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Roundway Hospital
Roundway Hospital was a psychiatric hospital in the parish of Roundway near Devizes, Wiltshire, England. It was originally called the Wiltshire County Lunatic Asylum and later the Wiltshire County Mental Hospital. It opened in 1851 and closed in 1995. History Construction and inauguration The hospital was conceived in 1848 by a committee of Justices chaired by Sir John Wither Awdry for "providing an asylum for the pauper lunatics of the county of Wiltshire alone". Forty-eight acres of land was purchased from Mr T. H. S. Southeron at the end of Pans Lane in the parish of Roundway. The money was raised by loans from the government and other subscribers, to be paid back over 21 years. Construction was started in 1849. The architect was Thomas Henry Wyatt, well known for his institutional architecture. The style was Italianate and the first phase cost £19,594. Construction was by T & W Piper, and the addition of ironwork by Knight & Co. for railings around the buildings cost a furt ...
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Roundway
Roundway is a hamlet and former civil parish adjacent to Devizes in the English county of Wiltshire. The hamlet lies about northeast of Devizes town centre. In April 2017, Roundway civil parish was abolished and became a ward of Devizes parish, owing to housing development to the north, east and south of the town. In the census of 2001 Roundway parish had a population of 2,267, increasing to 5,290 at the census of 2011. Roundway ward is located in the north, east and southwest of Devizes, and on the north side lies off the A361, which passes from Devizes to Swindon. On the southwest side it is accessible by the A360 Salisbury – Devizes road, and by the A342. The small hamlet of Roundway lies just to the north of this, towards the White Horse. The north part of Roundway provides a bypass from the north of Devizes to the west through Conscience Lane. Towards the south of the ward is the former hamlet of Nursteed, now a contiguous suburb of Devizes. Most of the land surroundi ...
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Occupational Therapy
Occupational therapy (OT) is a global healthcare profession. It involves the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or ''occupations'', of individuals, groups, or communities. The field of OT consists of health care practitioners trained and educated to improve mental and physical performance. Occupational therapists specialize in teaching, educating, and supporting participation in any activity that occupies an individual's time. It is an independent health profession sometimes categorized as an allied health profession and consists of occupational therapists (OTs) and occupational therapy assistants (OTAs). While OTs and OTAs have different roles, they both work with people who want to improve their mental and or physical health, disabilities, injuries, or impairments. The American Occupational Therapy Association defines an occupational therapist as someone who "helps people across their lifespan participate in the thing ...
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Care In The Community
Care in the Community (also called "Community Care" or "Domiciliary Care") is a British policy of deinstitutionalisation, treating and caring for physically and mentally disabled people in their homes rather than in an institution. Institutional care was the target of widespread criticism during the 1960s and 1970s,Report of the Committee of Inquiry
''Socialist Health Association'', Retrieved 28 February 2010
but it was not until 1983 that the government of adopted a new policy of care after the Audit Commission published a report called 'Making a ...
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Antipsychotic
Antipsychotics, also known as neuroleptics, are a class of Psychiatric medication, psychotropic medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia but also in a range of other psychotic disorders. They are also the mainstay together with mood stabilizers in the treatment of bipolar disorder. Prior research has shown that use of any antipsychotic is associated with smaller brain tissue volumes, including white matter reduction and that this brain shrinkage is dose dependent and time dependent. A more recent controlled trial suggests that second generation antipsychotics combined with intensive psychosocial therapy may potentially prevent pallidal brain volume loss in first episode psychosis. The use of antipsychotics may result in many unwanted side effects such as Extrapyramidal symptoms, involuntary movement disorders, gynecomastia, impotence, weight gain and metabolic syndrome. ...
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Mental Health Act 1959
The Mental Health Act 1959 was an act of the Parliament of the United Kingdom concerning England and Wales which had, as its main objectives, to abolish the distinction between psychiatric hospitals and other types of hospitals and to deinstituitionalise mental health patients and see them treated more by community care. It also defined the term mental disorder for the first time: "mental illness as distinct from learning disability. The definition was “mental illness; arrest or incomplete development of mind; psychopathic disorder; and any other disorder or disability of mind”. At the time, 0.4% of the population of England were housed in asylums, receiving the standard treatments of the time. Their treatment was considered by the 1957 Percy Commission and the act resulted from its deliberations. The act was designed to make: * treatment voluntary and informal; * and where compulsory give it a proper legal framework and made as a medical decision; * and to move treatment, w ...
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Antidepressant
Antidepressants are a class of medication used to treat major depressive disorder, anxiety disorders, chronic pain conditions, and to help manage addictions. Common side-effects of antidepressants include dry mouth, weight gain, dizziness, headaches, sexual dysfunction, and emotional blunting. There is a slight increased risk of suicidal thinking and behavior when taken by children, adolescents, and young adults. Discontinuation syndrome may occur after stopping any antidepressant which resembles recurrent depression. Some research regarding the effectiveness of antidepressants for depression in adults has found benefits, whilst other research has not. Evidence of benefit in children and adolescents is unclear. The twenty-one most commonly prescribed antidepressant medications are more effective than placebo for the short-term (acute) treatments of adults with major depressive disorder. There is debate in the medical community about how much of the observed effects of antidep ...
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Insulin Shock Therapy
Insulin shock therapy or insulin coma therapy was a form of psychiatric treatment in which patients were repeatedly injected with large doses of insulin in order to produce daily comas over several weeks.Neustatter WL (1948) ''Modern psychiatry in practice.'' London: 224. It was introduced in 1927 by Austrian-American psychiatrist Manfred Sakel and used extensively in the 1940s and 1950s, mainly for schizophrenia, before falling out of favour and being replaced by neuroleptic drugs in the 1960s. It was one of a number of physical treatments introduced into psychiatry in the first four decades of the 20th century. These included the convulsive therapies ( cardiazol/metrazol therapy and electroconvulsive therapy), deep sleep therapy, and psychosurgery. Insulin coma therapy and the convulsive therapies are collectively known as the shock therapies. Origins In 1927, Sakel, who had recently qualified as a medical doctor in Vienna and was working in a psychiatric clinic in Berlin, b ...
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Salisbury
Salisbury ( ) is a cathedral city in Wiltshire, England with a population of 41,820, at the confluence of the rivers Avon, Nadder and Bourne. The city is approximately from Southampton and from Bath. Salisbury is in the southeast of Wiltshire, near the edge of Salisbury Plain. Salisbury Cathedral was formerly north of the city at Old Sarum. The cathedral was relocated and a settlement grew up around it, which received a city charter in 1227 as . This continued to be its official name until 2009, when Salisbury City Council was established. Salisbury railway station is an interchange between the West of England Main Line and the Wessex Main Line. Stonehenge is a UNESCO World Heritage Site and is northwest of Salisbury. Name The name ''Salisbury'', which is first recorded around the year 900 as ''Searoburg'' ( dative ''Searobyrig''), is a partial translation of the Roman Celtic name ''Sorbiodūnum''. The Brittonic suffix ''-dūnon'', meaning "fortress" (in reference ...
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Ministry Of Health (United Kingdom)
The Department of Health and Social Care (DHSC) is a department of His Majesty's Government responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the secretary of state for health and social care with three ministers of state and three parliamentary under-secretaries of state. The department develops policies and guidelines to improve the quality of care and to meet patient expectations. It carries out some of its work through arms-length bodies (ALBs), including executive non-departmental public bodies such as NHS England and the NHS Digital, and executive agencies such as the UK Health Security Agency and the Medicines and Healthcare products Regulatory Agency (MHRA). The DHSC also manages the work of the Natio ...
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National Health Service
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the "NHS" name ( NHS England, NHS Scotland and NHS Wales). Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The four systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60 and certain state ben ...
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Prefrontal Leucotomy
A lobotomy, or leucotomy, is a form of neurosurgical treatment for psychiatric disorder or neurological disorder (e.g. epilepsy) that involves severing connections in the brain's prefrontal cortex. The surgery causes most of the connections to and from the prefrontal cortex, the anterior part of the frontal lobes of the brain, to be severed. In the past, this treatment was used for treating psychiatric disorders as a mainstream procedure in some countries. The procedure was controversial from its initial use, in part due to a lack of recognition of the severity and chronicity of severe and enduring psychiatric illnesses, so it was claimed to be an inappropriate treatment. Frontal lobe surgery, including lobotomy, is the second most common surgery for epilepsy to this day, and usually done on one side of the brain, unlike lobotomies for psychiatric disorder which were done on both sides of the brain. The originator of the procedure, Portuguese neurologist António Egas Moniz ...
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Electroconvulsive Therapy
Electroconvulsive therapy (ECT) is a psychiatry, psychiatric treatment where a generalized seizure (without muscular convulsions) is electrically induced to manage refractory mental disorders.Rudorfer, MV, Henry, ME, Sackeim, HA (2003)"Electroconvulsive therapy". In A Tasman, J Kay, JA Lieberman (eds) ''Psychiatry, Second Edition''. Chichester: John Wiley & Sons Ltd, 1865–1901. Typically, 70 to 120 volts are applied externally to the patient's head, resulting in approximately 800 amperes, milliamperes of direct current passing between the electrodes, for a duration of 100 milliseconds to 6 seconds, either from temple to temple (bilateral ECT) or from front to back of one side of the head (unilateral ECT). However, only about 1% of the electrical current crosses the bony skull into the brain because skull Electrical impedance, impedance is about 100 times higher than skin Electrical impedance, impedance. The ECT procedure was first conducted in 1938 by Italian psychiatrist Ugo C ...
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