The first psychiatric day-hospital in the United Kingdom was established in 1946 through the initiative of Bierer. This innovation was received with some scepticism (Bierer, 1955) and five years passed before a second day-hospital was created. Interest gradually increased, and by 1959 there were at least 38 psychiatric day-hospitals (Farndale, 1961). In the early sixties the movement received a...

OBJECTIVES To work with specialist community teams to assess the practicality and acceptability of identified outcome measures for routine use in dementia services. SETTING Seven specialist dementia services: four multidisciplinary teams, a specialist service for carers, a community psychiatric nurse team, and a day hospital. SUBJECTS 20 members of staff from the specialist dementia service...

The aim of this presentation is to give a profile of the history and work of the Polish-German Mental Health Society (PNTZP). Founded in 1990, the PNTZP's supreme objective is to develop and reinforce partnership between Polish and German psychiatry on a range of levels. The methods it uses to further this aim include bilateral meetings, seminars, and annual symposia. In view of its historical ...

All healthcare is delivered in relationships between professionals and patients, and this relationship is particularly central to mental healthcare. Although fewer studies have been conducted in community psychiatry than in psychological treatments, there is increasing evidence that the therapeutic relationship predicts outcome across various psychiatric settings. The clinician-patient relation...

The recent forensic psychiatry literature has focused on such areas as compentency to stand trial and the insanity plea. Very little attention has been given to the pre-sentence psychiatric evaluation particularly from a research point of view. Such information as demographic data on the defendants examined and the role the psychiatric report plays in the sentencing process is both unclear and ...

FAMILY INTERVIEWING, or family therapy as some prefer to call it, is by now a well-established, fashionable modality of psychotherapy and, for analysts engaged in such work, one of the many branches of applied psychoanalysis. As yet there is no adequate formulation of the meaning of "applied psychoanalysis, " for it is difficult indeed to define what psychoanalytic training adds to the practice...

It has become common to observe that specialised services are provided for certain groups of people, like, for example, Child psychiatry services. Alcohol and drug abuse services, and community psychiatry services. Similarly there has been a need to evolve specialised mental health care for the aged people. Though the number of mental health professionals are small in number compared to the ext...

My father, Dr. Morton Birnbaum (may his memory be a blessing), unfortunately passed away in November of 2005, but it seems like just yesterday to my five siblings and me. I was in the middle of medical school training at the time. Toward the end of my medical school tenure, with the help of some members of the psychiatry faculty, I began to read through my father’s law and psychiatry articles, ...

Background Slovenian psychiatry is predominantly hospital based. A programme for the development of general community psychiatric services was proposed to improve access to and quality and comprehensiveness of psychiatric care according to the modern standards of delivery of psychiatric services. Aim The aim of the paper is to present the programme for developing community services that was pro...

The work of a community-based psychiatric service in south-east London is described. In the period from 1979 to 1982 1533 clients were seen. A large number of severely disturbed clients were managed at home with the help of family members and local services.