Assuntos
Hospital Dia , Hospitais Psiquiátricos , Adulto , Idoso , Doença Crônica , Feminino , Seguimentos , Humanos , Assistência de Longa Duração , Masculino , Transtornos Mentais/terapia , Pessoa de Meia-Idade , EscóciaRESUMO
Fifty-one long-stay psychiatric patients admitted to a new rehabilitation unit were followed up for 3-4 years. Two groups were identified, one (n = 29) where significant progress had been made, and a second (n = 22) where no significant progress had been made. The groups were compared on a number of demographic measures and on measures of mental state, social behaviour, self-care skills, and work performance in hospital. The only items which successfully differentiated the groups related to self-care skills such as use of money, catering ability, and care of clothes. The implications of these findings for future rehabilitation policy are discussed.
Assuntos
Transtornos Mentais/reabilitação , Adulto , Idoso , Alcoolismo/reabilitação , Transtorno Depressivo/reabilitação , Epilepsia/reabilitação , Feminino , Hospitais Psiquiátricos , Humanos , Deficiência Intelectual/reabilitação , Assistência de Longa Duração , Masculino , Pessoa de Meia-Idade , Prognóstico , Reabilitação Vocacional , Esquizofrenia/reabilitaçãoRESUMO
The Clifton Assessment Schedule and the Shortened Stockton Rating Scale were administered to 38 elderly, mentally handicapped patients. Inter-rater reliability was high and the CAS was found to be a useful measure of cognitive ability. The tests measure different features of patients, but both correlated significantly with estimated levels of independence.
Assuntos
Deficiência Intelectual/psicologia , Escalas de Graduação Psiquiátrica , Idoso , Transtornos Cognitivos/psicologia , Feminino , Humanos , Inteligência , Masculino , Pessoa de Meia-IdadeRESUMO
Six elderly psychiatric and 17 mentally handicapped individuals suffering from severe constipation received 3 week periods of treatment with 10 g unrefined bran, three bran biscuits, and Senokot syrup daily or three times weekly. There was no significant difference in the number of bowel movements or enemas or in the consistency of the motions. The results suggest that bran may be substituted for laxatives.
Assuntos
Celulose/uso terapêutico , Constipação Intestinal/dietoterapia , Demência/complicações , Fibras na Dieta/uso terapêutico , Deficiência Intelectual/complicações , Adulto , Idoso , Envelhecimento , Catárticos/uso terapêutico , Constipação Intestinal/etiologia , Constipação Intestinal/terapia , Defecação , Enema , Feminino , Hospitais Psiquiátricos , Humanos , Masculino , Pessoa de Meia-Idade , EscóciaRESUMO
The Delusions-Symptoms-States Inventory (DSSI) was administered to 33 chronic non-paranoid schizophrenic patients resident on long-stay wards. It was found that the vast majority of cases (81 per cent) produced symptom patterns conforming to the hierarchy of classes of personal illness model, but with a radically different distribution among the classes from that in acutely ill patients. Within the model a half of the patients were allotted to the two lowest classes--Class 0 (Symptom-free) and Class 1 (Dysthymic States). When each set of items was considered separately and independently of the model, it was found that a half of the group professed to have recently experienced delusions. Affective states and depressive symptoms were reported by over a third of the patients.
Assuntos
Modelos Psicológicos , Esquizofrenia/classificação , Adulto , Doença Crônica , Feminino , Humanos , Tempo de Internação , Masculino , Inventário de PersonalidadeRESUMO
The effects after 1 year of the introduction of a token economy system into a long-term male psychiatric ward of 45 mainly schizophrenic patients are described. The main objectives were (1) to define the limits of such programmes in "average" National Health Service conditions, where additional resources in staff, finance, and facilities are very limited and (2) to introduce the principles and techniques of behaviour modification to nursing staff. The programme succeeded in reducing social withdrawal and apathy and in increasing self-care skills and involvement in constructive activity. There was no change in the level of socially embarrassing behaviour. The major limitation affecting the maintenance of the programme was found to be the rapid turnover and unpredictable changes in nursing staff. It was concluded that such programmes are feasible with very little in the way of increased resources, and that such efforts will continue to be necessary in view of the existing large numbers of long-tern patients and the slow but significant accumulation of new patients.
Assuntos
Hospitais Psiquiátricos , Recompensa , Esquizofrenia/terapia , Reforço por Recompensa , Adulto , Comportamento , Humanos , Masculino , Pessoa de Meia-Idade , Escócia , Ajustamento SocialRESUMO
This study attempted to assess the applicability of the Clinical Interview Schedule (Goldberg et al., 1970) to mentally handicapped patients in a hospital. Twenty-seven patients were rated simultaneously by three raters. Of the 31 items assessed for reliability, 11 were completely satisfactory, 8 were satisfactory, 6 unsatisfactory and 6 'not proven'. Ratings made by all raters for overall severity of psychiatric illness correlated significantly with similar ratings made by the consultants responsible for the patients.