The Long-Term Psychiatric Patient: In or Out?

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Psychiatric out-patient services: origins and future

Psychiatric out-patient services have recently come under close scrutiny. Until April 2005, nonattendance rates at first appointments were one of the performance indicators used by the Commission for Healthcare Improvement (now the Health Care Commission) in awarding ‘star ratings’ to National Health Service (NHS) trusts for service efficiency. This attention has allowed some creative thinking ...

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A Psychiatric Out-Patient Nursing Service

The Mental Treatment Act of 1930, in addition to creating voluntary status for patients entering a psychiatric hospital for treatment and care, provided for the setting up of out-patient clinics at which such cases could be seen and properly assessed by a Pyschiatrist before hospitalisation was decided upon. The Act, as a whole, was an enlightened and forward looking piece of legislation and in...

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Ethical issues in long-term psychiatric management.

Two general ethical problems in psychiatry are thrown into sharp relief by long term care. This article discusses each in turn, in the context of two anonymised case studies from actual clinical practice. First, previous mental health legislation soothed doubts about patients' refusal of consent by incorporating time limits on involuntary treatment. When these are absent, as in the provisions f...

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Carer involvement in compulsory out-patient psychiatric care in England

BACKGROUND There is an expectation in current heath care policy that family carers are involved in service delivery. This is also the case with compulsory outpatient mental health care, Community Treatment Orders (CTOs) that were introduced in England in 2008. No study has systematically investigated family involvement through the CTO process. METHOD We conducted qualitative interviews with 2...

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ژورنال

عنوان ژورنال: Journal of the Royal Society of Medicine

سال: 1996

ISSN: 0141-0768,1758-1095

DOI: 10.1177/014107689608900702