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Biomedical subjects

E Fottrell

Publications and source records attributed to E Fottrell.

11 recordsLinked to original sources
PubMed1981

Violent behaviour by psychiatric patients.

There is no substantial body of evidence to prove that psychiatric patients as a group are more violent than the general population. In determining whether violence is exhibited, the underlying personality of the individual is far more important than the psychiatric illness from which he suffers. Individuals with psychopathic personalities, those who abuse or are dependent on alcohol drugs, and those with pronounced paranoid or sadistic traits may be characterized by aggressive and violent behaviour. There is at present no reliable method of predicting if or when an individual patient will exhibit assaultive behaviour. Psychiatric hospitals, especially in the UK, are characterized more by frequent petty violence than by serious violence. Victims of assaults by patients are often related or known to them an interact with them on a personal level; they may also play a considerable role consciously or otherwise in instigating the assault.

Alcohol Drinking↗
PubMed1980

"Asset stripping" the declining mental hospital.

A psychogeriatric day hospital was developed from a long-stay back ward of a large mental hospital whose population of patients had decreased by half. Women in the 70-80 age group with varying degrees of dementia benefited most from such facilities. In view of the current cut-back in Government spending one of the greatest assets in providing a comprehensive service for the elderly mentally infirm may well be found in the declining mental hospital.

Aged↗
PubMed1980

A study of violent behaviour among patients in psychiatric hospitals.

This study of violent behaviour among psychiatric in-patients in three hospitals found that many incidents of petty violence occurred and serious violence was rare. Among the offending patients there were more females than males, more young than old and the most commonly represented diagnosis was schizophrenia. Nursing staff were by far the commonest victims. Most of the incidents occurred during the daytime and were perpetrated mainly by patients nursed on acute psychiatric wards. The vast majority of patients were nonviolent.

Adult↗
PubMed1976

Long-stay patients with long-stay drugs. A case review; a cause for concern.

The psychotropic medication of 200 long-stay psychiatric patients was reviewed by the consutant in charge of the ward, the ward doctor, and the ward sister. Those patients in whom medication was altered or stopped were reassessed by the same team after 6 months. About half the patients on medication had been receiving unnecessary or excessive medication.

Evaluation Studies as Topic↗
PubMed1975

Identification and definition of long-stay mental hospital population.

In a study to identify and define a central group of long-stay psychiatric patients who are resistant to discharge 422 were found who had been in hospital for eight to 23 years. These "problem" patients represented 40% of all long-stay patients. The total number of years that they had spent in hospital was nearly double that of the remaining patients. They were mostly unvisited, unoccupied, and single, and most were suffering from schizophrenia or organic psychosis. Half were in a good or reasonably good state of mental health, and three-quarters were in a good or reasonably good state of physical health. The findings have implications for the rehabilitation and treatment of these patients and also for the provision of community aftercare facilities.

Adult↗