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C M SMITH

Publications and source records attributed to C M SMITH.

At least 19 recordsLinked to original sources

A SURVEY OF PSYCHIATRIC UNITS IN GENERAL HOSPITALS IN CANADA.

The Canadian Psychiatric Association recently recommended that all general hospitals over 200 beds should have psychiatric in-patient units. Questionnaires were sent to the administrators of the 52 existing general hospital psychiatric units in Canada. Most administrators expressed approval of these units, although some noted the existence of problems. Statistics are given on the staffing of the units. Although the number of beds was small, these facilities accounted for a very large number of admissions. Most had active teaching programs. The advantages of implementing the C.P.A. recommendation are many. General hospital psychiatric units should be encouraged to undertake comprehensive psychiatry, that is, to accept all types of psychiatric patients, and to retain responsibility for long-term care.

Canada↗

Controlled observations on the single case.

Valuable information can be gained from studies of a single case, provided bias on the part of physician and patient can be minimized. Use of the double-blind method achieves this. Some pitfalls in such studies are mentioned, and it is emphasized that skill, judgment and knowledge all play a part in the design and interpretation of investigations of this nature. As an example, a trial of three analeptics in the treatment of a narcoleptic patient, using a simple rating scale, is described.

Central Nervous System Stimulants↗

Care of the certified psychiatric patient in the general hospital: the Saskatoon project.

The effect of admitting a random selection of 42 committed psychiatric patients to an ordinary, open general hospital psychiatric ward was studied. A control group of 44 regular psychiatric patients was formed for comparison purposes. Differences were studied by rating scales of behaviour and psychopathology and by nursing and medical observations. Though differences in ages and psychopathology were marked, the differences in behavioural problems were slight. The results are consistent with the belief that a well-trained staff can now manage practically all psychiatric admissions in a general hospital.

Certification↗