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The Reason for Admission as a Focus of Work for an Adolescent Unit

Published online by Cambridge University Press:  29 January 2018

Peter Bruggen ,
John Byng-Hall  and
Tom Pitt-Aikens
Peter Bruggen
Affiliation:
Adolescent Unit, Hill End Hospital, St. Albans and Adolescent Department, Tavistock Clinic, Tavistock Centre, Belsize Lane, London, N.W.3
John Byng-Hall
Affiliation:
Tavistock Clinic, London and Adolescent Unit, Hill End Hospital, St. Albans
Tom Pitt-Aikens
Affiliation:
Tavistock Clinic, London and Adolescent Unit, Hill End Hospital, St. Albans
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Extract

In recent years provision of care for psychiatrically disturbed adolescents has received increasing attention. The present situation was summarized in a leading article in the British Medical Journal (1971) which emphasized one aspect of this provision—the need for adolescent in-patient facilities based within the community. This paper describes the ideas and practices of an adolescent unit which was opened at Hill End Hospital, St. Albans, in September 1969 to take younger adolescents (up to 16) of both sexes, from the area of the North-West Metropolitan Regional Hospital Board. This area covers 13,000 square miles and has a population of 4½ million, which the Unit aims to serve with 11 available beds. Who should be admitted to these places is clearly a critical question.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 122 , Issue 568 , March 1973 , pp. 319 - 329
Copyright
Copyright © Royal College of Psychiatrists, 1973 

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References

Balint, M. (1965). ‘The doctor's therapeutic function.’ Lancet, i, 1177–80.Google Scholar
Barton, R. (1961). Institutional Neurosis. Bristol: J. Wright.Google Scholar
Bernstein, B. (1964). ‘Social class, speech systems and psychotherapy.’ British Journal of Sociology, 15, 54–64.Google Scholar
Beskind, H. (1962). ‘Psychiatric inpatient treatment of adolescents. A review of clinical experience.’ Comprehensive Psychiatry, 3, 354–69.Google Scholar
Bowlby, J. (1949). ‘The study and reduction of group tensions in the family.’ Human Relations, 2, 123–8.Google Scholar
Brandon, S. (1970). ‘Crisis theory and possibilities of therapeutic intervention.’ British Journal of Psychiatry, 117, 627–33.Google Scholar
British Medical Journal (1971). ‘Adolescents in psychiatric care’ (Leading article), ii, 3–4.Google Scholar
Brook, A. (1967). ‘An experiment in General Practitioner/Psychiatrist co-operation.’ Journal of the College of General Practitioners, 13, 127–31.Google Scholar
Brown, G. W., Monck, E. M., Garstairs, G. M., and Wing, J. K. (1962). ‘Influence of family life on the course of schizophrenic illness.’ British Journal of Preventive and Social Medicine, 16, 55–68.Google Scholar
Caplan, G. (1964). Principles of Preventive Psychiatry. London: Tavistock Publications.Google Scholar
Committee on Local Authority and Allied Personal Social Services (1968). Report of the Committee on Local Authority and Allied Personal Social Services (Seebohm Report). London: H.M. Stationery Office (Cmnd. 3703).Google Scholar
Goffman, E. (1961). Asylums. New York: Doubleday Anchor Books.Google Scholar
Hansell, N. (1967). ‘Patient predicament and clinical service: a system.’ Archives of General Psychiatry, 17, 204–10.Google Scholar
Health and Social Security, Dept. of (1970). The Future Structure of the National Health Service. London: H.M. Stationery Office.Google Scholar
Health and Social Security, Dept. of (1971). Hospital Services for the Mentally III. London: D.H.S.S.Google Scholar
Health and Social Security, Dept. of (1971). National Health Service Reorganisation: Consultative Document. London: D.H.S.S.Google Scholar
Hendrickson, W. J., and Holmes, D.J. (1959). ‘Control of behavior as a crucial factor in intensive psychiatric treatment in an all adolescent ward.’ American Journal of Psychiatry, 115, 969–73.Google Scholar
Holmes, D. J. (1964). The Adolescent in Psychotherapy. Boston: Little, Brown/London: Churchill.Google Scholar
Klein, M. (1937). In Klein, M., and Riviere, J. Love, Hate and Reparation. London: Hogarth Press Google Scholar
Langsley, D. G., Flomenhaft, K., and Machotka, P. (1969). ‘Follow-up evaluation of family crisis therapy.’ American Journal of Orthopsychiatry, 39, 753–9.Google Scholar
Langsley, Donald G., and Kaplan, David KM. (1968). The Treatment of Families in Crisis. New York: Grune & Stratton.Google Scholar
Lear, T. E., Bhattacharyya, A., Corrigan, G., Elliot, G., Gordon, J., and Pitt-Aikens, T. (1969). ‘Sharing the care of the elderly between community and hospital.’ Lancet, ii, 1349–53.Google Scholar
Lear, T. E., Bhattacharyya, A., Corrigan, G., Elliot, G., Gordon, J., and Pitt-Aikens, T. (1967). ‘A shift in emphasis in a psychiatric service.’ Lancet, ii, 253–254.Google Scholar
Miller, D. (1969). The Age Between. London: Cornmarket/Hutchinson.Google Scholar
Rapoport, R. N. (1960). Community as Doctor. London: Tavistock Publications.Google Scholar
Registrar-General's Advisory Committee on Medical Nomenclature and Statistics (1968). A Glossary of Mental Disorders. London: H.M. Stationery Office. (General Register Office. Studies on Medical and Population Subjects, No. 22.) Google Scholar
Skynner, A. C. R. (1969). ‘Indications and contra-indications for conjoint family therapy.’ International Journal of Social Psychiatry, 15, 245–9.Google Scholar
Schwartz, M. S., and Will, G. T. (1953). ‘Low morale and mutual withdrawal on a mental hospital ward.’ Psychiatry, 16, 337–53.Google Scholar
Turle, G. C. (1960). ‘On opening an adolescent unit.’ Journal of Mental Science, 106, 1320–6.Google Scholar
Warren, W. (1965). ‘The psychiatry of adolescents’, in Modern Perspectives in Child Psychiatry, pp. 285–305 (ed. Howells). Edinburgh: Oliver and Boyd Google Scholar
Warren, W. (1971). ‘You can never plan the future by the past—the development of child and adolescent psychiatry in England and Wales.’ Journal of Child Psychology and Psychiatry, 11, 241–57.Google Scholar
Wing, J. K. (1962). ‘Institutionalism in mental hospitals.’ British Journal of Social and Clinical Psychology, 1, 38–51.Google Scholar
Winnicott, D. W. (1969). ‘Adolescent process and the need for personal confrontation.’ Pediatrics, 44, 752–6.Google Scholar
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