Physical Disease in a Mental Observation Unit

Stokes, Jonathan; Nabarro, J. D. N.; Rosenheim, M.; Dunkley, Emma

doi:10.1016/s0140-6736(54)91953-4

Cited by 11 publications

(3 citation statements)

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“…The presence with lipodystrophy of mental disorder due to organic disease of the brain lends some support to the theory that this disease results from a lesion in the central nervous system. In our patient the mental changes were due to uraemia, and, although in none of the case reports was mental change attributed to this cause, renal and other organic disease may pass unrecognized when presenting with mental symptoms (Stokes et al, 1954).…”

Section: Discussioncontrasting

confidence: 44%

Lipodystrophia Progressiva and Temporary Hydronephrosis

Fowler¹

1955

BMJ

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Section: Discussioncontrasting

confidence: 44%

Lipodystrophia Progressiva and Temporary Hydronephrosis

Fowler¹

1955

BMJ

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“…The St Pancras observation ward generated general medical interest from University College Hospital, the teaching hospital associated with it (Steel, 1960;Stokes et al, 1954). A neurological article, principally about 500 referrals for the weekly visit by a consultant neurologist between 1953 and 1958, shows there were occasional non-compulsory admissions and that many patients stayed beyond the original detention period instead of being transferred to a mental hospital.…”

Section: Clinical Accountsmentioning

confidence: 99%

Mental observation wards: an alternative provision for emergency psychiatric care in England in the first half of the twentieth century

Cowan

2021

Hist Psychiatry

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In England in the early twentieth century, mental observation wards in workhouses developed as a parallel service to the asylums for emergency mental health admissions under the 1890 Lunacy Act, particularly in urban areas and especially London on account of local policy. The purpose of the wards was initial patient assessment and early discharge or certification, and there was controversy between their medical supporters and the Board of Control about any extension of their remit which might usurp the role of the mental hospitals. Their significance declined with changing policy in the NHS era, as more emergency admissions went to mental hospitals, and local treatment units emerged. This article explores the history of these services in the context of the changing legal and policy frameworks.

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“…for the latter. Stokes, Nabarro, Rosenheim, and Dunkley (1954) analysed physical illness in an observation ward over a 5-year period. In 54 patients death was due to physical illness, unrecognized before admission, and thirty of the 54 patients were admitted from general hospitals.…”

Section: Review Of the Literaturementioning

confidence: 99%