Mental health considered as an enchanted thought in which care focuses on isolation and patients locked up in psychiatric hospitals. It is found and called biological psychiatry, in which pharmacological treatment prevailed. Also, mental health integrates into the sanitary frame. Psychiatric Treatment Center in Lahore.
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There was a vast development because of the psychiatric reform. Especially, where psychiatric hospitals close and a social and sanitary services network in mental health established. It develops promotional and rehabilitation activities, based on care, autonomy, and patients’ integration. Psychiatric Treatment Center in Lahore.
Progress Of Healthcare System
The progress has been slow. Firstly, it focuses on contention and patients’ custody, making a difference between psychiatric nurse and the rest of the healthcare system. Recently, nurses have evolved, doing activities which aims at patients’ integration and socialization.
Mental Illness Treatment
Mental illness has not always considered as such, rather it has been a phenomenon dealt with by other sciences outside of medicine. Such as philosophy or religion. Until the beginning of the last century. It has not been when medicine and nursing have considered it as part of their discipline. Diseases of the mind always considers difficult to understand, explain and of course treat.
For a long time, psychiatric hospitals have been the basic institutions that have cared for patients with mental problems. And people with unaccepted social behavior. In the last century critical movements appear that highlight the social consideration of the mentally ill. And the negative effects of seclusion (chronification and social marginalization). Psychiatric Treatment Center in Lahore.
Institutions Of Psychiatric Care
Authors such as Foucault show the relationship of institutions with the repression and isolation of people who have inappropriate social behaviors. As Foucault points out psychiatry is not born a consequence of the knowledge of madness. But of the disciplinary devices in which the mentally ill organizes. He criticizes institutions where prohibitions, exclusion and repression formed part of the organization and operation of psychiatric care.
Goffman’s considerations, which try to clarify the situation of the hospitalized patient, are also interesting. He tries to understand the relational processes that establishes in psychiatric institutions. And adding a quote from Goffman, internment is more a method of maladjustment than organization of the patient.
The barriers that the institutions create on the patient, the lack of training for daily life. And the social disconnections that they suffer, mean that the psychiatric institution does not fulfill the necessary restorative or adaptive functions, leaving the patient on the margin of society.
In from Organic Regulation for the regime and internal government of the, until the arrival of the Republic, the assistance of the psychiatric nurse is based on the. There are two experiences of transformation of this model, one in initiated by the (1914-1924) and another initiated in the era.
New Care Model
Both split and that returned to the previous asylum model, promoting the establishment of religious orders and the dictatorship, making it impossible to develop the proposed proposals. The Decree of, 1931 on Mental Hygiene sought to regulate the admission. And exit of mental patients in psychiatric establishments. And the acceptance of a new care model that would break with the consideration of the asylum as the only place of psychiatric treatment.
Importance Of Mental Hygiene
The importance of the previous decree will translate into the Psychiatric Care Organization, which regulates the existence of three services. Mental Hygiene Dispensaries for the treatment and care of patients where entry and exit depended on the will of the these, being able to receive outpatient care.
Psychic Discrepancy and Prevents Relapses
Psychic dispensaries organized in the likeness of tuberculosis hospitals, where the organization delegates to the Provincial Councils or Town Halls. And the Social Assistance Services as structures in charge of monitoring discharged patients. Thus, favoring social integration. The key figure of the social care service nurse stands out. The person in charge of home visits to follow up on the indications prescribed by the psychiatrist and prevent relapses.
Maintenance Of Psychiatric Services
The opens a gap in the institutionalization of psychiatry, preventing the reforms from carrying out. From the Decree of Assistance to the Mentally ill, only the regulation for the first time of the voluntary admission remains. It is also worth mentioning that same year, the Law of Bases of National Health. Where the commitment of the State in the technical direction of psychiatric assistance. Through the responsibility of the provincial councils preserved in the maintenance of psychiatric services.
The attention to mental illness has undergone a profound transformation in the last twenty-five years after the psychiatric reform carried out. In a first period, the care model was asylum psychiatry. And the place of confinement of patients was the asylum. Prohibiting any alternative that was not this model. Medical training and chairs dominate by the ideology of the time.
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