First admissions and planning in Jamaica (original) (raw)

Summary

An unselected sample of 90 first admissions (66 male and 24 female) to the only mental hospital in Jamaica is described. Over 60 per cent were less than 35 years of age with a younger age of onset in the males. Half the admissions were schizophrenics, a fifth affective disorders, a quarter organic disorders, and none psychoneurotic. The sex distributions of these groups showed a marked male excess for schizophrenia and organic disorders which was not present for affective disorders. In addition to the effects of introducing psychiatric care in general hospitals, factors of selection, social stress and protection are discussed to explain these findings. The implications for planning and research are noted. It is recommended that nurses be given authority as Mental Health Supervisors to cope with the problems in this rural society.

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References

• Burke, A. W.: Syphilis in a Jamaican psychiatric hospital. A review of 52 cases including 17 of neuro-syphilis. Brit. J. vener. Dis. 48, 249–253 (1972)
  Google Scholar
• Burke, A. W.: The consequences of unplanned repatriation. Brit. J. Psychiat. 123, 109–111 (1973)
  Google Scholar
• Carothers, J. C.: The African mind in health and disease. A study of ethnopsychiatry. WHO Monograph series No. 17, Geneva, 1953
• Collis, R.: Personal communication (1971)
• Collomb, H., Zwingelstein, J.: Depressive states in an African community (Dakar). In: Pan-African Psychiatric Conference Report, pp. 227–234. T. A. Lambo (ed.) 1961
• Desouza, J., Beaubrun, M. H.: An evaluation of the U. W. I. programme of community psychiatric care. In: Résumé of Sixth Caribbean conference for mental health in Barbadoes. pp. 6–7 M. H. Beaubrun (ed.) 1967
• General Register Office: The Register General's Statistical Review of England and Wales. Supplement on Mental Health, H. M. S. O. London (1959)
  Google Scholar
• Gordon, E. B.: Mentally ill West Indian immigrants. Brit. J. Psychiat. 111, 877–887 (1965)
  Google Scholar
• Leighton, D. C.: Psychiatric symptoms found in Yoruba respondents during the Cornell-Aro Pilot Study. In: Pan-African Psychiatric Conference Report, pp. 141–143. T.A. Lambo (ed.) 1961
• Malzberg, B.: Mental disease among negroes in New York State, 1939–1941. Mental Hyg. (N. Y.) 37, 450–476 (1953)
  Google Scholar
• Malzberg, B.: Age and sex in relation to mental disease: A study of first admissions to hospitals for mental disease in New York State. Mental Hyg. (N. Y.) 39, 196–224 (1955)
  Google Scholar
• Malzberg, B.: Mental disease among Puerto Ricans in New York City, 1949–1951. J. nerv. ment. Dis. 123, 262–269 (1956)
  Google Scholar
• Murphy, H. B. N., Sampath, H. M.: The incidence and characteristics of schizophrenia in a Caribbean population. In: Résumé of Sixth Caribbean conference for mental health in Barbadoes. pp. 9–10 (ed.) Beaubrun 1967
• Odegaard, O.: Psychiatric epidemiology (Abridged). Proc. roy. Soc. Med. 55, 831–837 (1962)
  Google Scholar
• Population Census: Preliminary Report. Department of Statistics, Kingston, Jamaica, 1970
• Radin, R. V.: The University of the West Indies programme of community psychiatric care: A current reevaluation. Newsletter Caribbean Psychiat. Ass. 3, 15–24 (1972)
  Google Scholar
• Royes, K.: The mental health programme. Newsletter Caribbean Psychiat. Ass. 1, (1969)
• Spencer, D. J.: Cannabis induced psychosis. West Indian Med. J. 19, 228–230 (1970)
  Google Scholar
• Tonks, I. M., E. S. Paykel, Klerman, G. L.: Clinical depression among negroes. Amer. J. Psychiat. 127, 329–335 (1970)
  Google Scholar
• Webb, R. A. J.: Characteristics of first ad missions to a mental hospital. West Indian Med. J. 10, 276–279 (1961)
  Google Scholar

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Authors and Affiliations

1. Bellevue Hospital, Kingston, Jamaica
   A. W. Burke B. Sc., M.B., Ch. B., D. P. M., M.R.C. Psych. (Research Fellow)
2. Department of Psychiatry, University of Birmingham, B15 2TH, Birmingham, Great Britain
   A. W. Burke B. Sc., M.B., Ch. B., D. P. M., M.R.C. Psych. (Research Fellow)

Authors

1. A. W. Burke B. Sc., M.B., Ch. B., D. P. M., M.R.C. Psych.

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Burke, A.W. First admissions and planning in Jamaica.Soc Psychiatry 9, 39–45 (1974). https://doi.org/10.1007/BF00578018

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• Issue date: March 1974
• DOI: https://doi.org/10.1007/BF00578018

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