Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
bed patients, may well be detached. The larger part of the hospital
population, consisting of the quiet, orderly, chronic, custodial cases,
can be cared for just as well in the large buildings as in groups or
cottages.
The reception building, from the standpoint of the patient, is the
most important building in the hospital. It should be equipped to care
for from five to ten per cent of the hospital population, depending
entirely upon the location and special problems of the institution in
question and the community which it serves. In any event it should
include both large and small dormitories, the larger accommodating
from fifteen to thirty patients, and the smaller not more than six or
eight, adequate day-room space, numerous single rooms and commodious
enclosed verandas. There should, of course, be ample dining room
facilities as well as diet rooms to provide for those whose condition
makes it necessary or advisable for them to be served in the wards.
Special provision should be made for the separate care of the noisy,
violent, disturbed, etc., and they should be in a part of the building
which can be isolated. The suicidal cases must be given special care
and separate supervision. A well equipped hydrotherapeutic department
is an essential part of the reception building. Continuous bath and
pack rooms are equally necessary. No less important are admission and
examination rooms, a pharmacy, laboratories, rooms for the special
treatment of eye, ear, nose and throat conditions, recreation rooms, a
library, space for occupational therapy, provision for social service
and psychological departments, etc. At least two physicians should
reside in the building. It is unfortunate that reception buildings as
a rule are entirely too small. They should be large enough so that the
acute and recoverable cases, as well as those found on observation not
to require hospital treatment, can be returned to their homes without
any further contact with the hospital or the necessity of a protracted
residence with the chronic and purely custodial cases.
Public-domain text, read in full here on John Shaqi.
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