While occasionally a technically sane person may committed such as a drag habitue, a defective without psychosis, or a dotard may asserted that, under the enlightened laws now operative in many states, no person in a normal mental condition can committed a state hospital.
The laws New York respecting the admission patients hospitals are examples those more enlightened statutes. They provide for the immediate or so-called emergency admission pntients certified qualified medical examiners in need immediate treatment, thus obviating delay when, as still the case in many small and some large communities, suitable facilities are lacking for the care patients pending commitment.
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There also provision for admission voluntary application when, in a superintendent's judgment, a patient's mental condition such as allow him understand the nature his act, but also such as warrant treatment in a state The operation the voluntary-admission law has had a mosl salutary effect in emphasizing the hospital idea in contradistinction lie old asylum idea, with its evil connotation.
During tli year ended dune. per cent all admissions the New York state hospitals were the voluntary class, a percentage that has remained practically constant during recent years, but only because lack facilities for the care a larger number.
There no doubt that a state can well afford encourage such admissions in greater numbers when accommodations render possible It thus possible bring under treatment, at a time when treatment most avail, the border-line psychoneurotic cases, from whose ranks more frank psychotic cases come.
There are private hospitals for mental disease with from admissions a voluntary basis, and while the demands public institutions are such that will probably never possible for them receive such a percentage voluntary patients, wise state policy render treatment facilities readily available incipient cases. Eecoveries are always in exact ratio the promptness with Our modern state hospitals are hospitals in fact as well as in name, equipped as they are deal not only with all types mental disease, but with all forms physical disease.
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Chief emphasis will ever laid upon their curative efforts.
But after all not more than an average admission group as yet recoverable, despite the application our best knowledge and skill. That means there an everincreasing number so-called chronic cases mental disease in our institutions whose maintenance constitutes a tremendous financial burden. In the future development hospital work, more effort should directed toward securing such partial rehabilitation the chronic deteriorated patients as may possible.
It in this connection that the extension and further development occupational therapy will find a great field usefulness. Occupation for mental patients not new, but has heretofore been largely help me write a research paper confined patients who occupied themselves voluntarily.
But now our chief concern the idle and often disturbed and untidy chronic patients, with whom intensive and prolonged effort necessary secure results. But such results, when secured, are worth every possible effort. Through occupational therapy, habit training, and reeducation means simple kindergarten methods, i need help writing an essay there are relatively few chronic patients who cannot trained some useful activity and thus rendered able fill a niche, however small, in the hospital organiz The chronic wards the future should practically deserted after the household work has been done, as the patients the simple duties for which they have been trained. Occupational therapy such an intensive character requires a considerable initial expense, but ultimately an economy, through the elimination destructive tendencies and the transformation patients from total liabilities at least The bulk chronic patients suffer from that form mental disease known as dementia praecox, in which there are varying degrees deterioration, but usually a final arrest the deteriorating process a lowered mental plane. Such patients, when trained useful activity within the bounds their diminished capacity, are comparable defective persons similarly trained. Just as the latter now lead happy and relatively useful lives in industrial colonies, both in institutions and in the community, may the industrially trained chronic mental patients become need help on writing an essay less a burden in the small farm colonies that are becoming a feature our state hospitals and that will multiplied as the possibilities occupational therapy are realized and means permit. It may even possible profit the experience our confreres in the establishment industrial colonies for defectives in the community, as would seem well within the bounds possibility for such a colony selected chronic mental patients However well organized and help me write thesis statement equipped a hospital may for the modern treatment mental disease, to-day generally recognized that its extramural activities are fully as important as its intramural work. The isolated mental hospital, especially if mere custody its chief function, an anachronism. The how to buy a term paper present-day hospital must a center from which radiates information all matters pertaining the maintenance mental health as well as the treatment and dispositioTi persons mentally diseased. It must reach out into the community in an effort prevent mental disease and secure the reestablishmenl paroled and discharged patients.
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