Is the policy governed by regional or municipal legislation?RESULTS: A total of 852 hospitals were included in the study. Of these, 476 res
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